BARRIERS TO ACCESS AND ADOPTION OF PRE-EXPOSURE PROPHYLAXIS FOR THE PREVENTION OF HIV AMONG MEN WHO HAVE SEX WITH MEN (MSM) IN A RELATIVELY RURAL STATE
BARRIERS TO ACCESS AND ADOPTION OF PRE-EXPOSURE PROPHYLAXIS FOR THE PREVENTION OF HIV AMONG MEN WHO HAVE SEX WITH MEN (MSM) IN A RELATIVELY RURAL STATE
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DOI：
10.1521/aeap.2017.29.4.315
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发表时间：
2017-08-01
影响因子：
1.8
通讯作者：
Croff, Julie M.
中科院分区：
文献类型：
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作者：
Hubach, Randolph D.;Currin, Joseph M.;Croff, Julie M.
包括抗逆转录病毒暴露前预防（PrEP）在内的生物医学干预方法已被证明可降低若干高危人群的艾滋病毒发病率，并具有成本效益。然而，对于居住在相对农村的州的男男性行为者（MSM）获得和吸收PrEP的了解有限。进行了20次半结构化访谈（2016年8月-11月），以评估居住在俄克拉荷马州的男男性接触者访问和采用PrEP的意见和感知障碍。参与者认为获得PrEP的重大障碍包括污名化的环境和获得优质，LGBT敏感的医疗服务的机会较少。总体而言，地理隔离限制了俄克拉荷马州MSM获得支持性健康的医疗服务提供者和资源。解决跨生态层面的耻辱问题，以增加居住在农村各州的男男性行为者对PrEP的采用，仍然是必要的。如果没有这一点，社会决定因素可能会继续对PrEP的采用和性健康结果产生负面影响。
Biomedical intervention approaches, including antiretroviral pre-exposure prophylaxis (PrEP), have been demonstrated to reduce HIV incidence among several at-risk populations and to be cost effective. However, there is limited understanding of PrEP access and uptake among men who have sex with men (MSM) residing in relatively rural states. Twenty semistructured interviews were conducted (August November 2016) to assess opinions of and perceived barriers to accessing and adopting PrEP among MSM residing in Oklahoma. Participants perceived substantial barriers to accessing PrEP including a stigmatizing environment and less access to quality, LGBT-sensitive medical care. Overall, geographic isolation limits access to health providers and resources that support sexual health for Oklahoma MSM. Addressing stigma situated across ecological levels in an effort to increase adoption of PrEP by MSM residing in rural states remains necessary. Without this, social determinants may continue to negatively influence PrEP adoption and sexual health outcomes.