Barriers to Pre-Exposure Prophylaxis Uptake Among Online Male Sex Workers in the US.
Barriers to Pre-Exposure Prophylaxis Uptake Among Online Male Sex Workers in the US.
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DOI：
10.1007/s10461-021-03510-7
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发表时间：
2022-05
影响因子：
4.4
通讯作者：
Siegel, Karolynn
中科院分区：
文献类型：
--
作者：
Sundelson, Anne E.;Meunier, Etienne;Schrimshaw, Eric W.;Siegel, Karolynn
尽管同性恋、双性恋和其他男男性行为者 (MSM) 中艾滋病毒暴露前预防 (PrEP) 摄入的障碍已受到大量研究关注，但对于哪些因素可能影响男性性工作者 (MSW)（艾滋病毒高危人群）的暴露前预防 (PrEP) 摄入，人们知之甚少。本文提出了定性研究结果，说明为什么与在约会/联播网站和应用程序上认识的伴侣进行性交换（接受金钱、毒品、住所或其他物品以换取性）的 MSM 子样本从未使用过 PrEP。分析揭示了采用 PrEP 的几个障碍，包括缺乏对 PrEP 的认识和知识、科学和医学问题、与个人风险认知和风险管理信念/偏好相关的问题、实际和后勤障碍以及提供者层面的障碍。讨论了这些障碍的细微差别，特别是因为它们与参与者从事的特定类型的性工作有关。还讨论了干预措施的影响。
Though barriers to HIV pre-exposure prophylaxis (PrEP) uptake among gay, bisexual, and other men who have sex with men (MSM) have received substantial research attention, less is known about what factors may be affecting PrEP uptake among male sex workers (MSWs), a population at high risk of HIV. This paper presents qualitative findings regarding why a subsample of MSM engaged in exchange sex (receiving money, drugs, shelter, or other goods in exchange for sex) with partners they met on dating/hookup websites and apps had never used PrEP. Analysis revealed several barriers to PrEP uptake including lack of awareness and knowledge about PrEP, scientific and medical concerns, issues related to individual risk perception and beliefs/preferences about risk management, practical and logistical barriers, and provider-level barriers. Nuances to these barriers are discussed, particularly as they relate to the specific type of sex work participants were engaged in. Implications for interventions are also discussed.
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