在肯尼亚,产后妇女对长效艾滋病毒预防方法的可接受性:一项定性研究
Tessa Concepcion1, John Kinuthia2, Felix A Otieno2
1University of Washington.
Research square
|March 10, 2025
概括
肯尼亚的产后妇女对长期作用的暴露前预防药物 (LA-PrEP) 非常感兴趣,因为方便和隐私,他们更喜欢它而不是每天服用药物. 在怀孕和母乳养期间对安全性的教育是提高LA-PrEP可接受性的关键.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 生殖健康 生殖健康
背景情况:
- 每日口服暴露前预防 (PrEP) 坚持存在挑战,特别是在怀孕和分娩后.
- 在孕妇和产后妇女中,长效PrEP (LA-PrEP) 的可接受性数据有限.
- LA-PrEP 提供了每日口服 PrEP 的替代品,有可能改善弱势群体的坚持.
研究的目的:
- 评估肯尼亚产后妇女中LA-PrEP的可接受性.
- 确定提高LA-PrEP接受度和吸收的策略.
- 了解妇女在怀孕和产后期间对LA-PrEP的偏好和担忧.
主要方法:
- 通过对产后妇女进行深入访谈 (IDI),进行了一项探索性定性研究.
- 参与者来自肯尼亚基苏穆和西亚县的五个公共卫生机构.
- 数据使用归纳和演内容分析进行了分析,以理论可接受性框架 (TFA) 为指导.
主要成果:
- 70名接受采访的女性中,大多数 (62.9%) 对LA-PrEP表达了高度兴趣.
- 可注射的LA-PrEP,特别是每两个月一次的配方,由于方便和减少剂量频率,是高度可接受的.
- 关键问题包括注射LA-PrEP在怀孕期间对婴儿的安全性,以及在分娩期间阴道环的适用性;建议教育和移动提醒是遵守策略.
结论:
- 在产后妇女中,LA-PrEP选项具有很高的可接受性,特别是那些在怀孕期间有过PrEP经验的妇女.
- 对LA-PrEP的偏好受安全性,谨慎性和方便性等因素的影响,突出了对量身定制信息的需求.
- 医疗保健提供者教育对于促进知情决策和在孕产妇健康环境中成功实施LA-PrEP至关重要.
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