a Department of Social and Preventative Medicine, School of Public Health , University of Montreal , Montreal , QC , Canada.
Glob Public Health. 2018 Oct;13(10):1382-1387. doi: 10.1080/17441692.2017.1373139. Epub 2017 Sep 3.
This article presents the phenomenon of the use of informal pre-exposure prophylaxis (PrEP), also known colloquially as 'wild PrEP'. The related ethical public health issues of the use of informal PrEP are discussed. From the approach of an ethical framework of risk reduction in public health, the main objective of this article is to encourage health-related practices and policies that do not stop the informal access to PrEP, but rather promote the wellbeing of users by providing them with the necessary knowledge and resources related to PrEP and HIV prevention (i.e. getting regularly tested for HIV if one is to take PrEP). As each country has its own policies with respect to PrEP and access to healthcare services, this article does not explore specific locations but rather highlights different global ethical key points on how to approach the use of informal PrEP with the goal of promoting HIV prevention among individuals at high risk for HIV infection.
本文介绍了非正式暴露前预防（PrEP）的现象，也俗称“野生 PrEP”。讨论了使用非正式 PrEP 的相关伦理公共卫生问题。从公共卫生风险降低的伦理框架方法出发，本文的主要目的是鼓励与健康相关的实践和政策，这些实践和政策不应阻止非正式获取 PrEP，而是通过为用户提供与 PrEP 和 HIV 预防相关的必要知识和资源，促进用户的健康（即如果要服用 PrEP，就定期进行 HIV 检测）。由于每个国家都有自己的 PrEP 政策和医疗保健服务获取政策，本文并未探讨特定地点，而是重点介绍了不同的全球伦理要点，以探讨如何处理非正式 PrEP 的使用，旨在促进高危人群的 HIV 预防。
