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长效注射治疗在 HIV 感染者中的应用:从精神病学和成瘾医学中汲取经验展望未来。

Long-Acting Injectable Therapy for People with HIV: Looking Ahead with Lessons from Psychiatry and Addiction Medicine.

机构信息

Division of General Internal Medicine & Health Services Research, David Geffen School of Medicine at University of California Los Angeles, Los Angeles, CA, USA.

Division of General Internal Medicine & Health Services Research, David Geffen School of Medicine at UCLA, 1100 Glendon Ave., Suite 850, Los Angeles, CA, 90024, USA.

出版信息

AIDS Behav. 2023 Jan;27(1):10-24. doi: 10.1007/s10461-022-03817-z. Epub 2022 Sep 5.

Abstract

Long-acting injectable antiretroviral medications are new to HIV treatment. People with HIV may benefit from a treatment option that better aligns with their preferences, but could also face new challenges and barriers. Authors from the fields of HIV, substance use treatment, and mental health collaborated on this commentary on the issues surrounding equitable implementation and uptake of LAI ART by drawing lessons from all three fields. We employ a socio-ecological framework beginning at the policy level and moving through the community, organizational, interpersonal, and patient levels. We look at extant literature on the topic as well as draw from the direct experience of our clinician-authors.

摘要

长效注射型抗逆转录病毒药物是 HIV 治疗领域的新事物。对于 HIV 感染者来说,他们可能会受益于一种与他们的偏好更相符的治疗选择,但也可能会面临新的挑战和障碍。来自 HIV、物质使用治疗和心理健康领域的作者在这篇评论中合作,从这三个领域中吸取经验,探讨了公平实施和接受 LAI ART 所涉及的问题。我们采用了一个社会生态框架,从政策层面开始,一直延伸到社区、组织、人际和患者层面。我们既研究了该主题的现有文献,也借鉴了我们临床医生作者的直接经验。

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