Defining the HIV pre-exposure prophylaxis care continuum.
Defining the HIV pre-exposure prophylaxis care continuum.
复制标题
DOI：
10.1097/qad.0000000000001385
复制
发表时间：
2017-03-13
期刊：
影响因子：
--
通讯作者：
Chan PA
中科院分区：
文献类型：
--
作者：
Nunn AS;Brinkley-Rubinstein L;Oldenburg CE;Mayer KH;Mimiaga M;Patel R;Chan PA
暴露前预防（PrEP）是一种有效的艾滋病预防策略。关于如何衡量PrEP项目实施进展，科学界几乎没有共识。我们根据多年来实施PrEP项目的经验，提出了PrEP连续护理方案，包括：(1)识别感染艾滋病毒风险最高的个体，(2)提高这些个体的艾滋病毒风险意识，(3)提高PrEP意识，(4)促进PrEP获取，(5)与PrEP护理联系，(6)开具PrEP处方，(7)启动PrEP，(8)坚持PrEP，(9)保留PrEP护理人员。我们还提出了四种不同的PrEP保留护理类别，包括：(1)指征PrEP并保留在PrEP护理中，(2)指征PrEP但未保留在PrEP护理中，(3)不再指征PrEP，(4)失去了PrEP护理的随访。这种持续的PrEP护理创造了一个框架，研究人员和从业人员可以用它来衡量PrEP的认识、吸收、坚持和保留。了解拟议的PrEP护理连续体中的每个点对于制定有效的PrEP干预措施和衡量PrEP项目实施中的公共卫生进展至关重要。
Pre-exposure prophylaxis (PrEP) is an effective HIV prevention strategy. There is little scientific consensus about how to measure PrEP program implementation progress. We draw on several years of experience in implementing PrEP programs and propose a PrEP continuum of care that includes: (1) identifying individuals at highest risk for contracting HIV, (2) increasing HIV risk awareness among those individuals, (3) enhancing PrEP awareness, (4) facilitating PrEP access, (5) linking to PrEP care, (6) prescribing PrEP, (7) initiating PrEP, (8) adhering to PrEP, and (9) retaining individuals in PrEP care. We also propose four distinct categories of PrEP retention in care that include being: (1) indicated for PrEP and retained in PrEP care, (2) indicated for PrEP and not retained in PrEP care, (3) no longer indicated for PrEP, and (4) lost to follow-up for PrEP care. This continuum of PrEP care creates a framework that researchers and practitioners can use to measure PrEP awareness, uptake, adherence, and retention. Understanding each point along the proposed continuum of PrEP care is critical for developing effective PrEP interventions and for measuring public health progress in PrEP program implementation.