Antiretroviral Treatment Coverage for Men Who Have Sex With Men and Female Sex Workers Living With HIV in Cameroon
Antiretroviral Treatment Coverage for Men Who Have Sex With Men and Female Sex Workers Living With HIV in Cameroon
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DOI：
10.1097/qai.0000000000000443
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发表时间：
2015-03-01
影响因子：
3.6
通讯作者：
Baral, Stefan
中科院分区：
文献类型：
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作者：
Holland, Claire E.;Papworth, Erin;Baral, Stefan
背景资料：男男性行为者（MSM）和女性性工作者（FSW）更有可能感染艾滋病毒，并且由于耻辱和歧视而难以获得艾滋病毒卫生服务。艾滋病毒感染者的抗逆转录病毒治疗和持续的病毒抑制是艾滋病毒护理连续性的最后一步，这已被证明可以改善健康结果并降低艾滋病毒进一步传播的风险。方法：计算感染艾滋病毒的男男性行为者和女性性工作者抗逆转录病毒治疗（ART）覆盖率估计值的分子和分母，对艾滋病控制工作重点地点方法进行了修改，以包括个人定量访谈、卫生服务评估和绘图以及喀麦隆7个城市的规模估计。男男性接触者和女性性工作者采用同伴推荐和基于场所的抽样方法进行招募。分子是根据对MSM和FSW的采访计算出来的。MSM和FSW的人口规模估计被用来确定denominators.Results：抗逆转录病毒覆盖率从0%到25%不等的艾滋病毒感染的MSM和FSW的网站。据报道，艾滋病毒卫生中心（56.5%）比ART提供给男男性行为者和FSW人口（13.2%）的比例显着更大的ART提供给一般人群（56.5%）。结论：大多数的男男性行为者和FSW感染艾滋病毒，并有资格在喀麦隆治疗没有连接到ART护理。此外，艾滋病毒保健中心为男男性行为者和性工作者提供的抗逆转录病毒疗法不足。描述有效战略的特点，以达到最佳水平，在男男性行为者和性工作者之间的艾滋病毒护理的连续参与是至关重要的，为喀麦隆的艾滋病的一代。
Background: Men who have sex with men (MSM) and female sex workers (FSW) are more likely to be living with HIV and experience difficulty accessing HIV health services due to stigma and discrimination. Antiretroviral treatment and sustained viral suppression among individuals living with HIV is the last step in the continuum of HIV care, which has been shown to improve health outcomes and decrease the risk of onward transmission of HIV.Methods: To calculate the numerator and denominator for antiretroviral therapy (ART) coverage estimates among MSM and FSW living with HIV, the Priority Locations for AIDS Control Efforts methods were modified to include individual quantitative interviews, health service assessment and mapping, and size estimation in 7 cities in Cameroon. MSM and FSW were recruited using peer referral and venue-based sampling. The numerator was calculated from interviews with MSM and FSW. Population size estimation of MSM and FSW was used to determine the denominator.Results: Antiretroviral coverage varied by site from 0% to 25% among HIV infected MSM and FSW. ART provision to the general population was reported at a significantly greater proportion of HIV health centers (56.5%) than ART provision to MSM and FSW populations (13.2%).Conclusions: The majority of MSM and FSW living with HIV and eligible for treatment in Cameroon are not connected to ART care. Additionally, ART provision for MSM and FSW at HIV health centers is insufficient. Characterizing effective strategies to reach optimal levels of engagement in the continuum of HIV care among MSM and FSW is essential for an AIDS-free generation for Cameroon.