在刚果民主共和国,以同行教育者为驱动的采样方法对波克斯风险增加的人群进行抽样:对监测和应对的影响
Sydney Merritt1, Megan Halbrook1, Yvon Anta2
1Jonathan and Karin Fielding School of Public Health, Department of Epidemiology, University of California, Los Angeles, California, United States of America.
PLOS global public health
|August 1, 2025
概括
莫波克斯的流行病学风险因素正在转变. 这项研究开发了一种新的抽样策略,有效地接触刚果民主共和国的与男性发生性关系的男性 (MSM) 和性工作者 (SW) 进行公共卫生监测.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 传染病监测 传染病监测 传染病
背景情况:
- 全球和刚果民主共和国 (DRC) 的mpox (以前的麻疹) 流行病风险因素正在演变.
- 识别和理解关键人群中的风险因素对于有效的公共卫生干预至关重要.
- 之前的监测方法可能无法充分接触通过性接触增加风险的人群.
研究的目的:
- 描述和评估一种新的抽样策略,用于在刚果民主共和国招募与男性发生性关系的男性 (MSM) 和性工作者 (SW).
- 评估这些关键人群中感知到的mopox风险,以及行为,临床和性史.
- 展示一种功能性方法,以便快速调查难以接触的群体,以对MPOX进行监视和应对.
主要方法:
- 采用了与同行教育工作者进行的时间位置采样和受访者驱动的采样方法.
- 2826个人,包括自称MSM,SW,两者,以及非MSM/非SW,在刚果民主共和国的三个城市中心 (三月至8月2024年) 进行了登记.
- 同行教育者是主要的招聘道 (超过90%),针对SW和MSM优化了基于特定场所的采样策略.
主要成果:
- 采样策略成功招募了多元化的队列,超过90%通过同行教育者接触.
- 基于场所的抽样显示,SW在酒吧/俱乐部的入学率更高,MSM在选择的卫生机构的入学率更高.
- 在Kenge和Goma的方法修改并没有对关键人群的入学产生负面影响.
结论:
- 与完善的同行教育工作者合作对于与难以接触的人群成功接触至关重要.
- 这种可适应的抽样策略可以在不断变化的风险群体中实现高效的mopox监测.
- 这种方法有助于及时收集数据,以便在刚果民主共和国开展公共卫生监测和应对工作.
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