在波士顿大都会地区,按年龄和性别分类的性健康诊所服务的差异
Anne M Neilan, Yiqi Qian1, Grace Chamberlin1
1Medical Practice Evaluation Center, Massachusetts General Hospital, Boston, MA.
Sexually transmitted diseases
|December 15, 2025
概括
使用性健康服务的年轻人对艾滋病毒暴露前预防 (PrEP) 不太了解,也不太可能获得处方,特别是年轻女性有PrEP的迹象.
科学领域:
- 公共卫生 公共卫生
- 性健康 性的健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 性健康诊所的利用率因人口因素而有很大差异.
- 了解服务使用中的年龄和性别差异对于有针对性的干预至关重要.
- 以前的研究还没有完全阐明这些差异在预防艾滋病毒的背景下.
研究的目的:
- 分析基于年龄和性别的性健康诊所服务利用率的差异.
- 根据年龄和性别,调查性传播感染 (STI) 测试和艾滋病毒暴露前预防 (PrEP) 的吸收差异.
- 为了确定影响临床参与者PrEP处方率的因素.
主要方法:
- 分析了波士顿大都会性健康诊所 (2019年1月至2021年6月) 4,004名患者的7949次诊所访问.
- 数据按年龄和性别分层,包括STI状态,PrEP使用和保险覆盖.
- 多变量波桑回归用于评估PrEP处方的预测因子,PrEP的适应性由CDC指南定义.
主要成果:
- 参加者主要是男性 (78%),白人 (50%),13%没有保险. 在23%的访问中存在性传播感染.
- 年轻的患者 (15-22岁) 与老年人相比,更有可能没有保险和不知道PrEP.
- 在有PrEP指示的访问中 (38%),PrEP在84%的男性访问和61%的女性访问中被处方. 26岁以下的女性比年龄较大的女性更容易被处方PrEP的可能性低46%.
结论:
- 获得性健康服务的年轻人对PrEP的认识较低.
- 在那些有记录PrEP指示的人中,年轻女性不太可能被处方PrEP.
- 需要有针对性的策略来提高PrEP的认识和性健康诊所的年轻女性的获取.
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