准备意识和覆盖范围:2022年南非产前艾滋病毒哨兵调查的结果
Nosipho Shangase1, Tendesayi Kufa2,3, Mireille Cheyip4
1Centre for HIV and STI, National Institute for Communicable Diseases, Modderfontein Road Sandringham, Johannesburg, 2192, South Africa. nosiphos@nicd.ac.za.
AIDS and behavior
|February 12, 2025
概括
尽管艾滋病毒发病率很高,南非孕妇对暴露前预防 (PrEP) 的认识和覆盖率很低. 增加PrEP获取和教育对于预防母婴艾滋病毒传播至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 南非在孕妇中面临高艾滋病毒发病率,增加了母婴传播 (MTCT) 风险.
- 暴露前预防 (PrEP) 是减少艾滋病毒传播的关键策略.
- 加强PrEP覆盖率对于控制南非艾滋病毒流行病至关重要.
研究的目的:
- 估计在南非参加产前诊所的孕妇中对PrEP的认识和覆盖范围.
- 确定与PrEP意识和覆盖率相关的因素.
主要方法:
- 全国跨截面产前艾滋病毒哨兵调查于2022年2月至4月进行.
- 进行了描述性和调查逻辑回归分析.
- 符合PrEP的资格是根据HIV阴性状态和特定的风险因素来定义的.
主要成果:
- 31.18%的HIV阴性孕妇有资格接受PrEP.
- 在符合条件的女性中,只有33.65%的人知道PrEP,3.58%的人在怀孕前服用过PrEP,6.50%的人目前正在服用PrEP.
- 第一次产前诊所参观者和从未接受过艾滋病毒检测的妇女不太可能知道或使用PrEP.
结论:
- 总体而言,南非孕妇对PrEP的认识和覆盖率很低.
- 进入产前护理提供了一个关键的机会,以增加PrEP的吸收和预防新的艾滋病毒感染.
- 将PrEP纳入安全受孕计划可以加速消除艾滋病毒的MTCT.
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