Perceptions of and intentions to adopt HIV pre-exposure prophylaxis among black men who have sex with men in Los Angeles.
Perceptions of and intentions to adopt HIV pre-exposure prophylaxis among black men who have sex with men in Los Angeles.
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DOI：
10.1177/0956462415570159
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发表时间：
2015-12
影响因子：
1.4
通讯作者：
Allen VC Jr
中科院分区：
文献类型：
--
作者：
Brooks RA;Landovitz RJ;Regan R;Lee SJ;Allen VC Jr
本研究评估了224名居住在洛杉矶的低社会经济地位黑人男性同性恋者（BMSM）的便利样本中暴露前预防（PrEP）的看法及其与PrEP采用意图的关联。参与者收到了有关PrEP的教育信息，并完成了面对面的采访。超过一半（60%）的参与者表示采用PrEP的意愿很高。年轻的BMSM（18-29岁）报告采用PrEP的意愿很高的可能性是老年BMSM（30岁以上）的两倍。只有33%的参与者知道PrEP，没有参与者使用过PrEP。负面看法与较低的PrEP采用意图相关，包括在HIV阴性时服用HIV药物不舒服，不知道服用HIV药物是否有长期副作用。这些研究结果表明，BMSM可能会采用PrEP，但负面看法可能会限制其在该人群中的吸收。为了促进PrEP通过BMSM有针对性的教育和社区宣传计划，需要提供准确的信息PrEP的好处，并解决当地BMSM人群对PrEP的负面看法。
This study assessed perceptions of Pre-Exposure Prophylaxis (PrEP) and their association with PrEP adoption intention among a convenience sample of 224 low socioeconomic status black men who have sex with men (BMSM) residing in Los Angeles. Participants received educational information about PrEP and completed an in-person interview. More than half (60%) of participants indicated a high intention to adopt PrEP. Younger BMSM (18-29 years) were twice as likely to report a high intention to adopt PrEP compared to older BMSM (30+ years). Only 33% of participants were aware of PrEP and no participant had ever used PrEP. Negative perceptions were associated with a lower PrEP adoption intention and included being uncomfortable taking an HIV medicine when HIV-negative and not knowing if there are long-term side effects of taking an HIV medication. These findings suggest that BMSM may adopt PrEP but that negative perceptions may limit its uptake among this population. In order to facilitate PrEP adoption among BMSM targeted educational and community awareness programs are needed to provide accurate information on the benefits of PrEP and to address the negative perceptions of PrEP held by local BMSM populations.