HIV Preexposure Prophylaxis in the U.S. Military Services — 2014–2016

Autor: Sheila A. Peel, Nelson L. Michael, Paul T. Scott, Jenny Lay, Jason F. Okulicz, Charmagne G. Beckett, Jason M Blaylock, Kerry Wilson, Steven B. Cersovsky, Ellen A. Roska, Shilpa Hakre, Eric Garges
Jazyk: angličtina
Rok vydání: 2018
Předmět:
0301 basic medicine
Adult
Male
medicine.medical_specialty
Health Knowledge
Attitudes
Practice
Health (social science)
Active duty
Adolescent
Epidemiology
Health
Toxicology and Mutagenesis
media_common.quotation_subject
HIV Infections
Health Services Accessibility
Men who have sex with men
03 medical and health sciences
Young Adult
0302 clinical medicine
Health Information Management
Risk Factors
medicine
Humans
030212 general & internal medicine
Homosexuality
Full Report
Young adult
Medical prescription
Homosexuality
Male
media_common
business.industry
General Medicine
Repeal
Middle Aged
030112 virology
United States
Black or African American
Military personnel
Military Personnel
Infectious disease (medical specialty)
Family medicine
Health Care Surveys
Female
Pre-Exposure Prophylaxis
business
Zdroj: Morbidity and Mortality Weekly Report
ISSN: 1545-861X
0149-2195
Popis: Human immunodeficiency virus (HIV) infection is a substantial health concern for the U.S. Department of Defense (DoD) and for service members stationed throughout the world. Each year, approximately 350 new HIV infections are diagnosed in members of the U.S. military services, with most infections acquired within the United States (1). The DoD populations most affected by HIV mirror those in the U.S. civilian population; the highest rates of new military diagnoses are in men and blacks or African Americans (blacks) (1). Blacks are disproportionally affected, and most new diagnoses occur among men who have sex with men (MSM). HIV preexposure prophylaxis (PrEP) is approximately 90% effective in preventing HIV infection when used properly (2), and an increasing number of active duty personnel have used HIV prevention services and PrEP in the military health system since the repeal of "Don't Ask, Don't Tell"* in 2011 (3). Military health system and service records were reviewed to describe HIV PrEP use among military personnel, and military health care providers were surveyed to assess HIV PrEP knowledge and attitudes. Among 769 service members prescribed PrEP during February 1, 2014-June 10, 2016, 60% received prescriptions from an infectious disease provider, 19% were black men, and 42% were aged >28 years. Half of surveyed military health care providers self-rated their PrEP knowledge as poor. DoD is developing new policy to address access to care challenges by defining requirements and establishing pathways for universal patient access to PrEP.
Databáze: OpenAIRE
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