暴露前预防 (PrEP) 在美国大学生中用于预防艾滋病毒
Lisa L Lindley1, Kasey Schlack2
1Department of Community and Global Health, College of Health, Lehigh University, Bethlehem, Pennsylvania.
Journal of American college health : J of ACH
|July 25, 2025
概括
在美国的大学生中,HIV暴露前预防 (PrEP) 的使用是不公平的. 黑人和跨性别/性别多元学生的覆盖率最低,突出了针对性艾滋病毒预防策略的迫切需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 性健康 性的健康
背景情况:
- 艾滋病毒仍然是一个重要的公共卫生问题,特别是在年轻人中.
- 暴露前预防 (PrEP) 是一种高效的生物医学干预措施,用于预防艾滋病毒.
- 了解PrEP在不同人群中的使用模式,如大学生,对于有效的艾滋病毒预防策略至关重要.
研究的目的:
- 评估美国大学生当前使用艾滋病毒暴露前预防 (PrEP) 的情况.
- 在这个人口群体中识别PrEP吸收和覆盖率的差异.
- 评估PrEP与需求比率 (PnR) 和PrEP股权比率 (PER),以了解获取差距.
主要方法:
- 来自2022年春季和2023年春季的ACHA-NCHA-III联合调查数据的二次分析.
- 包括18岁以上的全日制和兼职学生参加4年制机构 (n=133,831).
- 计算PrEP与需求比率 (PnR) 和PrEP股权比率 (PER) 以确定使用差异.
主要成果:
- 在接受调查的大学生中,只有2% (n=2,662) 报告目前使用PrEP.
- 整体PrEP与需求的比率 (PnR) 为13.9,这表明PrEP可用性与需求之间存在很大的差距.
- 与白人学生和 cisgender 女性相比,黑人学生和出生时被分配为男性的跨性别/多性别学生中,PrEP 覆盖率明显较低.
结论:
- 美国大学生使用PrEP是有限的,并以显著的不平等为特征.
- 在PrEP覆盖范围上的差异在有色人种的性和性别少数群体学生中尤为明显.
- 未来的艾滋病毒预防工作必须优先提高PrEP公平性,以达到服务不足和高风险的学生群体.
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