预防艾滋病毒的暴露前预防:美国中西部北部土著人口的意识和兴趣
Allison O'Rourke1, Sean T Allen2, Kristin E Schneider2
1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, MD, 21205, USA. aorourk3@jhu.edu.
AIDS and behavior
|June 2, 2025
概括
在中西部北部,很少有土著人知道或对暴露前预防 (PrEP) 有兴趣. 需要提高意识和文化响应的访问,以解决艾滋病毒的不平等.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 健康差异 在健康上的差异
背景情况:
- 原住民在艾滋病毒感染率方面面临重大不平等.
- 暴露前预防 (PrEP) 提供了一种减少艾滋病毒差异的潜在策略.
- 关于土著社区对PrEP的认识和兴趣的研究有限.
研究的目的:
- 探索美国中西部北部土著人民对PrEP的认识和兴趣.
- 确定与PrEP意识和对这一群体的兴趣相关的因素.
主要方法:
- 在2022年秋季,在部落保留地进行了一项调查.
- 参与者 (n=224) 是曾经使用过毒品的土著成年人 (≥18岁).
- 数据包括人口统计,社会结构因素,健康行为,物质使用,以及PrEP意识/兴趣.
主要成果:
- 只有27.7%的参与者报告说他们了解PrEP;17.0%的人表示有兴趣.
- PrEP 意识与最近的艾滋病毒检测有关.
- 对PrEP的兴趣与缺乏医疗保险,多个性伴侣,性感染/艾滋病毒检测以及最近的药物/注射药物使用有关.
结论:
- 在接受调查的土著人民中,关于PrEP的认识和兴趣存在重大差距.
- 参与与更高艾滋病毒风险相关的行为的人对PrEP表现出更大的兴趣.
- 根据文化定制的干预措施对于提高土著社区的PrEP意识和可访问性至关重要.
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