南美洲预防艾滋病毒的公共政策:一个交叉分析
Kris Herik de Oliveira1,2, Breno de Oliveira Ferreira3,4, Fernando Joaquim da Silva Junior5
1Universidade de São Paulo, São Paulo, Brasil. kris.h.oliveira@gmail.com.
BMC public health
|December 24, 2025
概括
南美洲的艾滋病毒暴露前预防 (PrEP) 政策显示,由于不平等,其采用率不均. 整合跨界方法对于公平获得PrEP至关重要,应对各种社会和地理因素.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 艾滋病毒暴露前预防 (PrEP) 是世卫组织推的一种生物医学策略.
- 在南美洲采用PrEP的比例不均,凸显了结构性,政治和社会文化上的不平等.
- 应用了交叉镜头来分析国家PrEP政策并促进公平的艾滋病毒预防.
研究的目的:
- 绘制和分析南美13个国家的国家PrEP政策.
- 为了确定更公平的艾滋病毒预防策略的挑战和机会.
- 通过跨学科性框架评估政策如何解决结构性不平等问题.
主要方法:
- 关于国家PrEP政策,指导方针和法规的文献调查.
- 在机构网站和民间社会来源中以多种语言进行的搜索.
- 118个文件的代总结性内容分析,整合了交叉性理论.
主要成果:
- 十个国家有正式的国家PrEP政策;三个国家缺乏全面的指导方针.
- 大多数政策建议每天口服PrEP;按需和长效注射剂的批准/可用性有限.
- 优先考虑的群体各不相同,对边缘化群体的包容性有限,在政策中关注种族/种族,领土,世代和残疾.
结论:
- 在南美洲,PrEP政策的采用是异质的,受交叉因素的影响.
- 像耻辱和地理不平等等结构性障碍限制了PrEP的使用.
- 跨界观点对于公平的PrEP获取作为健康权至关重要.
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