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在巴西 COVID-19 大流行期间,接受度高的暴露前预防(PrEP)远程咨询和 HIV 自我检测。

High acceptability of PrEP teleconsultation and HIV self-testing among PrEP users during the COVID-19 pandemic in Brazil.

机构信息

Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, RJ, Brazil.

Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, RJ, Brazil.

出版信息

Braz J Infect Dis. 2021 Jan-Feb;25(1):101037. doi: 10.1016/j.bjid.2020.11.002. Epub 2020 Dec 4.


DOI:10.1016/j.bjid.2020.11.002
PMID:33285137
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7833416/
Abstract

In March 2020, telemedicine and HIV self-testing were adopted by Brazilian Public Health services to minimize disruptions in pre-exposure prophylaxis (PrEP) access and delivery during the COVID-19 pandemic. To understand the acceptability of PrEP teleconsultation and HIV self-testing, we conducted a web-based study during social distancing period (April-May, 2020) among men who have sex with men and transgender/non-binary individuals using social media. Out of the 2375 HIV negative respondents, 680 reported PrEP use and were included in this analysis. Median age was 33 years (IQR: 28-40), 98% cisgender men, 56% white, 74% high education, and 68% middle/high income. Willingness to use HIVST was 79% and 32% received an HIV self-testing during social distancing period. The majority reported preference for PrEP/HIV self-testing home delivery instead of collecting at the service. PrEP teleconsultation was experienced by 21% and most reported feeling satisfied with the procedures. High acceptability of PrEP teleconsultation was reported by 70%. In ordinal logistic model, having higher education was associated with high aceptability of PrEP teleconsultation (aOR:1.62; 95%CI: 1.07-2.45). Our results point out that PrEP teleconsultation and PrEP/HIV self-testing home delivery could be implemented by PrEP services in Brazil to avoid PrEP shortage during the COVID-19 pandemic and thereafter as an option to increase retention and adherence.

摘要

2020 年 3 月,巴西公共卫生服务机构采用远程医疗和 HIV 自我检测,以尽量减少 COVID-19 大流行期间暴露前预防 (PrEP) 获取和提供的中断。为了了解 PrEP 远程咨询和 HIV 自我检测的可接受性,我们在社交隔离期间(2020 年 4 月至 5 月),通过社交媒体,对男男性行为者和跨性别/非二元个体进行了一项基于网络的研究。在 2375 名 HIV 阴性的受访者中,有 680 名报告了 PrEP 的使用情况,并纳入了这项分析。中位数年龄为 33 岁(IQR:28-40),98%为顺性别男性,56%为白人,74%为高学历,68%为中高收入。愿意使用 HIVST 的比例为 79%,在社交隔离期间有 32%的人接受了 HIV 自我检测。大多数人报告说更喜欢在家中接受 PrEP/HIV 自我检测的交付,而不是到服务点领取。有 21%的人经历过 PrEP 远程咨询,大多数人对程序感到满意。70%的人报告 PrEP 远程咨询的接受度很高。在有序逻辑模型中,接受更高教育与 PrEP 远程咨询的高接受度相关(aOR:1.62;95%CI:1.07-2.45)。我们的研究结果表明,巴西的 PrEP 服务可以实施 PrEP 远程咨询和 PrEP/HIV 自我检测的家庭交付,以避免 COVID-19 大流行期间 PrEP 的短缺,并作为增加保留率和依从性的选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67fd/9392147/b5f96aae500b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67fd/9392147/b5f96aae500b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/67fd/9392147/b5f96aae500b/gr1.jpg

相似文献

[1]
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[2]
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[3]
Acceptability of six-monthly PrEP dispensing supported with interim HIV self-testing to simplify PrEP delivery in Kenya: findings from qualitative research.

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[4]
A Systematic Review and Meta-analysis of the Impact of the COVID-19 Pandemic on Access to HIV Pre-exposure Prophylaxis: Lessons for Future Public Health Crises.

J Acquir Immune Defic Syndr. 2024-11-1

[5]
Dynamics of HIV self-testing uptake among sexual and gender minorities: pre and during COVID-19.

Rev Saude Publica. 2024

[6]
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J Int AIDS Soc. 2024-10

[7]
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[10]
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本文引用的文献

[1]
Impact of COVID-19 Pandemic on Sexual Minority Populations in Brazil: An Analysis of Social/Racial Disparities in Maintaining Social Distancing and a Description of Sexual Behavior.

AIDS Behav. 2021-1

[2]
Telemedicine as a tool for PrEP delivery during the COVID-19 pandemic in a large HIV prevention service in Rio de Janeiro-Brazil.

Braz J Infect Dis. 2020-5-31

[3]
Telehealth in the Context of COVID-19: Changing Perspectives in Australia, the United Kingdom, and the United States.

J Med Internet Res. 2020-6-9

[4]
Global Telemedicine Implementation and Integration Within Health Systems to Fight the COVID-19 Pandemic: A Call to Action.

JMIR Public Health Surveill. 2020-4-2

[5]
An Internet-Based HIV Self-Testing Program to Increase HIV Testing Uptake Among Men Who Have Sex With Men in Brazil: Descriptive Cross-Sectional Analysis.

J Med Internet Res. 2019-8-1

[6]
Factors Associated With Willingness to Use Pre-Exposure Prophylaxis in Brazil, Mexico, and Peru: Web-Based Survey Among Men Who Have Sex With Men.

JMIR Public Health Surveill. 2019-6-17

[7]
Factors associated with PrEP awareness according to age and willingness to use HIV prevention technologies: the 2017 online survey among MSM in Brazil.

AIDS Care. 2019-10

[8]
Brief Report: PrEPTECH: A Telehealth-Based Initiation Program for HIV Pre-exposure Prophylaxis in Young Men of Color Who Have Sex With Men. A Pilot Study of Feasibility.

J Acquir Immune Defic Syndr. 2019-1-1

[9]
Abstracts of the HIV Research for Prevention Meeting, HIVR4P, 17-20 October, 2016, Chicago, USA.

AIDS Res Hum Retroviruses. 2016-10

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