What'sPrEP?: peer navigator acceptability among minority MSM in Washington
What'sPrEP?: peer navigator acceptability among minority MSM in Washington
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DOI：
10.1186/s12889-020-8325-5
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发表时间：
2020-02-18
影响因子：
4.5
通讯作者：
Graham, Susan M.
中科院分区：
文献类型：
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作者：
Pagkas-Bather, Jade;Jaramillo, Jahn;Graham, Susan M.
同伴导航是一种很有前途的策略，可以将男性同性性行为（MSM）的高危少数群体与包括暴露前预防（PrEP）在内的艾滋病毒预防服务联系起来。方法32名黑人和63名拉丁裔艾滋病毒阴性的男男性接触者生活在西部华盛顿完成了一项调查，检查对同伴导航和PrEP的态度。因子分析得出了一个得分为同伴导航的可接受性，线性回归确定与此结果的关联。结果48%的学生对同伴导航感兴趣。有保险、较高的性耻辱感和较高的PHQ-9评分与较高的可接受性相关，而较高的收入和定期的医疗服务提供者与较低的可接受性相关。在多变量分析中，较高的性耻辱预测较高的接受，而较高的收入预测较低的接受。男性更喜欢同龄人在性取向、种族、年龄和文化上相匹配。结论同伴导航干预，以达到少数民族男性应解决耻辱，重点是低收入的男性，并试图匹配同行的客户端尽可能。
Background Peer navigation is a promising strategy to link at-risk minority men who have sex with men (MSM) to HIV prevention services including pre-exposure prophylaxis (PrEP). Methods Thirty-two Black and 63 Latinx HIV-negative MSM living in western Washington completed a survey examining attitudes towards peer navigation and PrEP. Factor analysis derived a score for peer navigator acceptability, and linear regression identified associations with this outcome. Results Forty-eight percent were interested in peer navigation. Being insured, higher sexual stigma, and higher PHQ-9 score were associated with higher acceptability, while higher income and having a regular medical provider were associated with lower acceptability. In multivariable analysis, higher sexual stigma predicted higher acceptability, while higher income predicted lower acceptability. Men preferred that peers be matched on sexual orientation, race, age and culture. Conclusion Peer navigation interventions to reach minority men should address stigma, focus on lower-income men, and try to match peers to clients to the extent possible.