THE MOTIVATIONAL PREP CASCADE GUIDES INTERPRETATION OF EARLY PREP LINKAGE TO CARE FOR YOUNG BLACK MEN WHO HAVE SEX WITH MEN: THE CASE OF CHICAGO'S PREPLINE

THE MOTIVATIONAL PREP CASCADE GUIDES INTERPRETATION OF EARLY PREP LINKAGE TO CARE FOR YOUNG BLACK MEN WHO HAVE SEX WITH MEN: THE CASE OF CHICAGO'S PREPLINE
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DOI:
10.1521/aeap.2019.31.6.491
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发表时间:
2019-12-01
影响因子:
1.8
通讯作者:
Schneider, John A.
Schneider, John A.
中科院分区:
医学4区
文献类型:
--
作者:
Dehlin, Jessica M.;Issema, Rodal;Schneider, John A.

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接触前预防(PrEP)的吸收在与男性发生性关系的黑人男性(BMSM)中仍然很低。PrEPLine于2015年8月推出,总部位于芝加哥,旨在支持BMSM之间的PrEP联系。PrEPLine通过激励性PrEP级联移动客户,解决障碍,并跟踪结果。研究结果表明,三个变量(即,同性恋/同性恋爱好,居住在距离诊所超过15英里的地方,重新安排预约)与启动PrEP表现出显著的正相关。BMSM的亚组分析发现两个变量(即,生活在芝加哥西区的人相对于生活在南区的人,以及生活在贫困率较高的社区的人[超过30%],相对于生活在贫困率较低的社区的人[小于20%])显示出与启动PrEP显著的负相关。
Pre-exposure prophylaxis (PrEP) uptake remains low among Black men who have sex with men (BMSM). PrEPLine, launched in August 2015, based in Chicago, was designed to support PrEP linkage among BMSM. PrEPLine moves clients through the Motivational PrEP Cascade, addresses barriers, and tracks outcomes. Study findings suggest that three variables (i.e., being gay/same gender loving, living more than 15 miles from a clinic location, rescheduling an appointment) demonstrated a significant positive association with initiating PrEP. A subanalysis of BMSM found that two variables (i.e., living on the West Side of Chicago relative to those living on the South Side, and among those living in communities with a higher rate of poverty [more than 30%], relative to those living in communities with a lower rate of poverty [less than 20%]) demonstrated a significant negative association with initiating PrEP.