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一个利用性传播感染监测数据的针对性暴露前预防推广与导航示范项目。

A Focused PrEP Outreach and Navigation Demonstration Project Using STD Surveillance Data.

作者信息

O'Malley Teagen L, Roth Harley, Friedman M Reuel, Rossi Michelle, Krier Sarah E

机构信息

Department of Infectious Diseases and Microbiology, School of Public Health, University of Pittsburgh, 2139 Public Health, 130 DeSoto Street, Pittsburgh, PA, 15261, USA.

Department of Urban-Global Public Health, School of Public Health, Rutgers University, The State University of New Jersey, Newark, USA.

出版信息

AIDS Behav. 2025 May 30. doi: 10.1007/s10461-025-04754-3.

Abstract

Despite significant advances in availability of HIV prevention strategies, missed linkages to PrEP continue for individuals who may benefit, including those with a recent STD diagnosis. Given the persistent racial, ethnic, and gender disparities in HIV and STD acquisition, and similar disparities in PrEP coverage, there is a need for novel interventions linking communities across health care settings to comprehensive HIV prevention counseling and services. This article provides a comprehensive overview of the implementation and associated evaluation design of a demonstration project that leverages Pennsylvania's STD surveillance database to identify individuals with a history of recurrent incident STDs and provide them with individualized HIV prevention navigation services. Implementation resulted in the enrollment of149 participants and demonstrated the feasibility of integrating STD surveillance data with prevention navigation to expand PrEP outreach. We present a detailed overview of the evaluation design and implementation of the data-to-HIV prevention model, including a description of the enrolled participants' baseline characteristics, along with feasibility and lessons learned when considering a similar strategy for expanding PrEP outreach.

摘要

尽管在提供艾滋病病毒预防策略方面取得了重大进展,但对于可能受益的个人,包括那些最近被诊断出患有性传播感染的人来说,与暴露前预防(PrEP)的联系仍存在缺失。鉴于在艾滋病病毒和性传播感染感染方面持续存在的种族、族裔和性别差异,以及在PrEP覆盖方面的类似差异,需要采取新的干预措施,将不同医疗环境中的社区与全面的艾滋病病毒预防咨询和服务联系起来。本文全面概述了一个示范项目的实施情况及相关评估设计,该项目利用宾夕法尼亚州的性传播感染监测数据库来识别有复发性性传播感染病史的个人,并为他们提供个性化的艾滋病病毒预防导航服务。实施该项目使得149名参与者登记入组,并证明了将性传播感染监测数据与预防导航相结合以扩大PrEP推广范围的可行性。我们详细概述了从数据到艾滋病病毒预防模型的评估设计和实施情况,包括对登记入组参与者基线特征的描述,以及在考虑采用类似策略扩大PrEP推广范围时的可行性和经验教训。

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