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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