Community engagement and linkage to care efforts by peer community-health workers to increase PrEP uptake among sexual minority men.

Community engagement and linkage to care efforts by peer community-health workers to increase PrEP uptake among sexual minority men.
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DOI:
10.1111/phn.12887
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发表时间:
2021-09
期刊:
Public health nursing (Boston, Mass.)
影响因子:
--
通讯作者:
Tobin KE
Tobin KE
中科院分区:
其他
文献类型:
--
作者:
Farley JE;Dangerfield DT 2nd;LaRicci J;Sacamano P;Heidari O;Lowensen K;Jennings JM;Tobin KE

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暴露前预防(PrEP)可以预防艾滋病毒,但在美国的吸收仍然不理想。本文评估了由护士监督的社区卫生工作者(CHW)领导的外展活动对PrEP护理级联的影响。这是对2016年3月1日至2020年3月31日期间LGBTQ +社区外展的观察性方案评估,作为公共卫生倡议的一部分。描述性统计用于按外展类型表征数据。2,465人参加了会议。总体而言,94人(3.8%)安排了PrEP预约,其中70人(2.8%)确认已完成PrEP访视。每种类型的社区外展活动的成功进行了评估,虚拟模型优于面对面。面对面外展在2,188名接触者中确定了9人(0.41%)完成了初步PrEP访问。网站prepmaryland.org在24名接触者中确定了4名(16.7%),PrEP电话/短信热线在60名接触者中确定了18名(30%)。PrEPme智能手机应用程序在168名接触者中识别出39名(23.2%)。面对面的社区外展工作接触到了大量的参与者,但在随访和确认的PrEP访问中产量较低。所有虚拟平台达到的总人数较低,但在参加PrEP访问方面取得了更大的成功,这表明与护理的联系得到了加强。
Pre‐exposure prophylaxis (PrEP) prevents HIV yet uptake remains suboptimal across the United States. This paper evaluates the impact of outreach activities led by nurse supervised community healthcare workers (CHWs) on the PrEP care cascade. This is an observational programmatic evaluation of LGBTQ + community outreach between March 1, 2016, to March 31, 2020, as part of a public health initiative. Descriptive statistics are used to characterize the data by outreach type. 2,465 participants were reached. Overall, a PrEP appointment was scheduled for 94 (3.8%) with 70 (2.8%) confirmed to have completed a PrEP visit. Success for each type of community outreach activity was evaluated with virtual models outperforming face‐to‐face. Face‐to‐face outreach identified nine persons among 2,188 contacts (0.41%) completing an initial PrEP visit. The website prepmaryland.org identified 4 among 24 contacts (16.7%) and the PrEP telephone/text warm‐line identified 18 among 60 contacts (30%). The PrEPme smartphone application identified 39 among 168 contacts (23.2%). Face‐to‐face community outreach efforts reached a large number of participants, yet had a lower yield in follow‐up and confirmed PrEP visits. All virtual platforms reached lower total numbers, but had greater success in attendance at PrEP visits, suggesting enhanced linkage to care.
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