Beyond barriers: The role of preexposure prophylaxis in the prevention of human immunodeficiency virus in women.

IF 1.4 4区 医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL
Journal of International Medical Research Pub Date : 2025-06-01 Epub Date: 2025-06-25 DOI:10.1177/03000605251337427
Alex Dang, Hillary Debs, Johnny Ruiz, Amber Vu, Melissa E Badowski
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引用次数: 0

Abstract

Preventive measures for human immunodeficiency virus infection have greatly evolved with the approval of preexposure prophylaxis. Despite their effectiveness, a significant gap exists in the initiation and adherence to these preventive measures among cisgender women. This review aims to highlight available implementation models to increase preexposure prophylaxis use and adherence in this population. A narrative review was conducted to identify studies focusing on preexposure prophylaxis use among cisgender women. Ultimately, 15 studies were included and categorized based on their intervention type: behavioral, health clinic, community, pharmacy, technology, or mobile. This review identified several intervention models that improved preexposure prophylaxis use and adherence among cisgender women. Behavioral interventions, such as preexposure prophylaxis-trained nurses and combined counseling with short message service reminders, significantly improved adherence. Health clinic-based interventions demonstrated the importance of regular follow-up and the potential for improved adherence through injectable preexposure prophylaxis. Community interventions highlighted the effectiveness of referral systems and technology-driven approaches, including mHealth interventions and real-time electronic adherence monitoring, to promote preexposure prophylaxis uptake and adherence. Implementing diverse interventions may considerably improve adherence and reduce the human immunodeficiency virus transmission rates in this population.

超越障碍:暴露前预防在预防妇女人体免疫缺陷病毒中的作用。
随着暴露前预防的批准,人类免疫缺陷病毒感染的预防措施有了很大的发展。尽管这些措施很有效,但在顺性别妇女中,在采取和坚持这些预防措施方面存在很大差距。本综述旨在强调现有的实施模式,以增加这一人群的暴露前预防使用和依从性。进行了一项叙述性回顾,以确定关注于顺性别妇女暴露前预防使用的研究。最终,纳入了15项研究,并根据干预类型进行了分类:行为、健康诊所、社区、药房、技术或移动。本综述确定了几种干预模式,改善了顺性女性暴露前预防的使用和依从性。行为干预措施,如暴露前预防训练有素的护士和结合短信服务提醒的咨询,显著提高了依从性。以诊所为基础的卫生干预措施显示了定期随访的重要性,以及通过注射暴露前预防提高依从性的潜力。社区干预措施强调了转诊系统和技术驱动方法的有效性,包括移动保健干预措施和实时电子依从性监测,以促进暴露前预防的接受和依从性。实施多种干预措施可以大大提高依从性,降低人类免疫缺陷病毒在这一人群中的传播率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
555
审稿时长
1 months
期刊介绍: _Journal of International Medical Research_ is a leading international journal for rapid publication of original medical, pre-clinical and clinical research, reviews, preliminary and pilot studies on a page charge basis. As a service to authors, every article accepted by peer review will be given a full technical edit to make papers as accessible and readable to the international medical community as rapidly as possible. Once the technical edit queries have been answered to the satisfaction of the journal, the paper will be published and made available freely to everyone under a creative commons licence. Symposium proceedings, summaries of presentations or collections of medical, pre-clinical or clinical data on a specific topic are welcome for publication as supplements. Print ISSN: 0300-0605
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