纳米比亚恩杰拉艾滋病毒口腔暴露前预防护理的客户保留情况。

IF 1.7 Q4 PRIMARY HEALTH CARE
Kristiana Kosmas, Enos Moyo, Mbuzeleni Hlongwa, Perseverance Moyo, Tafadzwa Dzinamarira, Anna Shilunga
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引用次数: 0

摘要

背景:纳米比亚在控制艾滋病毒流行方面取得了巨大进展。这一进展使发病率和与艾滋病有关的死亡率显著降低。然而,新的感染继续存在。目的:了解门诊患者对暴露前预防(PrEP)护理的保留率及相关因素。环境:纳米比亚Ohangwena地区的Engela区。方法:本研究采用分析性横断面研究设计。采用比例分层随机抽样方法,选取275名研究对象。我们使用自我管理的问卷来收集数据。我们采用卡方检验和逻辑回归进行数据分析。结果:受试者在PrEP护理中3个月的保留率为35.6%,95% CI(35.2% ~ 36.0%)。二项logistic回归分析显示,男性和无工作人员保留PrEP的可能性较小,粗比值比(OR) = 0.52, 95% CI (0.30-0.91), OR = 0.27, 95% CI(0.15-0.49)。离婚或有恋爱关系的参与者也不太可能继续接受PrEP护理,or = 0.41, 95% CI(0.18-0.96)和or = 0.43 95% CI(0.23 - 0.80)分别为。此外,Engela地区医院的参与者不太可能继续接受PrEP护理,OR = 0.52, 95% CI(0.29 -0.93)。结论:解决失业人员在继续服用PrEP时面临的具体挑战至关重要。战略应包括在地区分散预防措施服务和采用基于社区的模式。贡献:此外,应在不同环境中针对男性提供全面的PrEP教育,以提高他们的PrEP知识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Retention of clients in HIV oral pre-exposure prophylaxis care in Engela, Namibia.

Retention of clients in HIV oral pre-exposure prophylaxis care in Engela, Namibia.

Background:  Namibia has made tremendous progress in controlling the HIV epidemic. The progress has resulted in significant incidence and AIDS-related mortality reductions. However, new infections continue to persist.

Aim:  The study aimed to measure the clients' retention rate in pre-exposure prophylaxis (PrEP) care and associated factors.

Setting:  Engela District, in Namibia's Ohangwena region.

Methods:  We chose an analytical cross-sectional study design for this study. We selected 275 participants using a proportional stratified random sampling method. We used a self-administered questionnaire to collect data. We employed Chi-square tests and logistic regression for data analysis.

Results:  Participants' retention rate in PrEP care at 3 months was 35.6%, 95% CI (35.2% - 36.0%). Binomial logistic regression showed that men and the unemployed were less likely to be retained in PrEP, crude odds ratio (OR) = 0.52, 95% CI (0.30-0.91), and OR = 0.27, 95% CI (0.15-0.49), respectively. Participants who were divorced or in a relationship were also less likely to be retained in PrEP care, OR = 0.41, 95% CI (0.18-0.96), and OR = 0.43 95% CI (0.23 - 0.80), respectively. Furthermore, participants at Engela District Hospital were less likely to be retained in PrEP care, OR = 0.52, 95% CI (0.29 -0.93).

Conclusion:  Addressing the specific challenges unemployed individuals face in continuing on PrEP is crucial. Strategies should include decentralising PrEP services in the district and employing community-based models.Contribution: In addition, comprehensive PrEP education targeting men should be provided in diverse settings to improve their PrEP knowledge.

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来源期刊
CiteScore
3.30
自引率
10.00%
发文量
81
审稿时长
15 weeks
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