与费城注射吸毒者对 HIV 暴露前预防知晓情况相关的因素：2015 年全国 HIV 行为监测。
Factors Associated with Awareness of Pre-exposure Prophylaxis for HIV Among Persons Who Inject Drugs in Philadelphia: National HIV Behavioral Surveillance, 2015.
机构信息
Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, 3215 Market Street, Room 454, Philadelphia, PA, 19104, USA.
Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA.
出版信息
AIDS Behav. 2019 Jul;23(7):1833-1840. doi: 10.1007/s10461-018-2293-0.
Persons who inject drugs (PWID) continue to experience disproportionate HIV burden. Though studies demonstrate PWID find pre-exposure prophylaxis (PrEP) acceptable, awareness and uptake remains low. Data from the 2015 PWID cycle of the National HIV Behavioral Surveillance (n = 612) in Philadelphia, Pennsylvania (USA) were analyzed to evaluate how socio-demographics and behavioral factors impact PrEP awareness. Only 12.4% of PWID surveyed were PrEP-aware and 2.6% reported receiving a prescription. Factors associated with PrEP awareness included having at least some college education (aOR 2.13, 95% CI 1.03, 4.43), sharing paraphernalia (aOR 2.37, 95% CI 1.23, 4.56), obtaining syringes/needles primarily from a syringe exchange program (aOR 2.28, 95% CI 1.35, 3.87), STI testing (aOR 1.71, 95% CI 1.01, 2.89) and drug treatment (aOR 2.81, 95% CI 1.62, 4.87). Accessing prevention and health services increased the odds of being PrEP-aware; however, awareness was low overall. Additional promotion efforts are warranted.
注射毒品者（PWID）继续经历不成比例的 HIV 负担。尽管研究表明 PWID 认为暴露前预防（PrEP）是可以接受的，但意识和接受度仍然很低。宾夕法尼亚州费城 2015 年 PWID 全国艾滋病毒行为监测（n=612）的研究数据进行了分析，以评估社会人口统计学和行为因素如何影响 PrEP 的意识。只有 12.4%的调查 PWID 对 PrEP 有了解，2.6%的人报告接受了处方。与 PrEP 意识相关的因素包括至少有一些大学教育（aOR 2.13，95%CI 1.03，4.43），共用用具（aOR 2.37，95%CI 1.23，4.56），主要从注射器交换计划获得注射器/针头（aOR 2.28，95%CI 1.35，3.87），性传播感染（STI）检测（aOR 1.71，95%CI 1.01，2.89）和药物治疗（aOR 2.81，95%CI 1.62，4.87）。获得预防和保健服务增加了 PrEP 意识的可能性；然而，总体意识仍然很低。需要进一步加强宣传工作。
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