PrEP Awareness and Perceived Barriers Among Single Young Men who have Sex with Men
PrEP Awareness and Perceived Barriers Among Single Young Men who have Sex with Men
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DOI：
10.2174/1570162x12666140129100411
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发表时间：
2014-10-01
影响因子：
1
通讯作者：
Harper, Gary W.
中科院分区：
文献类型：
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作者：
Bauermeister, Jose A.;Meanley, Steven;Harper, Gary W.
暴露前预防(PrEP)有可能帮助减少年轻男男性行为者(YMSM)中新的艾滋病毒感染。通过对YMSM(N=1,507；年龄18-24岁)的横断面调查，我们测量了YMSM对PrEP的认识和与PrEP相关的关于副作用、可及性和可负担性的信念。总体而言，27%的样本听说过PrEP；1%的人报告在性行为前使用过PrEP。在多因素Logistic回归分析中，我们发现，如果YMSM年龄较大、受教育程度较高、在过去30天内居住不稳定、有保险或报告在其一生中至少有一次性传播感染，他们更有可能听说过PrEP。我们没有发现种族/民族、监禁史或最近的性危险行为的差异。在多变量线性回归模型中，黑人和拉丁裔YMSM比白人更有可能表示，出于副作用考虑，他们不会使用PrEP。基督教男同性恋者更有可能表示，如果他们没有保险或如果他们既往性传播感染，他们将无法负担PrEP，可能会由于缺乏认识以及对其使用的感知障碍而阻碍PrEP的推广。如果要在基督教青年会中推广，我们提出了在PrEP意识和获取方面实现最大公平的策略。
Pre-exposure prophylaxis (PrEP) has the potential to help reduce new HIV infections among young men who have sex with men (YMSM). Using a cross-sectional survey of YMSM (N=1,507; ages 18-24), we gauged YMSM's PrEP awareness and PrEP-related beliefs regarding side effects, accessibility, and affordability. Overall, 27% of the sample had heard about PrEP; 1% reported ever using PrEP prior to sex. In a multivariate logistic regression, we found that YMSM were more likely to have heard about PrEP if they were older, more educated, were residentially unstable in the prior 30 days, had insurance, or reported having at least one sexually transmitted infection in their lifetime. We found no differences by race/ethnicity, history of incarceration, or recent sexual risk behavior. In multivariate linear regression models, Black and Latino YMSM were more likely than Whites to state they would not use PrEP because of side effect concerns. YMSM were more likely to indicate that they would not be able to afford PrEP if they did not have insurance or if they had a prior sexually transmitted infection, PrEP rollout may be hindered due to lack of awareness, as well as perceived barriers regarding its use. We propose strategies to maximize equity in PrEP awareness and access if it is to be scaled up among YMSM.