High Rates of PrEP Eligibility but Low Rates of PrEP Access Among a National Sample of Transmasculine Individuals
High Rates of PrEP Eligibility but Low Rates of PrEP Access Among a National Sample of Transmasculine Individuals
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DOI：
10.1097/qai.0000000000002116
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发表时间：
2019-09-01
影响因子：
3.6
通讯作者：
Klein, Augustus
中科院分区：
文献类型：
--
作者：
Golub, Sarit A.;Fikslin, Rachel A.;Klein, Augustus
工作背景：在艾滋病预防研究中，跨性别人群在很大程度上被忽视了，并且缺乏关于这一人群是否有资格接受和使用艾滋病暴露前预防（PrEP）的数据。设置：在美国进行的全国在线调查。方法：2017年5月至7月期间，我们调查了1808名跨性别人群（18-60岁; 30%的人是有色人种和/或拉丁裔），询问有关性行为和接受性保健的问题，包括PrEP。我们检查了符合PrEP资格标准的个人数量，然后使用log-使用稳健方差估计的关联泊松回归来检查PrEP合格性的预测因素。结果：几乎四分之一的样本（n = 439; 24.3%）符合PrEP资格的一项或多项标准。PrEP资格没有年龄，种族/民族，教育或二元性别身份的差异。在异性恋身份和较高收入的参与者中，PrEP资格较低，而在处于开放关系并报告使用药物的参与者中，PrEP资格较高。在符合PrEP条件的个人中，64.9%在过去一年中接受了艾滋病毒检测，33.9%从提供者那里获得了PrEP信息，10.9%（n = 48）接受了PrEP处方。谁收到了PrEP处方的PrEP合格的个人更有可能有一个二元性别身份，确定为同性恋，并采取testosterone.Conclusions：一个相当大的比例transmustrial的个人符合PrEP资格标准，但很少有接受足够的PrEP服务。提供者、项目和系统应加强努力，评估跨男性患者的艾滋病毒相关风险，并使他们参与全面的性健康护理。
Background: Transmasculine individuals have been largely ignored in HIV prevention research, and there is a lack of data regarding this population's eligibility for and utilization of HIV pre-exposure prophylaxis (PrEP).Setting: National online survey conducted in the United States.Methods: Between May and July 2017, we surveyed 1808 transmasculine individuals (aged 18-60 years; 30% people of color and/or Latinx), asking questions about sexual behavior and receipt of sexual health care, including PrEP. We examined the number of individuals who would meet eligibility criteria for PrEP and then used log-linked Poisson regression with robust variance estimation to examine predictors of PrEP eligibility.Results: Almost one-quarter of the sample (n = 439; 24.3%) met one or more criterion for PrEP eligibility. PrEP eligibility did not differ by age, race/ethnicity, education, or binary gender identity. PrEP eligibility was lower among heterosexual-identified and higher income participants, and was higher among participants who were in open relationships and reported substance use. Among PrEP-eligible individuals, 64.9% had received an HIV test in the past year, 33.9% had received PrEP information from a provider, and 10.9% (n = 48) had received a PrEP prescription. PrEP-eligible individuals who had received a PrEP prescription were more likely to have a binary gender identity, identify as gay, and be taking testosterone.Conclusions: A substantial proportion of transmasculine individuals meet PrEP eligibility criteria, but few are receiving adequate PrEP services. Enhanced efforts should be made by providers, programs, and systems to assess HIV-related risk in transmasculine patients and engage them in comprehensive sexual health care.