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首页> 外文期刊>Journal of the International Association of Providers of AIDS Care. >Changing Clinician Practices and Attitudes Regarding the Use of Antiretroviral Therapy for HIV Treatment and Prevention: Results from the HPTN 065 Study
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Changing Clinician Practices and Attitudes Regarding the Use of Antiretroviral Therapy for HIV Treatment and Prevention: Results from the HPTN 065 Study

机译：改变临床医生的实践和关于使用抗逆转录病毒治疗的艾滋病毒治疗和预防的态度：HPTN 065研究的结果

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摘要

As part of the HPTN 065 study in the Bronx, New York and Washington, the authors, we surveyed clinicians to assess for shifts in their practices and attitudes around HIV treatment and prevention. Antiretroviral therapy (ART)-prescribing clinicians at 39 HIV care sites were offered an anonymous Web-based survey at baseline (2010-2011) and at follow-up (2013). The 165 respondents at baseline and 141 respondents at follow-up had similar characteristics—almost 60% were female, median age was 47 years, two-thirds were physicians, and nearly 80% were HIV specialists. The percentage who reported recommending ART irrespective of CD4 count was higher at follow-up (15% versus 68%), as was the percentage who would initiate ART earlier for patients having unprotected sex with partners of unknown HIV status (64% versus 82%), and for those in HIV-discordant partnerships (75% versus 87%). In line with changing HIV treatment guidelines during 2010 to 2013, clinicians increasingly supported early ART for treatment and prevention.
机译：作为HPTN 065在Bronx，纽约和华盛顿，作者中的研究的一部分，我们调查了临床医生，以评估其实践和艾滋病毒治疗和预防态度的态度。抗逆转录病毒治疗（艺术） - 39名艾滋病毒护理站点的预测临床医生在基线（2010-2011）和随访（2013年）时提供了一个匿名的基于网络的调查。 165名基线和141名后续受访者的受访者具有类似的特点 - 近60％是女性，中位年龄为47岁，三分之二是医生，近80％是艾滋病专家。报告推荐艺术的百分比无论CD4计数如何更高，随访较高（15％对68％），对于与未知艾滋病毒状况未知性的合作伙伴有未受保护性的性行为的患者（64％对82％的患者，百分比），以及那些艾滋病毒不和谐的伙伴关系（75％对87％）。根据2010年至2013年的改变艾滋病毒治疗指南，临床医生越来越多地支持早期的治疗和预防。

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