PrEP awareness and decision-making for Latino MSM in San Antonio, Texas.
PrEP awareness and decision-making for Latino MSM in San Antonio, Texas.
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DOI：
10.1371/journal.pone.0184014
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发表时间：
2017
期刊：
影响因子：
3.7
通讯作者：
Harris AL
中科院分区：
文献类型：
--
作者：
García M;Harris AL
暴露前预防（PrEP）作为一种有效的艾滋病毒生物医学干预措施在高危人群中得到推广。然而，关于拉丁裔男男性行为者在文化上知情的生物医学干预的意义的研究有限。在德克萨斯州圣安东尼奥市，共有159名年龄在21-30岁的拉丁裔男同性恋者完成了自我管理的网络调查。本研究的目的是开发一种测量拉丁裔男男性行为者对PrEP的态度和信念的工具，确定人口因素与PrEP相关因素之间的联系，并建议在拉丁裔男男性行为者中推广PrEP的文化上适当的策略。研究结果揭示了PrEP在结构和个人层面对拉丁裔男男性行为者的影响。结构层面指标强调，必须提高拉丁裔男男性行为者对预防措施相关费用的认识，改善对高风险人群的污名化，增加获得了解预防措施的医疗服务提供者的机会，并消除对政府和医疗服务提供者在解决拉丁裔男男性行为者之间健康差异方面作用的不信任。总的来说，个体因素的发现强调了拉丁裔男男性行为者需要以患者为中心的干预措施。目前接受PrEP治疗的拉丁裔男男性行为者需要补充资源以加强PrEP依从性。未使用PrEP的拉丁裔男男性行为者需要使用PrEP的替代方案和/或认知行为方法来减少与PrEP毒性有关的拉丁裔男男性行为者的艾滋病毒风险行为，这可能需要非生物医学干预。将目前正在接受预防措施的拉丁裔男男性行为者作为同伴教育者进行整合，为拉丁裔男男性行为者制定具有文化背景的预防措施提供了宝贵的资源。同伴教育者能够通过文化规范、信仰和价值观来分享他们在PrEP方面的经验知识。
Pre-Exposure Prophylaxis (PrEP) has been promoted among high-risk populations as an effective HIV biomedical intervention. However, limited research is available on the significance of culturally informed biomedical interventions for Latino MSM. A total of 159 self-administered Internet surveys were completed by Latino MSM ages 21–30 in San Antonio, Texas. The purpose of this research was to develop an instrument that measured Latino MSM attitudes and beliefs towards PrEP, identify associations between demographic factors and PrEP related factors and to suggest culturally appropriate strategies for the promotion of PrEP among the Latino MSM population. Research findings revealed implications for PrEP at the structural and individual level for Latino MSM. Structural level indicators emphasized the importance for raising PrEP awareness among Latino MSM in regards to PrEP related expenses, ameliorating stigmatization of high-risk populations, enhancing access to PrEP informed medical providers, and address mistrust of the government and medical providers role on addressing health disparities among Latino MSM. Overall, the findings for individual factors emphasize the need for patient-centered interventions for Latino MSM. Latino MSM currently on PrEP require supplemental resources to enhance PrEP adherence. Latino MSM not on PrEP require alternate options for PrEP delivery and/or cognitive behavioral approaches minimizing HIV risk behavior for Latino MSM concerned with PrEP toxicity, which may require non-biomedical interventions. Integration of Latino MSM currently on PrEP as peer educators provides a valuable resource for developing culturally informed PrEP interventions for Latino MSM. Peer educators are able to share their experiential knowledge of PrEP contextualized through cultural norms, beliefs, and values.
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