Sociodemographic and Behavioral Risk Correlates of PrEP Interest and Use Among Young Adults Experiencing Homelessness in Los Angeles.
Sociodemographic and Behavioral Risk Correlates of PrEP Interest and Use Among Young Adults Experiencing Homelessness in Los Angeles.
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洛杉矶无家可归的年轻人对 PrEP 的兴趣和使用与社会人口学和行为风险相关。
DOI：
10.1007/s10461-023-04144-7
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发表时间：
2024
影响因子：
4.4
通讯作者：
Tucker,JoanS
中科院分区：
文献类型：
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作者：
Storholm,ErikD;Klein,DavidJ;Pedersen,EricR;D'Amico,ElizabethJ;Rodriguez,Anthony;Garvey,Rick;Tucker,JoanS
与稳定居住的同龄人相比，无家可归的年轻人 (YAEH) 感染艾滋病毒的风险更高。暴露前预防 (PrEP) 在预防 HIV 感染方面非常有效，但迄今为止，尽管 YAEH 报告对 PrEP 总体兴趣很高，但 YAEH 在 PrEP 工作中很大程度上被忽视了。我们从洛杉矶县的临时救助中心招募了 195 名符合 HIV 风险标准的 YAEH（18-25 岁）样本，评估了与 PrEP 兴趣和使用相关的个人、社会和结构变量。在当前样本中，虽然大多数人听说过 PrEP（81.0%），但大多数人对服用 PrEP 不感兴趣（68.2%），只有少数人已经使用/正在使用 PrEP（11.8%）。被认定为性少数和/或性别少数、自称认识曾使用过 PrEP 或最近接受过性健康服务的人更有可能使用过 PrEP 和/或表示有兴趣使用 PrEP。那些报告酗酒次数较多的人不太可能报告使用过 PrEP。提出了建议，以更好地将 PrEP 相关服务纳入 YAEH 现有的行为和健康服务计划，并利用同行并培养积极的社会规范，以减少与 PrEP 相关的耻辱并提高 YAEH 中对 PrEP 的兴趣和使用。
Young adults experiencing homelessness (YAEH) are at elevated risk for HIV compared to their stably housed peers. Preexposure prophylaxis (PrEP) is highly effective at preventing HIV infection, yet YAEH have been largely overlooked in PrEP efforts to date despite YAEH reporting high overall interest in PrEP. We assessed individual, social, and structural variables associated with PrEP interest and use among a sample of 195 YAEH (ages 18–25) recruited from drop-in centers across Los Angeles County who met criteria for HIV risk. In the current sample, though most had heard of PrEP (81.0%), the majority were not interested in taking PrEP (68.2%) and only a minority had used/were using PrEP (11.8%). YAEH who identified as sexual and/or gender minority, reported knowing someone who had used PrEP, or recently accessed sexual health services were more likely to have used and/or reported interest in using PrEP. Those who reported more episodes of heavy drinking were less likely to report having used PrEP. Suggestions are provided for better integrating PrEP-related services into existing behavioral and health service programs for YAEH, as well as leveraging peers and fostering positive social norms to reduce PrEP-related stigma and increase interest and use of PrEP among YAEH.