Department of Dermatology, Kaiser Permanente, 1600 Owens Street, 9th Floor, San Francisco, CA 94158, USA.
Department of Medicine, Kaiser Permanente Oakland Medical Center, 3600 Broadway, Oakland, CA 94611, USA.
Dermatol Clin. 2020 Apr;38(2):233-238. doi: 10.1016/j.det.2019.10.008. Epub 2019 Nov 23.
HIV remains an important public health concern in the United States, particularly for men who have sex with men (MSM) and transgender persons. With HIV preexposure prophylaxis (PrEP), persons who are HIV-uninfected take antiretroviral medications to prevent HIV infection. The most common PrEP regimen involves taking a single pill daily and is very effective in reducing risk of HIV infection, with few adverse effects. Barriers to PrEP access exist for MSM and transgender persons. Dermatologists can help combat the ongoing HIV epidemic among MSM, transgender persons, and others by understanding why, when, and how PrEP should be considered as an HIV prevention approach.
在美国,艾滋病毒仍然是一个重要的公共卫生关注点,特别是对于男男性行为者(MSM)和跨性别者。艾滋病毒暴露前预防(PrEP)是指未感染艾滋病毒的人服用抗逆转录病毒药物来预防艾滋病毒感染。最常见的 PrEP 方案是每天服用一片,在降低 HIV 感染风险方面非常有效,且副作用很少。对于 MSM 和跨性别者来说,PrEP 的获取存在障碍。皮肤科医生可以通过了解为什么、何时以及如何将 PrEP 作为一种 HIV 预防方法来考虑,帮助对抗 MSM、跨性别者和其他人中的持续艾滋病毒流行。