在吸毒者中改善PrEP遵守的策略:系统性审查
Janae Briggs1, John Chiosi2,3,4, Sirisha Papineni5
1Department of International Health, Johns Hopkins School of Public Health, Baltimore, MD, USA.
AIDS and behavior
|September 28, 2025
概括
暴露前预防 (PrEP) 可以在使用药物 (PWUD) 的人群中预防艾滋病毒,但坚持是关键. 成功的策略解决了成本,获取和与阿片类药物治疗相结合,改善了这一群体的艾滋病毒预防.
科学领域:
- 公共卫生 公共卫生
- 预防传染病 预防传染病
- 药物使用障碍 药物使用障碍
背景情况:
- 使用毒品的人 (PWUD) 患艾滋病毒感染的风险很高.
- 暴露前预防 (PrEP) 是有效的,但需要坚持成功.
研究的目的:
- 系统地审查PWUD的PrEP干预措施.
- 确定在这个人群中增强PrEP坚持的策略.
主要方法:
- 按照PRISMA指南进行系统审查.
- 搜索了EMBASE,PubMed,以及临床试验网站gov.gov.
- 包括9项研究检查了PWUD的PrEP干预措施.
主要成果:
- 干预措施各不相同;成功的干预措施降低了成本,改善了获取.
- 数字工具和与阿片类药物替代疗法 (OST) 的整合显示出有希望.
- 当PrEP与OST或阿片类药物使用障碍药物结合使用时,观察到的高度坚持 (80-95%).
- 行为干预措施未得到充分利用.
- 使用毒品的女性面临着独特的障碍,需要专门的支持.
结论:
- 针对性PrEP干预措施解决金融和后勤障碍对于PWUD至关重要.
- 将PrEP与OST或用于阿片类药物使用障碍的药物结合起来,可以显著改善坚持.
- 需要进一步的研究,特别是针对药物使用妇女的量身定制的创伤信息护理.
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