华盛顿州西雅图市内注射药物妇女的prep意识,兴趣和使用情况:混合方法研究
Lauren R Violette1,2, Maria A Corcorran3, Elizabeth J Austin4
1Department of Medicine, University of Washington, Seattle, WA, USA. lvio@uw.edu.
AIDS and behavior
|February 3, 2025
概括
大多数注射毒品 (WWID) 的女性有资格接受艾滋病毒暴露前预防 (PrEP),但由于住房不稳定和误解等障碍,很少有人使用它. 增加对量身定制干预措施的获取对于改善该人口中PrEP吸收至关重要.
科学领域:
- 公共卫生 公共卫生
- 传染病流行病学 传染病流行病学
- 社会和行为科学 社会和行为科学
背景情况:
- 注射毒品的妇女 (WWID) 面临着不成比例的高艾滋病毒率和严重障碍的暴露前预防 (PrEP) 使用.
- 了解PrEP的认识,兴趣和利用对于针对这一脆弱群体的针对性艾滋病预防策略至关重要.
研究的目的:
- 在华盛顿州西雅图的WWID中评估PrEP意识,兴趣和使用情况.
- 确定影响该群体使用PrEP的决定因素和障碍.
- 为制定有效的,针对特定人口的艾滋病毒预防干预措施提供信息.
主要方法:
- 一项混合方法研究,将调查 (n=30) 和半结构面试 (n=16) 与WWID结合起来.
- 参与者是成年人,有注射毒品的历史,艾滋病毒阳性或未知的艾滋病毒状况.
- 数据分析涉及描述性统计,调查和采访结果的三角化,以及定性数据的快速评估过程.
主要成果:
- 83%的WWID受访者是PrEP的候选人,但目前只有8%的人正在使用它.
- 虽然76%的人听说过PrEP,但意识往往涉及误解.
- 对每日口服 (57%) 和注射 (48%) PrEP 的兴趣很高,但住房不稳定,坚持挑战和竞争优先事项等障碍阻碍了使用.
结论:
- 在WWID中,PrEP资格和当前使用之间存在很大的差距.
- 误解和交叉的社会结构障碍阻碍了PrEP的吸收和持续使用.
- 低障碍,量身定制的干预措施对于改善WWID的PrEP获取和有效性至关重要.
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