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社区卫生工作者主导的抗逆转录病毒治疗（ART）服务提高了尼日利亚拉各斯州男男性行为者的定期抗逆转录病毒药物续药率。

Community health worker-led ART delivery improved scheduled antiretroviral drug refill among men who have sex with men in Lagos State, Nigeria.

机构信息

APIN Public Health Initiatives 10, Ndagi Mamudu Close, Jabi district, Abuja, Nigeria.

Instituut voor Tropische Geneeskunde 155, Nationalestraat, 2000 Antwerp, Belgium.

出版信息

Int Health. 2021 Feb 24;13(2):196-198. doi: 10.1093/inthealth/ihaa021.

DOI:10.1093/inthealth/ihaa021
PMID:32478384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7902675/
Abstract

BACKGROUND

Stigma affects access and treatment outcomes in men who have sex with men. We assessed the effect of novel community health worker-led antiretroviral therapy delivery (CLAD).

METHODS

A retrospective cohort study of routinely collected data was conducted. We used the t-test to compare the mean adherence to scheduled drug refill appointments before and after implementing CLAD.

RESULTS

The mean adherence to drug refill was 1.4 (±0.7 SD) of monthly scheduled refills before CLAD and 4.7 (±1.2 SD) of monthly refills in CLAD (P < 0.001).

CONCLUSION

The CLAD model was more effective for drug refill appointments than a regular HIV clinic.

摘要

背景

污名化会影响男男性行为者获得治疗的机会和治疗效果。我们评估了新型社区卫生工作者主导的抗逆转录病毒治疗提供模式（CLAD）的效果。

方法

这是一项回顾性队列研究，对常规收集的数据进行分析。我们使用 t 检验比较了实施 CLAD 前后，每月预定药物补充预约的平均服药依从性。

结果

CLAD 实施前，每月预定药物补充预约的平均服药依从性为 1.4（±0.7 SD），CLAD 实施后为 4.7（±1.2 SD）（P < 0.001）。

结论

与常规 HIV 诊所相比，CLAD 模式在药物补充预约方面更有效。