在性和性别少数群体中拒绝保险和共享PrEP成本
Alexa D'Angelo1, Chloe Mirzayi2, Naomi Zewde3
1Alexa D'Angelo, City University of New York, New York, New York.
Health affairs (Project Hope)
|August 4, 2025
概括
尽管有法规,但对艾滋病毒暴露前预防 (PrEP) 的保险拒绝和成本共享仍然存在. 许多性和性别少数群体面临这些障碍,影响了获得必要的艾滋病毒预防的机会.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 条例要求保险覆盖暴露前预防 (PrEP),而无需分担成本.
- 尽管有法规,但持续存在的保险覆盖问题和成本共享做法阻碍了PrEP的获取.
- 性别和性别少数群体的人群受到这些障碍的影响不成比例.
研究的目的:
- 评估PrEP被保险拒绝的发生率.
- 确定与PrEP相关的成本共享的频率.
- 检查这些问题在美国的性和性别少数群体中.
主要方法:
- 通过地缘社会网络应用程序招聘性和性别少数群体.
- 进行查调查,以评估目前或以前的PrEP使用情况.
- 在2022年8月至2023年7月期间,收集PrEP拒绝和成本共享的经验数据.
主要成果:
- 在11,410名参与者中,有23.7%的人表示曾经经历过PrEP拒绝.
- 拒绝率因药物而异,从通用TDF/FTC的8.5%到Descovy.的48.2%不等.
- 34.6%的受访者报告说,在过去两年中,成本共享主要用于实验室工作 (58.3%) 和私人保险人员 (61.5%).
结论:
- 持续的保险拒绝和PrEP的成本共享阻碍了获得艾滋病毒预防的机会.
- 需要采取政策干预措施,以解决覆盖率差距,计费错误和表单层级挑战.
- 确保公平获得PrEP对于性和性别少数群体的健康至关重要.
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