Willingness to Discuss and Screen for Pre-Exposure Prophylaxis in Pharmacies Among Men Who Have Sex With Men.
Willingness to Discuss and Screen for Pre-Exposure Prophylaxis in Pharmacies Among Men Who Have Sex With Men.
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DOI：
10.1177/0897190020904590
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发表时间：
2021-10
影响因子：
1.3
通讯作者：
中科院分区：
文献类型：
--
作者：
确定男男性行为者在药店讨论和筛查暴露前预防（PrEP）的意愿。在佐治亚州富尔顿县卫生委员会的领导下，这项研究调查了2018年参加两次亚特兰大同性恋骄傲活动的个人。该分析仅限于那些被认定为男男性行为者（MSM）、未感染艾滋病毒且报告从未使用过PrEP的人。多变量回归用于确定讨论和在药房进行PrEP筛查的意愿的相关性。大多数（69%）愿意与药房工作人员讨论PrEP， 61.35%的人愿意在药房进行PrEP筛查。与不感兴趣的人相比，对PrEP感兴趣的人更愿意在药房讨论PrEP（患病率比[PR]: 1.65； 95%置信区间[95% CI]: 1.11-2.48）。种族与与药房工作人员讨论PrEP的意愿无关。然而，黑人男同性恋者（BMSM）比白人男同性恋者更不愿意在药店接受筛查，直到我们考虑到对PrEP的兴趣（PR: 1.27; 95% CI: 1.09-1.48）。药店可能是扩大PrEP获取的最佳场所，以覆盖需求最高但尚未得到满足的少数族裔。基于药物的PrEP讨论和筛查可以提高对艾滋病毒状况的认识，增加PrEP知识和吸收。未来的研究应确定最佳的药学条件，在这种条件下，PrEP筛查和摄取是可接受的。
To determine the willingness to discuss and be screened for pre-exposure prophylaxis (PrEP) in pharmacies among MSM. Led by Georgia’s Fulton County Board of Health, this study surveyed individuals who attended 2 Atlanta-based Gay Pride events in 2018. This analysis was limited to those who identified as men who have sex with men (MSM) who were not HIV positive and reported never using PrEP. Multivariable regression was used to determine the correlates of willingness to discuss and be screened for PrEP in-pharmacy. Most (69%) were willing to discuss PrEP with pharmacy staff and 61.35% were willing to be screened for PrEP in-pharmacy. Those who were interested in PrEP were significantly more willing to discuss PrEP in-pharmacy compared to those not interested in PrEP (prevalence ratio [PR]: 1.65; 95% confidence interval [95% CI]: 1.11–2.48). Race was not associated with willingness to discuss PrEP with pharmacy staff. However, black MSM (BMSM) were less willing to be screened in pharmacies than white MSM, until we accounted for interest in PrEP (PR: 1.27; 95% CI: 1.09–1.48). Pharmacies may be an optimal setting to expand PrEP access to reach racial minorities who have the highest need but are not being reached. Pharmacy-based PrEP discussions and screening could improve awareness of HIV status and increase PrEP knowledge and uptake. Future studies should determine optimal pharmacy conditions under which PrEP screening and uptake are acceptable for BMSM.
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影响因子：
8.5
作者：
Hall HI;Song R;Tang T;An Q;Prejean J;Dietz P;Hernandez AL;Green T;Harris N;McCray E;Mermin J
通讯作者：
Mermin J
影响因子：
4.4
作者：
Kuhns LM;Hotton AL;Schneider J;Garofalo R;Fujimoto K
通讯作者：
Fujimoto K
影响因子：
2.1
作者：
Lecher, Shirley Lee;Shrestha, Ram K.;Weidle, Paul J.
通讯作者：
Weidle, Paul J.
影响因子：
4.9
作者：
Amesty, Silvia;Crawford, Natalie D.;Lewis, Crystal Fuller
通讯作者：
Lewis, Crystal Fuller
影响因子：
1.7
作者：
Cahill S;Taylor SW;Elsesser SA;Mena L;Hickson D;Mayer KH
通讯作者：
Mayer KH