"The Main Concern is HIV, Everything Else is Fixable": Indifference Toward Sexually Transmitted Infections in the Era of Biomedical HIV Prevention.

"The Main Concern is HIV, Everything Else is Fixable": Indifference Toward Sexually Transmitted Infections in the Era of Biomedical HIV Prevention.
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DOI:
10.1007/s10461-021-03226-8
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发表时间:
2021-08
期刊:
影响因子:
4.4
通讯作者:
Newcomb ME
Newcomb ME
中科院分区:
医学2区
文献类型:
--
作者:
Sarno EL;Macapagal K;Newcomb ME

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随着生物医学艾滋病预防的出现,同性恋、双性恋和其他男男性行为者(MSM)对安全套使用和性传播感染(STI)的态度和文化规范正在发生变化。2GETHER是一项针对男性伴侣的关系教育和艾滋病预防计划的随机对照试验,参与者承认,无避孕套的肛交会增加他们患性病的风险。尽管如此,该计划的促进者越来越多地观察到,参与者对性传播感染漠不关心,没有动机采取预防行为,特别是如果他们使用暴露前预防。审查了参与者缺乏采取预防性传播感染措施的动机的原因。这些态度的公共卫生干预措施,以减少男男性行为者,包括经常筛查和治疗性传播感染和潜在的信息,围绕避孕套的使用率的影响进行了讨论。
With the advent of biomedical HIV prevention, attitudes toward and cultural norms around condom use and sexually transmitted infections (STIs) among gay, bisexual, and other men who have sex with men (MSM) are changing. Participants of 2GETHER, a randomized controlled trial of a relationship education and HIV prevention program for male couples, have acknowledged that having condomless anal sex put them at increased risk for STIs. Nonetheless, facilitators of the program have increasingly observed that participants were indifferent toward STIs and unmotivated to engage in preventative behaviors, particularly if they used pre-exposure prophylaxis. Participants’ reasons for their lack of motivation to take precautions against STIs are reviewed. Implications of these attitudes for public health interventions to reduce rates of STIs among MSM, including frequent screening and treatment of STIs and potential messaging around condom use, are discussed.
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