暴露前预防(PrEP)在美国大学生中用于艾滋病毒预防。

IF 1.5 4区 医学 Q2 EDUCATION & EDUCATIONAL RESEARCH
Lisa L Lindley, Kasey Schlack
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引用次数: 0

摘要

目的:评估美国大学生HIV暴露前预防(PrEP)在HIV预防中的使用情况。参与者:全日制和非全日制(18岁以上)四年制院校学生(n = 133831)。方法:对2022年春季和2023年春季的aca - ncha - iii联合调查数据进行二次分析。计算PrEP需求比(PnR)和PrEP权益比(PER),以确定PrEP使用的差异。结果:2% (n = 2662)的学生报告服用了PrEP。总体而言,PrEP与需求的比率(PnR)为13.9,表明大约14名学生正在服用PrEP,每名学生被诊断患有艾滋病毒。PrEP覆盖率在白人学生和顺性女性中最高,在黑人学生和出生时被指定为男性的跨性别/性别多样化学生中最低。结论:PrEP的使用水平非常不公平,特别是在有色人种的性少数和性别少数学生中。未来的努力应侧重于改善这些学生和其他艾滋病毒感染风险最高的人的PrEP公平性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pre-exposure prophylaxis (PrEP) use for HIV prevention among college students in the United States.

Objective: To assess HIV pre-exposure prophylaxis (PrEP) use for HIV prevention among college students in the United States.

Participants: Full- and part-time students (aged 18+ years) attending 4-year institutions (n = 133831).

Methods: We conducted a secondary analysis of combined ACHA-NCHA-III survey data from Spring 2022 and Spring 2023. PrEP-to-need ratios (PnR) and PrEP equity ratios (PER) were calculated to identify disparities in PrEP use.

Results: Two percent (n = 2662) of students reported taking PrEP. Overall, the PrEP-to-need ratio (PnR) was 13.9, indicating that approximately 14 students are taking PrEP for every student diagnosed with HIV. PrEP coverage was highest among White students and cisgender women and lowest among Black students and trans/gender-diverse students assigned male at birth.

Conclusions: Levels of PrEP use were highly inequitable, especially among sexual and gender minority students of color. Future efforts should focus on improving PrEP equity for these students and others at greatest risk for HIV.

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来源期刊
CiteScore
5.40
自引率
12.50%
发文量
388
期刊介绍: Binge drinking, campus violence, eating disorders, sexual harassment: Today"s college students face challenges their parents never imagined. The Journal of American College Health, the only scholarly publication devoted entirely to college students" health, focuses on these issues, as well as use of tobacco and other drugs, sexual habits, psychological problems, and guns on campus, as well as the students... Published in cooperation with the American College Health Association, the Journal of American College Health is a must read for physicians, nurses, health educators, and administrators who are involved with students every day.
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