Factors Associated with Awareness of Pre-exposure Prophylaxis for HIV Among Persons Who Inject Drugs in Philadelphia: National HIV Behavioral Surveillance, 2015
Factors Associated with Awareness of Pre-exposure Prophylaxis for HIV Among Persons Who Inject Drugs in Philadelphia: National HIV Behavioral Surveillance, 2015
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DOI：
10.1007/s10461-018-2293-0
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发表时间：
2019-07-01
影响因子：
4.4
通讯作者：
Brady, Kathleen
中科院分区：
文献类型：
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作者：
Roth, Alexis;Nguyen Tran;Brady, Kathleen
注射吸毒者(PWID)继续承受不成比例的艾滋病毒负担。尽管研究表明PWID发现暴露前预防(PrEP)是可以接受的，但意识和接受度仍然很低。分析了美国宾夕法尼亚州费城(n=612)国家艾滋病毒行为监测(n=612)2015年PWID周期的数据，以评估社会人口统计和行为因素如何影响PrEP意识。接受调查的PWID中只有12.4%的人知道PrEP，2.6%的人报告收到了处方。与PrEP相关的因素包括至少有大学学历(AOR 2.13，95%CI 1.03，4.43)、共用用具(AOR 2.37，95%CI 1.23，4.56)、主要从注射器交换项目获得注射器/针头(AOR 2.28，95%CI 1.35，3.87)、STI检测(AOR 1.71，95%CI 1.01，2.89)和药物治疗(AOR 2.81，95%CI 1.62，4.87)。获得预防和卫生服务增加了知晓PrEP的几率；然而，总体上知晓率较低。有必要进行更多的推广工作。
Persons who inject drugs (PWID) continue to experience disproportionate HIV burden. Though studies demonstrate PWID find pre-exposure prophylaxis (PrEP) acceptable, awareness and uptake remains low. Data from the 2015 PWID cycle of the National HIV Behavioral Surveillance (n=612) in Philadelphia, Pennsylvania (USA) were analyzed to evaluate how socio-demographics and behavioral factors impact PrEP awareness. Only 12.4% of PWID surveyed were PrEP-aware and 2.6% reported receiving a prescription. Factors associated with PrEP awareness included having at least some college education (aOR 2.13, 95% CI 1.03, 4.43), sharing paraphernalia (aOR 2.37, 95% CI 1.23, 4.56), obtaining syringes/needles primarily from a syringe exchange program (aOR 2.28, 95% CI 1.35, 3.87), STI testing (aOR 1.71, 95% CI 1.01, 2.89) and drug treatment (aOR 2.81, 95% CI 1.62, 4.87). Accessing prevention and health services increased the odds of being PrEP-aware; however, awareness was low overall. Additional promotion efforts are warranted.