DeGroote Nicholas P, Korhonen Lauren C, Shouse R Luke, Valleroy Linda A, Bradley Heather
MMWR Morb Mortal Wkly Rep. 2016 Sep 23;65(37):1004-1007. doi: 10.15585/mmwr.mm6537a4.
Gay, bisexual, and other men who have sex with men (MSM) are disproportionately affected by human immunodeficiency virus (HIV) in the United States (1). Ancillary services, defined as services that support retention in HIV medical care and assist with day-to-day living, can improve the health of HIV-infected MSM and help them achieve viral suppression (2). To assess the unmet needs for ancillary services among MSM receiving outpatient HIV medical care during 2013-2014, CDC used data from the Medical Monitoring Project (MMP), a surveillance system designed to assess clinical and behavioral characteristics of adults receiving HIV care, to obtain nationally representative estimates of, and identify reasons for, unmet needs (3). Based on self-reported needs of persons responding to the MMP survey, the most prevalent unmet needs were for non-HIV medical care services: approximately 23% had an unmet need for dental care, and 19% had an unmet need for eye or vision care. Unmet needs were most prevalent among young, non-Hispanic black, and Hispanic/Latino MSM. State and local health departments, community-based organizations, and health care providers might improve the health of MSM living with HIV by promoting access to ancillary services using strategies that increase patient awareness of how to obtain these services, especially among young, non-Hispanic black, and Hispanic/Latino MSM.
在美国,男同性恋者、双性恋者以及其他与男性发生性行为的男性(MSM)受人类免疫缺陷病毒(HIV)的影响尤为严重(1)。辅助服务被定义为支持HIV感染者持续接受医疗护理并协助其日常生活的服务,这类服务能够改善感染HIV的男男性行为者的健康状况,并帮助他们实现病毒抑制(2)。为评估2013 - 2014年期间接受门诊HIV医疗护理的男男性行为者对辅助服务的未满足需求,美国疾病控制与预防中心(CDC)使用了医疗监测项目(MMP)的数据。该监测系统旨在评估接受HIV护理的成年人的临床和行为特征,以获得全国具有代表性的未满足需求估计值,并确定未满足需求的原因(3)。根据对MMP调查做出回应者的自我报告需求,最普遍的未满足需求是针对非HIV医疗护理服务:约23%的人有未满足的牙科护理需求,19%的人有未满足的眼部或视力护理需求。未满足需求在年轻的非西班牙裔黑人以及西班牙裔/拉丁裔男男性行为者中最为普遍。州和地方卫生部门、社区组织以及医疗服务提供者可以通过采用提高患者对如何获得这些服务的认识的策略来促进辅助服务的获取,从而改善感染HIV的男男性行为者的健康状况,尤其是在年轻的非西班牙裔黑人以及西班牙裔/拉丁裔男男性行为者中。