Client and provider perspectives on new HIV prevention tools for MSM in the Americas.
Client and provider perspectives on new HIV prevention tools for MSM in the Americas.
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DOI：
10.1371/journal.pone.0121044
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Koblin BA
中科院分区：
文献类型：
--
作者：
Lippman SA;Koester KA;Amico KR;Lama JR;Martinez Fernandes N;Gonzales P;Grinsztejn B;Liu A;Buchbinder S;Koblin BA
美洲的男男性行为者 (MSM) 需要有针对性的综合艾滋病毒预防方法。我们通过焦点小组以及对纽约、旧金山、利马和里约热内卢四个地点的 130 名 MSM 和 41 名提供者进行深入访谈，征求客户和提供者对新兴预防干预措施的看法，包括 HIV 暴露前预防 (PrEP) 和 HIV 自检。在 MSM 参与者中，我们确定了三种预防类型：不使用安全套、不一致使用安全套和始终使用安全套。北方和南方的 MSM 在所使用的减少危害的策略上有所不同：美国的 MSM 依赖安全套的使用以及信息披露和血清适应行为来进行预防，而在南美洲，使用安全套而不披露或血清状态讨论是常态。对新预防技术的兴趣是由社会背景决定的。美国 MSM 的偏好因类型而异，因此非安全套使用者对采取 PrEP 和使用家庭 HIV 检测感兴趣。巴西的 MSM，无论类型如何，都对探索新的预防方案感兴趣。秘鲁的男男性行为者表现出中等兴趣，但不太愿意采取新策略。 MSM 和医疗服务提供者对于新的预防方案的看法存在很大差异。在各个地点，大多数提供者都不愿参与新的预防方案，尽管一些非政府组织的提供者更支持探索新的预防工具。客户和提供商都需要参与制定 MSM 综合预防策略。
Men who have sex with men (MSM) in the Americas require targeted, combination HIV prevention approaches. We solicited client and provider perspectives on emerging prevention interventions including HIV pre-exposure prophylaxis (PrEP) and HIV self-tests through focus groups and in-depth interviews with 130 MSM and 41 providers across four sites: New York, San Francisco, Lima, and Rio de Janeiro. Among the MSM participants, we identified three prevention typologies: non-condom users, inconsistent condom users, and consistent condom users. Northern and Southern MSM differed in the variety of harm reduction strategies utilized: where U.S. MSM relied on condom use as well as disclosure and seroadaptive behaviors for prevention, condom use without disclosure or serostatus discussions was the norm in South America. Interest in new prevention technologies was shaped by the social context. U.S. MSM preferences differed by typology, such that non-condom users were interested in taking PrEP and using home HIV tests. MSM in Brazil, regardless of typology, were interested in exploring new prevention options. MSM in Peru demonstrated moderate interest but were less comfortable with adopting new strategies. MSM and providers’ opinions differed substantially with respect to new prevention options. Across sites, most providers were reticent to engage with new prevention options, though some NGO-based providers were more supportive of exploring new prevention tools. Both clients and providers will need to be engaged in developing integrated prevention strategies for MSM.
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影响因子：
3.2
作者：
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通讯作者：
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影响因子：
4.4
作者：
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影响因子：
2.8
作者：
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通讯作者：
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DOI：
10.1097/qai.0b013e31828f097a
发表时间：
2013-09-01
期刊：
Journal of acquired immune deficiency syndromes (1999)
影响因子：
--
作者：
Liu AY;Vittinghoff E;Chillag K;Mayer K;Thompson M;Grohskopf L;Colfax G;Pathak S;Gvetadze R;Oʼhara B;Collins B;Ackers M;Paxton L;Buchbinder SP
通讯作者：
Buchbinder SP
影响因子：
3.7
作者：
Marcus JL;Glidden DV;Mayer KH;Liu AY;Buchbinder SP;Amico KR;McMahan V;Kallas EG;Montoya-Herrera O;Pilotto J;Grant RM
通讯作者：
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