扩大PrEP访问权限,将未经预告的SNAPS导航器嵌入到高STI检测临床站点中.
Robert A Pitts1, Mateo Rufo2, Francois Ban3
1Department of Internal Medicine, Health and Hospitals/Bellevue, 462 First Avenue, New York, NY, 10016, USA. robert.pitts@nyulangone.org.
AIDS and behavior
|September 8, 2025
概括
该SNAPS导航程序成功地将各种各样的个人与PrEP护理联系起来. 然而,药物持有率在实施后有所下降,这表明需要在艾滋病毒预防中改善药物坚持支持.
科学领域:
- 公共卫生 公共卫生
- 预防艾滋病毒 预防艾滋病毒
- 医疗保健服务研究 医疗服务研究
背景情况:
- 暴露前预防 (PrEP) 是预防艾滋病毒的关键工具.
- 将PrEP服务与导航和财政援助相结合,可以改善获取.
- 安全网医院服务于多样化,脆弱的人群,需要定制的艾滋病毒预防策略.
研究的目的:
- 评估SNAPS (协同导航和PrEP服务) 计划对PrEP护理提供和结果的影响.
- 在不同患者群体中评估PrEP护理的坚持和保留.
- 确定PrEP级联完成的挑战和改进领域.
主要方法:
- 在纽约市的一家安全网医院实施了共享PrEP导航,临床服务和支付援助计划 (SNAPS).
- 追溯队列分析,比较SNAPS前和SNAPS后的患者特征.
- 通过使用平均药物持有率 (MPR) 和通过12个月的预约跟踪保持PrEP坚持的评估.
主要成果:
- 与SNAPS前队列相比,后SNAPS队列更为多样化,与SNAPS前队列相比, cisgender男性,白人和英语发言人更少.
- 与SNAPS前队列 (0.89) 相比,SNAPS后队列 (0.68) 的平均MPR显著较低.
- 与cisgender女性相比,cisgender男性和与男性发生性关系的男性 (MSM) 在后SNAPS组内在PrEP护理中的保留率更高.
结论:
- 通过SNAPS计划,有效地增加了不同人群对PrEP的获取.
- 在SNAPS后较低的MPR平均值表明,在维持长期坚持方面存在挑战.
- 持续投资对于优化PrEP护理级联的后期阶段对于所有艾滋病毒风险人口至关重要.
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