在南加利福尼亚州艾滋病毒暴露前预防的知识和障碍
Gilbert A Orta Portillo1, Chrysovalantis Stafylis1, Yara Tapia1
1Department of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, California.
概括
许多风险人群了解艾滋病毒暴露前预防 (PrEP),但缺乏对未保险人的要求和可用性的认识. 解决知识差距和提供者耻辱是提高PrEP吸收的关键.
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
- 性健康研究性健康研究
背景情况:
- 人类免疫缺陷病毒 (HIV) 暴露前预防 (PrEP) 是非常有效的,但在高发病率地区未得到充分利用.
- 了解PrEP吸收障碍对于有针对性的公共卫生干预至关重要.
研究的目的:
- 在南加州评估与艾滋病毒风险男性发生性关系的男性中评估知识并确定PrEP使用的障碍.
- 探索与PrEP知识和感知障碍的人口统计学关联.
主要方法:
- 在圣贝纳迪诺和里弗赛德县招募成年男性与男性发生性关系的横截面研究,这些男性不是艾滋病毒感染者,也不是使用PrEP.
- 通过在线广告和诊所材料招聘;对人口因素和障碍的统计分析.
主要成果:
- 81%的参与者听说过PrEP,但近一半的人不知道艾滋病毒检测要求或未保险人士的PrEP可用性.
- 没有保险的参与者报告说,与提供者讨论性健康的舒适度明显降低 (OR:0.19,95% CI [0.05,0.68]).
结论:
- 关于PrEP要求和未保险人群获得PrEP的知识缺口仍然存在.
- 减少提供者耻辱和改善无保险人员的获取是提高PrEP使用率的关键策略.
- 有针对性的教育和支持性的医疗环境对于提高PrEP的遵守和有效性至关重要.
更多相关视频
相关概念视频
Sexually Transmitted Infections
176
Sexually transmitted infections (STIs) are diseases transmitted primarily through unsafe sexual interactions. Bacteria, viruses, or parasites cause them and can result in severe health complications if untreated.ChlamydiaThe bacterium Chlamydia trachomatis is responsible for the disease Chlamydia, the most common STI in the United States. This peculiar pathogen requires human cells to reproduce, residing intracellularly. The initial infection often goes unnoticed because it typically does not...
176
Retrovirus Life Cycles
45.3K
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the...
45.3K


