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柬埔寨女性娱乐工作者对暴露前预防(PrEP)的知晓情况、使用意愿及获取PrEP的首选场所:一项横断面研究

Pre-exposure Prophylaxis (PrEP) Awareness, Willingness to Use, and Preferred Places for Access Among the Cambodian Female Entertainment Workers: A Cross-Sectional Study.

作者信息

Garg Priyanka Rani, Uppal Leena, Kurian Kauma, Heng Tola, Akhtar Faiyaz, Mehra Sunil

机构信息

Department of Research and Innovation, MAMTA Health Institute for Mother and Child, New Delhi, India.

Department of Program and Innovation, MAMTA Health Institute for Mother and Child, New Delhi, India.

出版信息

AIDS Behav. 2023 May;27(5):1409-1417. doi: 10.1007/s10461-022-03877-1. Epub 2022 Nov 8.

Abstract

The aim of the study was to determine the awareness, desire to use, and preferred providers of pre-exposure prophylaxis (PrEP) among Female Entertainment Workers (FEWs) aged 18-35 years in Cambodia's Phnom Penh region. Of 1003 FEWs, 31.8% of them had heard of PrEP. When informed about PrEP, 67.4% said they would use PrEP and the most preferred location to access PrEP was a local non-governmental organization (NGO) (63.2%), followed by a government clinic/center (39.8%), ART clinic (26.5%), pharmacy (20.7%), and CBO (14.8%). FEWs who had heard about PrEP (aOR: 2.46; CI: 1.79-3.39) and those with no additional income source other than sex work (aOR: 1.53; CI: 1.16-2.02) were more likely to express their willingness to use PrEP. When the country is in the process of making provisions for PrEP, the study urges policymakers and programmers to take steps towards creating awareness about PrEP among key populations such as FEWs and its availability preferably through local NGOs and government clinics.

摘要

该研究的目的是确定柬埔寨金边地区18至35岁女性娱乐工作者对暴露前预防(PrEP)的知晓情况、使用意愿以及首选的服务提供者。在1003名女性娱乐工作者中,31.8%听说过PrEP。在了解PrEP后,67.4%的人表示会使用PrEP,获取PrEP的最首选地点是当地非政府组织(63.2%),其次是政府诊所/中心(39.8%)、抗逆转录病毒治疗诊所(26.5%)、药店(20.7%)和社区组织(14.8%)。听说过PrEP的女性娱乐工作者(调整后比值比:2.46;可信区间:1.79 - 3.39)以及除性工作外没有其他收入来源的人(调整后比值比:1.53;可信区间:1.16 - 2.02)更有可能表示愿意使用PrEP。在该国为PrEP制定相关规定的过程中,该研究敦促政策制定者和项目规划者采取措施,提高关键人群(如女性娱乐工作者)对PrEP的认识,并最好通过当地非政府组织和政府诊所提供PrEP。

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