Socio-Sexual Experiences and Access to Healthcare Among Informal PrEP Users in the Netherlands.

Socio-Sexual Experiences and Access to Healthcare Among Informal PrEP Users in the Netherlands.
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DOI:
10.1007/s10461-020-03085-9
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发表时间:
2021-04
期刊:
影响因子:
4.4
通讯作者:
Jonas KJ
Jonas KJ
中科院分区:
医学2区
文献类型:
--
作者:
van Dijk M;de Wit JBF;Kamps R;Guadamuz TE;Martinez JE;Jonas KJ

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这项定性研究的目的是探索非正式PrEP用户的经验,关于获得PrEP和PrEP相关的医疗保健,社区反应,性行为和幸福。我们在2018年3月至8月期间对30名男男性行为者(MSM)进行了半结构化的在线访谈。访谈采用解释性描述进行分析。非正式的PrEP使用者对PrEP的使用非常了解,但有时不使用肾脏检测。参与者报告说,医疗保健提供者缺乏PrEP知识,这限制了他们获得PrEP的机会,并使他们处于危险之中,因为他们收到了不正确的信息。尽管一些参与者报告了潜在性伴侣的负面反应,但大多数人都得到了积极的反应,有时被视为更理想的性伴侣。PrEP医疗保健服务不仅应提供给正式的PrEP用户,还应提供给非正式购买PrEP的PrEP用户。
The aim of this qualitative study was to explore the experiences of informal PrEP users regarding access to PrEP and PrEP-related healthcare, community responses, sexual behavior and well-being. We interviewed 30 men who have sex with men (MSM) in semi-structured online interviews between March and August 2018. Interviews were analyzed using interpretive description. Informal PrEP users were well informed about the use of PrEP, but sometimes did not make use of renal testing. Participants reported a lack of PrEP knowledge among healthcare providers, which limited their access to PrEP and put them at risk, as they received incorrect information. Although some participants reported negative reactions from potential sex partners, most received positive reactions and were sometimes seen as more desirable sex partners. PrEP healthcare services should not only be accessible to formal PrEP users, but also to PrEP users who procure PrEP informally.
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