在美国全国女性样本中,暴露前预防知识,使用和坚持
Samira Gure1, Jean Jimenez1, Maeve Brin1
1School of Nursing, Columbia University, New York, NY, USA.
尽管人们对艾滋病毒暴露前预防 (PrEP) 的认识很高,但在脆弱的妇女中,其使用率很低. 主要障碍包括错误信息,成本和健康素养,需要针对性干预来有效预防艾滋病毒.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 暴露前预防 (PrEP) 是有效的预防艾滋病毒.
- 在易受艾滋病毒感染的女性中,PrEP的使用率在美国仍然很低.
研究的目的:
- 评估行为易受伤害的妇女的PrEP知识,使用和遵守情况.
- 确定影响PrEP参与的因素和吸收障碍.
主要方法:
- 利用了来自美国妇女在流行病学上评估风险 (AWARE) 研究的调查数据和基于尿液的坚持测试.
- 在脆弱样本中分析知识,自我报告的使用和客观的坚持.
主要成果:
- 对PrEP的高度认识,但实际使用和考虑它的意愿最小.
- 客观的坚持测试证实了当前用户的高度坚持.
- 社会经济地位,保险,关系动态和健康素养影响了PrEP的参与.
结论:
- 持续存在的障碍,如错误信息和药物负担能力,限制了女性使用PrEP.
- 提高PrEP健康素养和获得负担得起的药物的机会至关重要.
- 需要有针对性的干预措施来解决PrEP吸收的结构和信息障碍.
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