Extending PrEP access and coverage in France

IF 25.2 1区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Lancet Public Health Pub Date : 2025-04-09 DOI:10.1016/s2468-2667(25)00067-2
Leslie Grammatico-Guillon, Yazdan Yazdanpanah
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Abstract

Pre-exposure prophylaxis (PrEP) has become a key strategy for HIV prevention worldwide.1, 2 Since 2016 in France, PrEP—in particular a fixed-dose combination of oral tenofovir disoproxil fumarate and emtricitabine—has been available and fully covered by the French Health Insurance for people considered at high-risk of HIV acquisition. Since its introduction, the number of PrEP initiations has steadily increased, with an estimated 103 407 individuals initiating PrEP up to June, 2024.3, 4 Nevertheless, barriers to uptake and adherence remain, and disparities in PrEP initiation are a concern. In 2023, fewer than 20% of eligible men who have sex with men (MSM) and 2–4% of women at high risk of HIV acquisition were estimated to have initiated PrEP.5, 6
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在法国扩大 PrEP 的获取和覆盖范围
暴露前预防(PrEP)已成为全球艾滋病毒预防的一项关键战略。1,2自2016年在法国,prep -特别是口服富马酸替诺福韦二吡酯和恩曲他滨的固定剂量组合-已可获得,并由法国健康保险完全覆盖,用于被认为是艾滋病毒感染高危人群。自推出以来,PrEP启动的数量稳步增加,截至2024年6月,估计有103 407人开始使用PrEP, 4然而,吸收和坚持PrEP的障碍仍然存在,并且PrEP启动的差异令人担忧。据估计,在2023年,只有不到20%的符合条件的男男性行为者(MSM)和2% - 4%的艾滋病毒感染高危妇女启动了prep
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来源期刊
Lancet Public Health
Lancet Public Health Medicine-Public Health, Environmental and Occupational Health
CiteScore
55.60
自引率
0.80%
发文量
305
审稿时长
8 weeks
期刊介绍: The Lancet Public Health is committed to tackling the most pressing issues across all aspects of public health. We have a strong commitment to using science to improve health equity and social justice. In line with the values and vision of The Lancet, we take a broad and inclusive approach to public health and are interested in interdisciplinary research. We publish a range of content types that can advance public health policies and outcomes. These include Articles, Review, Comment, and Correspondence. Learn more about the types of papers we publish.
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