Our stories, our lives, our health: Refining an automated identification of HIV-negative, PrEP-eligible women in the emergency department

我们的故事、我们的生活、我们的健康：完善对急诊科 HIV 阴性且符合 PrEP 资格的女性的自动识别

• 批准号: 10021719
• 负责人: Amy Kristen Johnson
• 金额: $ 8.76万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-23 至 2022-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10021719
• 关键词: AIDS prevention; Accident and Emergency department; Administrator; Area; Automation; Caring; Centers for Disease Control and Prevention (U.S.); Chicago; Cities; Clinic; Collaborations; Communities; Computerized Medical Record; Counseling; Data; Data Sources; Diagnosis; Education; Eligibility Determination; Emergency Care; Future; Geography; Goals; HIV; HIV Infections; HIV Seronegativity; HIV diagnosis; Health; Healthcare; Healthcare Systems; Heterosexuals; Individual; Infection; Intervention; Interview; Knowledge; Medical emergency; Medicine; Methods; Modeling; Newly Diagnosed; Not Hispanic or Latino; Patients; Performance; Populations at Risk; Prevalence; Prevention; Primary Health Care; Process; Provider; Public Health; Research Personnel; Risk; System; Techniques; Testing; Time; Triage; United States; Universities; Update; Woman; cisgender; cost; design; implementation research; improved; innovation; open source; pre-exposure prophylaxis; prevent; public health intervention; sex; social structure; structured data; uptake

PROJECT SUMMARY/ABSTRACT Pre-exposure prophylaxis, or PrEP, is a highly effective biomedical intervention to prevent HIV acquisition among at risk populations. PrEP offers an individual-controlled prevention method that is effective and safe. From 2014 to 2016, only 2% of women who have indication for PrEP received a prescription. Known individual level barriers to PrEP uptake among women include low rates of PrEP knowledge, low perceived risk of HIV acquisition, and barriers around how and where to access PrEP. Identification of women who may be at increased risk for HIV by healthcare systems is a key public health intervention that has potential to reduce new HIV infections. This study seeks to refine the automation of identification of PrEP-eligible cis-gender women using the electronic medical record system and other electronic open source and geospatial data through identifying commonalities among women newly diagnosed with HIV. As current quantitative indicators perform suboptimally, we will seek to establish commonalities among women with recent HIV infection to refine performance of the model. Using the Consolidated Framework for Implementation Research (CFIR), we will develop an implementation plan for utilization of the refined automated identification of HIV-negative, PrEP- eligible women in the emergency department. Improving identification of PrEP-eligible HIV-negative women in an emergency medical setting will likely influence uptake and is a low-cost, innovative solution to identification of potential PrEP-users. As strategies to increase PrEP uptake among women are under-studied, it is important to refine approaches for optimal performance.

项目摘要/摘要 暴露前预防或PREP是一种高效的生物医学干预措施，可防止艾滋病毒的获取 在风险中。 Prep提供了一种有效且安全的个人控制预防方法。 从2014年到2016年，只有2％有迹象表明PREP的妇女接受了处方。已知的人 妇女预备吸收的水平障碍包括低的预科率，艾滋病毒感知的低风险 获取，以及围绕如何以及在哪里访问准备的障碍。识别可能处于的妇女 医疗保健系统增加艾滋病毒的风险是一种关键的公共卫生干预措施，有可能减少 新的艾滋病毒感染。这项研究旨在完善鉴定符合符合条件的顺式性别的自动化 使用电子病历系统以及其他电子开源和地理空间数据的妇女 通过确定新诊断为艾滋病毒的妇女之间的共同点。作为当前的定量指标 次优的表演，我们将寻求在最近感染HIV感染的女性中建立共同点 模型的性能。使用合并框架进行实施研究（CFIR），我们将 制定实施计划，以利用艾滋病毒阴性的精制自动化鉴定 急诊室的合格妇女。改善对符合条件资格的HIV阴性妇女的识别 紧急医疗环境可能会影响吸收，并且是一种低成本，创新的识别解决方案 潜在的预备使用者。随着女性增加预备吸收的策略是未经研究的，这是 重要的是完善最佳性能的方法。

项目成果

Evaluation of multiple data sources for predicting increased need for HIV prevention among cisgender women: understanding missed opportunities for Pre-exposure Prophylaxis (PrEP).

• DOI: 10.1186/s12879-023-08719-6
• 发表时间: 2023-11-09
• 期刊: BMC INFECTIOUS DISEASES
• 影响因子: 3.7
• 作者: Johnson, Amy K.;Devlin, Samantha;Haider, Sadia;Oehler, Cassandra;Rivera, Juan;Alvarez, Isa;Ridgway, Jessica
• 通讯作者: Ridgway, Jessica