Willingness to use HIV pre-exposure prophylaxis among community-recruited, older people who inject drugs in Washington, DC

Willingness to use HIV pre-exposure prophylaxis among community-recruited, older people who inject drugs in Washington, DC
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DOI:
10.1016/j.drugalcdep.2016.02.044
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发表时间:
2016-07-01
影响因子:
4.2
通讯作者:
Greenberg, Alan
Greenberg, Alan
中科院分区:
医学2区
文献类型:
--
作者:
Kuo, Irene;Olsen, Halli;Greenberg, Alan

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前言:在注射毒品者(PWID)中使用暴露前预防(PrEP)已被证明在预防艾滋病毒传播方面有效。我们研究了华盛顿特区社区招募的老年PWID使用PrEP意愿的相关性。方法:PWID采用受访者驱动抽样(RDS)的方法招募,并于2012年完成了国家HIV行为监测系统的行为访谈。参与者报告了使用PrEP的意愿以及它可能如何影响他们的药物使用和性行为。我们报告了愿意使用PrEP的RDS加权比例和多变量相关因素。结果:在304名参与者中,69%是男性,大多数是年龄<50岁和黑人。只有13.4%的人听说过使用抗HIV药物来预防HIV;没有人使用过PrEP,也没有人认识在过去一年中使用过它的人。47%的人非常有可能服用PrEP,如果PrEP是免费的,24%的人多少有可能服用;13%的人同意如果服用PrEP,他们不需要消毒/清洁针头或使用避孕套。很可能使用PrEP的相关因素包括更年轻(
Introduction: Use of pre-exposure prophylaxis (PrEP) among people who inject drugs (PWID) has been shown to be effective in preventing HIV transmission. We examined correlates of the willingness to use PrEP among community-recruited older PWID in Washington, DC.Methods: PWID were recruited using respondent-driven sampling (RDS) and completed a behavioral interview for the National HIV Behavioral Surveillance system in 2012. Participants reported on willingness to use PrEP and how it might affect their drug use and sexual behaviors. We reported RDS-weighted proportions and multivariable correlates of being willing to use PrEP.Results: Among 304 participants, 69% were male, and the majority was aged >= 50 and black. Only 13.4% had ever heard of using anti-HIV medication to prevent HIV; none had ever used PrEP or knew anyone who used it in the past year. Forty-seven percent were very likely and 24% were somewhat likely to take PrEP if it were available without cost; 13% agreed they would not need to sterilize/clean needles or use condoms if taking PrEP. Correlates of being very likely to use PrEP included being younger (