儿科医生对预防艾滋病毒的暴露前预防 (PrEP) 的不适:需要更多的教育
Matthew Grant1, Kathryn Chenault1, Jaylyn Waddell1
1Pediatrics, University of Maryland School of Medicine, Baltimore, USA.
Cureus
|March 13, 2025
概括
儿童医疗服务提供者
科学领域:
- 儿科 儿科 儿科
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 青少年患艾滋病毒的风险很高,但暴露前预防 (PrEP) 的使用率很低.
- 之前关于提供者对PrEP知识的研究主要集中在成人提供者或FDA批准之前的青少年中.
- 儿科提供者的舒适性和知识对于青少年获得PrEP至关重要.
研究的目的:
- 评估儿科提供者对处方暴露前预防 (PrEP) 的知识和舒适性.
- 为了确定提供者对PrEP的知识和舒适性在2016年至2020年之间是否发生了变化.
- 在儿科提供者中识别PrEP咨询和处方的障碍.
主要方法:
- 2016年 (n=118) 和2020年 (n=60) 在马里兰州为儿科提供者进行的匿名调查.
- 在两组调查中,比较了两组调查组之间对PrEP的一般意识,培训,临床实践和自我报告的舒适度.
- 评估特定临床场景的舒适度,以评估随时间变化的知识和舒适度.
主要成果:
- 从2016年到2020年,关于PrEP的普遍认识增加了,来源于传统和非传统道.
- 在儿科提供者中,咨询和处方PrEP的自我报告舒适度没有显著变化.
- 总体而言,临床知识仍然很低,许多提供者无法确定安全启动PrEP的必要实验室测试.
结论:
- 尽管人们对PrEP的认识增加了,但儿科提供者在辅导和处方PrEP方面的舒适性并没有改善.
- 持续的教育对于提高儿科提供者的知识和对生物医学艾滋病毒预防的舒适度至关重要.
- 提高提供者信心是提高青少年PrEP可用性和使用率的关键.
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