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2020 年法国普通医生对 HIV 暴露前预防(PrEP)知识的认知情况调查。

HIV pre-exposure prophylaxis (PrEP) knowledge among general practitioners in 2020: A French survey.

机构信息

Lille Faculty of Medicine F-59045 Lille Cedex, France.

Infectious Disease Department CH Tourcoing 155 rue du Président Coty 59200 Tourcoing, France.

出版信息

Infect Dis Now. 2023 Apr;53(3):104649. doi: 10.1016/j.idnow.2023.104649. Epub 2023 Jan 23.

Abstract

INTRODUCTION

Since 2017, pre-exposure prophylaxis (PrEP) has been one of the tools in combination HIV prevention strategies. The objective of our questionnaire was to analyze the knowledge and the position of general practitioners in Hauts-de-France on PrEP.

METHOD

This quantitative, observational, cross-sectional study was conducted in 2020 using an anonymous questionnaire sent by post to a sample of 3007 GPs.

RESULTS

Four hundred and forty-four questionnaires (14.8 %) were included. The GPs were predominantly male (n = 253, 57 %) with a median age of 47 years. The median interest shown by respondents was 7/10. One hundred and sixty participating GPs (36%) were aware of the principles of PrEP, one hundred and sixty were only aware of the title (36%) and 124 (28%) showed no awareness at all. Out of the 160 GPs who knew about PrEP, 72 % considered it effective, 30 % knew about it from a patient and 34 % declared having at least one patient using PrEP. GPs who knew about PrEP were more likely to: have graduated less than 10 years before, having seen in consultation men who have sex with men (MSMs) and, lastly; using screening practices for sexually transmitted infections that were better aligned with the recommendations than those who reported not knowing about PrEP.

CONCLUSION

Although PrEP remains insufficiently known to GPs, many expressed eagerness to be involved. The training of health professionals and the highlighting of GPs' role in prevention could help to optimize the fight against HIV.

摘要

引言

自 2017 年以来,暴露前预防(PrEP)一直是组合 HIV 预防策略之一。我们问卷的目的是分析 Hauts-de-France 的全科医生对 PrEP 的知识和立场。

方法

这是一项 2020 年进行的定量、观察性、横断面研究,使用匿名问卷通过邮件发送给 3007 名全科医生作为样本。

结果

共纳入 444 份问卷(14.8%)。全科医生主要为男性(n=253,57%),中位年龄为 47 岁。受访者的平均兴趣为 7/10。160 名参与的全科医生(36%)了解 PrEP 的原则,160 名仅知道该名称(36%),124 名(28%)完全不了解。在了解 PrEP 的 160 名全科医生中,72%认为其有效,30%从患者那里了解到该药物,34%表示至少有一名患者使用 PrEP。了解 PrEP 的全科医生更有可能:在过去 10 年内毕业,在咨询中见过男男性行为者(MSM),最后;使用性传播感染的筛查实践,与未了解 PrEP 的全科医生相比,这些实践更符合建议。

结论

尽管全科医生对 PrEP 的了解仍然不足,但许多人表示渴望参与。对卫生专业人员的培训和强调全科医生在预防方面的作用,可以帮助优化与 HIV 的斗争。

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