Links Between Sexual Orientation and Disclosure Among Black MSM: Sexual Orientation and Disclosure Matter for PrEP Awareness
Links Between Sexual Orientation and Disclosure Among Black MSM: Sexual Orientation and Disclosure Matter for PrEP Awareness
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DOI：
10.1007/s10461-019-02696-1
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发表时间：
2019-10-12
影响因子：
4.4
通讯作者：
Earnshaw, Valerie A.
中科院分区：
文献类型：
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作者：
Watson, Ryan J.;Eaton, Lisa A.;Earnshaw, Valerie A.
美国的艾滋病毒流行给男男性行为黑人（MSM）带来了不成比例的负担，特别是在南方。虽然暴露前预防 (PrEP) 具有很高的疗效，但黑人 MSM 的采用率较低。我们使用了来自佐治亚州亚特兰大的 345 名 HIV 阴性或 HIV 状态未知的黑人 MSM 样本。双变量和多变量逻辑回归模型研究了性取向和性披露对 PrEP 认知和使用的影响。尽管大多数样本报告了 PrEP 意识 (91%)，但我们样本中很少有黑人 MSM 曾经使用过 PrEP (10%)。与同性恋者/同性恋者相比，双性恋黑人 MSM 不太可能了解 PrEP。与那些报告披露程度较低的同行相比，向其网络中的部分或全部成员披露其性取向的黑人男男性接触者对 PrEP 的了解更多，但实际使用 PrEP 的可能性并不高。令人担忧的是，过去 5 年来，PrEP 意识和使用方面的差距并未缩小。这些发现表明，披露可能是 PrEP 意识需要考虑的一个相关特征，但在缩小黑人 MSM 之间的意识吸收差距方面可能还需要考虑更多因素。
The HIV epidemic in the United States has disproportionately burdened Black men who have sex with men (MSM), particularly in the South. While pre-exposure prophylaxis (PrEP) has high demonstrated efficacy, uptake is low among Black MSM. We utilized a sample of 345 HIV-negative or unknown HIV status Black MSM from Atlanta, Georgia. Bivariate and multivariable logistic regression models examined the effects of sexual orientation and disclosure on PrEP awareness and use. Despite the majority of the sample reporting PrEP awareness (91%), few Black MSM in our sample had ever used PrEP (10%). Bisexual Black MSM were less likely to have been aware of PrEP compared to their same-gender loving/gay counterparts. Black MSM who had disclosed their sexual orientation to some or all of the members of their networks were more aware of PrEP compared to their counterparts who reported lower levels of disclosure, but were not more likely to actually use PrEP. Alarmingly, the gap in PrEP awareness and use has not decreased over the past 5 years. These findings suggest that disclosure may be a relevant characteristic to consider for PrEP awareness, but there may be more to consider in closing the awareness-uptake gap among Black MSM.