Discomfort discussing HIV/AIDS and lack of awareness are barriers to partner-to-partner pre-exposure prophylaxis education
Discomfort discussing HIV/AIDS and lack of awareness are barriers to partner-to-partner pre-exposure prophylaxis education
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DOI：
10.1177/0956462418799174
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发表时间：
2019-02-01
影响因子：
1.4
通讯作者：
Doblecki-Lewis, Susanne
中科院分区：
文献类型：
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作者：
Farthing, Heather;Rodriguez, Anamaria;Doblecki-Lewis, Susanne
我们建议，艾滋病病毒感染者（PLWH）可以作为暴露前预防（PrEP）教育工作者的合作伙伴时，告知PrEP。参与这项研究的PLWH在迈阿密的公立医院的方便样本。一项横断面调查评估了血清状态披露的频率、PrEP意识以及向亲密伴侣推荐PrEP的意愿。为了评估围绕人类免疫缺陷病毒（HIV）的耻辱感，询问了与家人，朋友和亲密伴侣讨论HIV的舒适度。137名参与者完成了调查; 39.5%的人有潜在的血清不一致性伴侣。在受访者中，29.2%的人报告说，他们“偶尔”或“从不”向性伴侣透露艾滋病毒状况。总体而言，66.4%的患者表示从未听说过PrEP。在接受PrEP教育后，86.0%的受访者表示他们会鼓励伴侣使用它。参与者被问及艾滋病毒的话题在谈话中出现的频率。大多数人表示“很少”或“从不”与朋友和家人见面; 46.1%的人表示“从不”或“很少”与伴侣见面。在双变量分析中，事先了解PrEP的参与者更有可能表示与亲密伴侣就艾滋病毒进行对话的频率更高。它的结论是，利用伙伴教育，以增加PrEP吸收干预措施应解决的耻辱和知识等障碍。
We suggest that people living with HIV (PLWH) may serve as pre-exposure prophylaxis (PrEP) educators for partners when informed about PrEP. Participants in this study were a convenience sample of PLWH at a public hospital in Miami. A cross-sectional survey assessed the frequency of serostatus disclosure, PrEP awareness, and willingness to recommend PrEP to intimate partners. To evaluate stigma surrounding human immunodeficiency virus (HIV), comfort discussing HIV with family, friends and intimate partners was interrogated. Surveys were completed by 137 participants; 39.5% had potentially sero-discordant sexual partners. Among respondents, 29.2% reported that they 'occasionally' or 'never' disclose HIV status to sexual partners. In all, 66.4% of patients reported that they had never heard of PrEP. After being educated about PrEP, 86.0% of respondents reported that they would encourage partners to use it. Participants were asked how often the subject of HIV comes up in conversations. Most indicated that 'rarely' or 'never' does it come up with friends and family; 46.1% indicated that 'never' or 'rarely' does it come up with partners. In bivariate analyses, participants with prior awareness of PrEP were more likely to indicate higher frequency of conversations regarding HIV with intimate partners. It is concluded that interventions which utilize partner education to increase PrEP uptake should address stigma and knowledge among other barriers.