在一家政府资助的性健康诊所中，根据医疗保险状况使用 PrEP 的不平等现象；一项回顾性分析。

IF 1.8 4区医学 Q3 INFECTIOUS DISEASES

Sexual health Pub Date : 2024-02-01 DOI:10.1071/SH23141

Aaron Coleman, Ben John Maslen, Rosalind Foster

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引用次数: 0

摘要

新确诊的艾滋病毒感染者中，海外出生的男男性行为者（MSM）所占比例仍然过高。一项针对2021年首次到悉尼性健康中心就诊的所有符合暴露前预防（PrEP）条件的男男性行为者的回顾性研究，利用二叉逻辑回归模型分析了自我报告的PrEP使用情况、首次就诊时开具的PrEP处方，以及2021年期间服用PrEP的情况。共有 1367 名客户被纳入分析，其中 716 人（52.4%）在海外出生，414 人（57.8%）符合医疗保险资格。符合医疗保险资格的患者在初次就诊时接受 PrEP 的可能性较低（OR 0.45，95% CI 0.26-0.77）。这项研究表明，澳大利亚符合医疗保险资格的 MSM 在获得和/或了解 PrEP 方面存在不平等。

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Inequities in PrEP use according to Medicare status in a publicly funded sexual health clinic; a retrospective analysis.

New HIV diagnoses continue to disproportionately affect overseas-born men who have sex with men (MSM). A retrospective study of all pre-exposure prophylaxis (PrEP)-eligible MSM attending Sydney Sexual Health Centre for the first time in 2021 analysed self-reported PrEP-use, PrEP prescribed at the initial consult, and PrEP taken during 2021 using binomial logistic regression models. A total of 1367 clients were included in the analysis, 716 (52.4%) were born overseas and 414 (57.8%) were Medicare-ineligible. Medicare-ineligible clients were less likely to be on PrEP at initial visit (OR 0.45, 95% CI 0.26-0.77). This study suggests inequities in PrEP access and/or awareness in Medicare-ineligible MSM in Australia.

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来源期刊

Sexual health 医学-传染病学

CiteScore

2.30

自引率

12.50%

发文量

121

审稿时长

6-12 weeks

期刊介绍： Sexual Health publishes original and significant contributions to the fields of sexual health including HIV/AIDS, Sexually transmissible infections, issues of sexuality and relevant areas of reproductive health. This journal is directed towards those working in sexual health as clinicians, public health practitioners, researchers in behavioural, clinical, laboratory, public health or social, sciences. The journal publishes peer reviewed original research, editorials, review articles, topical debates, case reports and critical correspondence. Officially sponsored by: The Australasian Chapter of Sexual Health Medicine of RACP Sexual Health Society of Queensland Sexual Health is the official journal of the International Union against Sexually Transmitted Infections (IUSTI), Asia-Pacific, and the Asia-Oceania Federation of Sexology.