Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Reproductive Health, University of California-San Francisco, CA 94118, USA.
AIDS Behav. 2012 Oct;16(7):1821-9. doi: 10.1007/s10461-011-0109-6.
The first vaginal microbicide was recently proven effective in clinical trials. We assessed the willingness of clinicians to integrate microbicides into HIV prevention practices in Southern Africa, where women face elevated HIV risks. We conducted in-depth interviews (n = 60) and nationally representative surveys (n = 1,444) in South Africa and Zimbabwe with nurses and physicians. Over half of clinicians (58%) were aware of microbicides, with physicians far more likely than nurses to be familiar. Clinicians, including those in rural areas, were generally willing to discuss microbicides, a female-initiated method less effective than the condom, particularly when condom use was unlikely (70%). Fewer would include microbicides while counseling adolescents (51%). Most clinicians (85%) thought their patients would use microbicides; greater clinician familiarity with microbicides was significant for support. Training for both nurses and physicians prior to introduction is critical, so they have sufficient knowledge and skills to offer a microbicide upon availability.
最近，第一种阴道杀微生物剂在临床试验中被证明是有效的。我们评估了临床医生在南部非洲整合杀微生物剂预防艾滋病毒的意愿，因为那里的妇女面临更高的艾滋病毒风险。我们在南非和津巴布韦进行了深入的访谈（n=60）和全国代表性调查（n=1444），对象是护士和医生。超过一半的临床医生（58%）知道杀微生物剂，医生比护士更熟悉这种方法。临床医生，包括农村地区的医生，通常愿意讨论杀微生物剂，这种女性主导的方法不如避孕套有效，特别是在避孕套不太可能使用的情况下（70%）。在为青少年提供咨询时，愿意纳入杀微生物剂的人数较少（51%）。大多数临床医生（85%）认为他们的患者会使用杀微生物剂；临床医生对杀微生物剂的熟悉程度越高，支持度就越高。在引入杀微生物剂之前，对护士和医生进行培训至关重要，这样他们就有足够的知识和技能，在杀微生物剂可用时提供给患者。
