在肯尼亚,产后妇女对长效艾滋病毒预防方法的可接受性:一种定性研究
Tessa Concepcion1, John Kinuthia2, Felix Abuna2
1Department of Global Health, University of Washington, 3980 15th Ave NE, Seattle, WA, 98105, USA. concetes@uw.edu.
BMC health services research
|August 20, 2025
概括
长效暴露前预防 (LA-PrEP) 注射对于产后妇女来说是非常可接受的,为每日药丸提供了一种方便的替代方案. 关于怀孕和母乳养期间安全的教育是提高这些艾滋病毒预防方法普及的关键.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 生殖健康 生殖健康
背景情况:
- 每日口服暴露前预防 (PrEP) 坚持存在挑战,特别是在怀孕和产后.
- 在孕妇和产后妇女中,长效暴露前预防 (LA-PrEP) 的可接受性数据有限.
- LA-PrEP 提供了一种潜在的替代每日口服 PrEP,以改善坚持.
研究的目的:
- 评估肯尼亚产后妇女中LA-PrEP的可接受性.
- 确定提高LA-PrEP可接受性和坚持性的策略.
- 了解不同LA-PrEP配方的偏好.
主要方法:
- 一项探索性定性研究,涉及70次与分娩后妇女进行深入访谈 (IDI).
- 采访是在肯尼亚基苏穆和西亚亚县的公共卫生机构进行的.
- 数据分析采用了归纳和演内容分析,以理论可接受性框架 (TFA) 为指导.
主要成果:
- 大多数女性发现LA-PrEP,特别是2个月的注射剂,由于方便性和减少副作用,非常可接受.
- 担忧包括怀孕期间婴儿注射安全性和出生期间使用阴道环.
- 参与者强调需要对安全和遵守策略的教育,如文本提醒.
结论:
- 在怀孕期间使用PrEP的产后妇女中,LA-PrEP选项的接受度很高.
- 影响可接受性的关键因素包括感知到的安全性,自由裁量权和便利性.
- 医疗保健提供者教育对于促进LA-PrEP采用至关重要.
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