在泰国使用毒品的人中,偏好暴露前预防 (PrEP):一个离散选择实验
Ajaree Rayanakorn1, Piyameth Dilokthornsakul2, Donsuk Pongnikorn3
1Department of Pharmacology, Faculty of Medicine, Chiang Mai University, Thailand.
The International journal on drug policy
|July 16, 2025
概括
成本,位置和友好的员工是艾滋病毒暴露前预防 (PrEP) 在吸收药物使用者 (PWUDs) 中的关键. 定制服务,如TelePrEP,可以改善特定群体的获取,增强艾滋病毒预防工作.
科学领域:
- 公共卫生 公共卫生
- 预防艾滋病毒 预防艾滋病毒
- 药物使用研究研究 药物使用研究
背景情况:
- 暴露前预防 (PrEP) 是预防艾滋病毒的关键工具.
- 让吸毒者参与PrEP服务受到社会,法律和结构障碍的阻碍.
- 了解PWUD偏好对于在泰国有效提供PrEP至关重要.
研究的目的:
- 检查在泰国使用毒品 (PWUDs) 的人群中对暴露前预防 (PrEP) 服务的偏好.
- 确定影响该群体PrEP吸收的关键属性.
- 探索偏好中的异质性,并确定不同的子组.
主要方法:
- 使用自我管理的问卷进行了一个离散选择实验 (DCE).
- 数据收集时间为2024年3月至8月,收集在Thanyarak Chiang Mai医院.
- 使用随机参数逻辑 (RPL) 和隐性类模型来分析偏好和识别子组.
主要成果:
- 影响PrEP偏好的最重要因素是成本,其次是位置和工作人员的友好.
- PWUDs对专为他们的服务或那些每月成本高的服务的偏好较低.
- 那些不了解PrEP的人更喜欢TelePrEP,而女性更喜欢主要人口主导的卫生服务 (KPLHS).
结论:
- 需要不同的PrEP服务交付模式,考虑位置,员工态度和成本等因素.
- 解决特定群体偏好的创新方法对于改善PWUDs中PrEP吸收至关重要.
- 自由获取和量身定制的服务可以显著提高这一群体的艾滋病毒预防工作.
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