Preexposure Prophylaxis for Women Across the Criminal Justice System: Implications for Policy and Practice.

Preexposure Prophylaxis for Women Across the Criminal Justice System: Implications for Policy and Practice.
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DOI:
10.1089/jchc.19.11.0082
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发表时间:
2022-03
期刊:
Journal of correctional health care : the official journal of the National Commission on Correctional Health Care
影响因子:
--
通讯作者:
Meyer JP
Meyer JP
中科院分区:
其他
文献类型:
--
作者:
Hoff E;Rutledge R;Gibson BA;Price CR;Gallagher C;Maurer K;Meyer JP

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为参与刑事司法系统的妇女实施PrEP提供信息的数据很少。在对CJ系统的PrEP态度,可接受性和障碍的调查中,被监禁的女性(n=48)比试用期的WICJ(n=125)更有可能有资格获得PrEP(29% vs.15%; p=0.04),并且如果提供(94% vs.78%; p=0.01),愿意接受PrEP。在多变量模型中,PrEP合格性与监禁直接相关(aOR 4.81,95%CI 1.76-13.1),与西班牙裔/拉丁裔种族呈负相关(aOR 0.31; 95%CI 0.10-0.96)。最近的伴侣暴力暴露与PrEP资格(aOR 3.29; 95%CI 1.54-7.02)和不一致的风险认知(aOR 2.36; 95%CI 1.18-4.70)相关。调查结果表明,所有WICJ的PrEP潜力很大,尽管实施工作需要解决伴侣暴力问题。
Data that inform PrEP implementation for women involved in criminal justice systems (WICJ) are scarce. In a survey of PrEP attitudes, acceptability and barriers across the CJ system, incarcerated women (n=48) were more likely than WICJ on probation (n=125) to be eligible for PrEP (29% vs.15%; p=0.04) and willing to take PrEP if offered (94% vs. 78%; p=0.01). In multivariate models, PrEP eligibility directly correlated with being incarcerated (aOR 4.81, 95%CI 1.76–13.1) and inversely correlated with Hispanic/Latina ethnicity (aOR 0.31; 95% CI 0.10–0.96). Recent partner violence exposure was associated with PrEP eligibility (aOR 3.29; 95%CI 1.54–7.02) and discordant risk perception (aOR 2.36; 95%CI 1.18–4.70). Findings demonstrate high potential for PrEP for all WICJ, though implementation efforts will need to address partner violence.
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