在肯尼亚的年轻女性中,注射性暴露前预防的偏好很高
Kidist Zewdie1,2, John Kinuthia3, Daniel Matemo3
1Department of Epidemiology, University of Washington, 3980 15th Ave NE, Seattle, WA, 98195, USA. kzewdie@gmail.com.
AIDS and behavior
|March 24, 2025
概括
肯尼亚的妇女更喜欢长期的注射性暴露前预防 (PrEP),而不是其他预防艾滋病毒的方法. 了解这些偏好对于成功推出新的,更长效的艾滋病毒预防方案至关重要.
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:
- 更长效的暴露前预防 (PrEP) 为预防艾滋病毒提供了更好的坚持.
- 了解用户偏好对于新PrEP产品的成功实施至关重要.
- 肯尼亚的妇女是艾滋病毒预防战略的关键人口.
研究的目的:
- 评估肯尼亚的性活跃,艾滋病毒阴性女性对不同类型的暴露前预防 (PrEP) 产品的偏好.
- 为了比较有或没有先前口服PrEP经验的女性之间的偏好.
- 确定与偏好注射PrEP相关的因素.
主要方法:
- 在肯尼亚基苏穆的12家计划生育诊所进行的横截面研究.
- 纳入标准:性活跃,艾滋病毒阴性女性,年龄≥15岁,具有与更高艾滋病毒感染风险相关的特征.
- 收集了关于人口统计,PrEP经验和对口服,注射和阴道环PrEP模式的偏好数据;统计分析包括单变量和多变量模型.
主要成果:
- 总共有457名妇女被录取; 74%的没有先前PrEP经验的妇女更喜欢注射PrEP,而最近口服PrEP使用者的比例为82%.
- 31%的参与者使用注射避孕药.
- 感知到的耻辱是唯一与注射PrEP偏好有显著关联的因素 (PR: 1.21).
结论:
- 肯尼亚的生育年龄的妇女表现出对长期作用的注射PrEP的强烈偏好.
- 成功实施注射PrEP需要考虑用户偏好和量身定制的交付方法.
- 未来的艾滋病毒预防计划应优先考虑以用户为中心的产品开发和交付策略.
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