A Pilot Study to Evaluate a Novel Pre-exposure Prophylaxis Peer Outreach and Navigation Intervention for Women at High Risk for HIV Infection.

A Pilot Study to Evaluate a Novel Pre-exposure Prophylaxis Peer Outreach and Navigation Intervention for Women at High Risk for HIV Infection.
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DOI:
10.1007/s10461-020-02979-y
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发表时间:
2021-05
期刊:
影响因子:
4.4
通讯作者:
Cunningham CO
Cunningham CO
中科院分区:
医学2区
文献类型:
--
作者:
Blackstock OJ;Platt J;Golub SA;Anakaraonye AR;Norton BL;Walters SM;Sevelius JM;Cunningham CO

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暴露前预防(PrEP)的吸收仍然可悲的低在美国妇女在艾滋病毒感染的高风险。我们评估了一项试点干预措施,其中包括同伴在移动注射器交换点以及性工作者和注射器交换中心提供简短的PrEP教育和咨询,然后引导到PrEP护理。同伴们在3个月的时间里招募了精通英语、自我认同的女性(即顺性别、跨性别女性和其他跨女性身份的人),并对52名艾滋病毒阴性/身份未知的参与者进行了干预。38名参与者(73.1%)报告了对PrEP的兴趣,27名参与者(51.9%)接受了PrEP预约,13名参与者(25.0%)安排了PrEP预约,3名参与者(5.8%)参加了首次PrEP预约,没有人被处方PrEP。我们发现对PrEP的兴趣与将妇女与PrEP护理联系起来之间存在差距。需要进一步研究以了解这一差距,包括探索向艾滋病毒感染风险最高的妇女提供PrEP护理的创新方法。
Pre-exposure prophylaxis (PrEP) uptake remains woefully low among U.S. women at high risk for HIV acquisition. We evaluated a pilot intervention which involved Peers providing brief PrEP education and counseling at mobile syringe exchange sites and at sex worker and syringe exchange drop-in centers followed by navigation to PrEP care. Peers recruited English-proficient, self-identified women (i.e., cisgender and transgender women and persons with other transfeminine identities) over a 3-month period and delivered the intervention to 52 HIV-negative/status unknown participants. Thirty-eight participants (73.1%) reported PrEP interest, 27 (51.9%) accepted the offer of a PrEP appointment, 13 (25.0%) scheduled a PrEP appointment, 3 (5.8%) attended an initial PrEP appointment, and none were prescribed PrEP. We found a gap between PrEP interest and connecting women to PrEP care. Further study is needed to understand this gap, including exploring innovative approaches to delivering PrEP care to women at highest risk for HIV.
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