尽管PEPFAR支持的14个撒哈拉以南非洲国家在暴力事件后的服务提供有所改善,但暴露后预防完成不佳,2018-2023年
Udhayashankar Kanagasabai1, Stephanie M Davis1, Viva Thorsen1
1HIV Prevention Branch, Division of Global HIV and Tuberculosis, CDC, Atlanta, Georgia, USA.
Journal of the International AIDS Society
|June 26, 2025
概括
性暴力服务正在扩大,但只有不到一半的客户完成了HIV预防的暴露后预防 (PEP). 需要有针对性的干预措施来提高PEP完成率,特别是对于年轻男性和女性来说,以减少艾滋病毒的传播.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 性暴力 (SV) 和艾滋病毒具有双向关系.
- 暴露后预防 (PEP) 是后SV护理中未充分利用的HIV预防方法.
- 优化PEP利用对于艾滋病毒预防工作至关重要.
研究的目的:
- 分析在接受暴力后护理 (PVC) 和SV服务的客户中使用PEP的情况.
- 在撒哈拉以南非洲的CDC支持的项目中确定PEP完成的趋势和差距.
主要方法:
- 对监测,评估和报告数据 (2018-2023财年) 的描述性分析.
- 包括14个撒哈拉以南非洲国家接受PVC和SV服务的客户.
- 专注于PEP利用率和完成率.
主要成果:
- 从2018年到2023年,从SV服务 (163%) 和PVC服务 (233%) 的客户数量显著增加.
- 不到一半的SV客户完成了PEP,其比例从38%下降到31%.
- 15-19岁的男性拥有最低的PEP完成率 (4%).
结论:
- 在扩展 SV 服务和完成 PEP 之间存在关键差距.
- 需要实施科学来解决PEP交付和采用的障碍.
- 改善PEP的吸收和完成对于减轻艾滋病毒的感染至关重要,特别是在青少年和年轻人中.
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