评估纽约州预防用药知晓周活动对 PrEP 处方填写的影响。
Assessing the Impact of a PrEP Aware Week Campaign on PrEP Prescription Fills in NYS.
机构信息
Center for Program Development, Implementation, Research and Evaluation (Drs Tesoriero and O'Grady), Office of Sexual Health and Epidemiology (Dr Yuan), Office of the Medical Director (Ms Newport, Mr Cotroneo, and Dr Gonzalez), and Medicaid Policy and Health Care Financing (Messrs Grisham and Seo), New York State Department of Health AIDS Institute, Albany, New York; and Office of the Medical Director, New York State Department of Health AIDS Institute, Syracuse, New York (Ms Stevens).
出版信息
J Public Health Manag Pract. 2022;28(5):463-468. doi: 10.1097/PHH.0000000000001554.
CONTEXT
The New York State (NYS) Department of Health AIDS Institute engaged stakeholders across NYS to participate in the state's first "PrEP Aware Week" (PAW). PAW sought to increase the knowledge, interest, and number of PrEP (pre-exposure prophylaxis) prescriptions filled across NYS. PAW activities were designed to be easy to implement, with minimal cost. Stakeholders were provided activities to implement, along with a social media tool kit featuring videos, graphic ads, and sample social media posts in English and Spanish to use as is or modify. PAW included more than 750 distinct events and activities undertaken by more than 250 participating providers.
OBJECTIVE
To assess the impact of PAW on PrEP prescription filling patterns in NYS.
DESIGN
An interrupted time-series analysis was conducted to estimate the impact of PAW on overall and new PrEP prescription filling patterns. Separate models were developed by sex (male, female), race and ethnicity (White non-Hispanic, Black non-Hispanic, Hispanic, other, unknown), and region (New York City, rest of NYS).
SETTING
PAW took place across NYS during the week beginning October 20, 2019.
PARTICIPANTS
PAW was undertaken by more than 250 health care providers, nonmedical health & human services providers, local and state health department staff, and colleges and universities.
MAIN OUTCOME MEASURES
The number of overall and new PrEP prescriptions.
RESULTS
PAW was associated with modest increases (6%-9%) in the number of PrEP prescription fills in NYS. The PAW impact lasted for about 2 months, generated an estimated 2727 additional PrEP prescription fills statewide, and was realized across sex, region, and racial and ethnic subgroups. Increased prescription fills were driven by those previously prescribed PrEP. Increases in new prescriptions were noted among Latinx individuals (21% increase, 55 additional prescriptions) but not overall or across other groups.
CONCLUSION
NYS's PAW was effective at increasing PrEP prescription refills in NYS.
背景
纽约州（NYS）卫生部艾滋病研究所邀请全州利益相关者参与该州首个“暴露前预防（PrEP）知晓周”（PAW）。PAW 旨在提高纽约州 PrEP（暴露前预防）处方数量和对 PrEP 的了解和兴趣。PAW 活动旨在易于实施，成本最低。向利益相关者提供了实施活动，以及一个社交媒体工具包，其中包括英语和西班牙语的视频、图形广告和示例社交媒体帖子，可直接使用或修改。PAW 包括 250 多个参与提供者开展的 750 多项不同活动。
目的
评估 PAW 对 NYS PrEP 处方填写模式的影响。
设计
进行了中断时间序列分析，以估计 PAW 对整体和新 PrEP 处方填写模式的影响。按性别（男性、女性）、种族和民族（白种非西班牙裔、黑种非西班牙裔、西班牙裔、其他、未知）和地区（纽约市、纽约州其他地区）分别制定了单独的模型。
地点
PAW 于 2019 年 10 月 20 日那一周在 NYS 各地进行。
参与者
超过 250 名医疗保健提供者、非医疗保健和人类服务提供者、地方和州卫生部门工作人员以及学院和大学参与了 PAW。
主要观察指标
整体和新 PrEP 处方数量。
结果
PAW 与纽约州 PrEP 处方数量适度增加（6%-9%）相关。PAW 的影响持续了大约 2 个月，在全州范围内估计增加了 2727 例 PrEP 处方，并且在性别、地区以及种族和民族亚组中都得到了体现。处方数量的增加是由之前开处 PrEP 的人驱动的。在拉丁裔个体中（增加 21%，增加 55 个处方）注意到新处方的增加，但在总体或其他群体中没有增加。
结论
NYS 的 PAW 有效地增加了 NYS 的 PrEP 处方续方。
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