Acceptability of Condoms, Circumcision and PrEP among Young Black Men Who Have Sex with Men: A Descriptive Study Based on Effectiveness and Cost.

Acceptability of Condoms, Circumcision and PrEP among Young Black Men Who Have Sex with Men: A Descriptive Study Based on Effectiveness and Cost.
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DOI:
10.3390/vaccines2010129
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发表时间:
2014-02-18
期刊:
影响因子:
7.8
通讯作者:
Salazar LF
Salazar LF
中科院分区:
医学3区
文献类型:
--
作者:
Crosby RA;Geter A;DiClemente RJ;Salazar LF

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目前的研究检查并比较了与男性发生性关系的年轻黑人男性(YBMSM)接受暴露前预防(PrEP),成年男性包皮环切术和避孕套以降低艾滋病毒感染风险的意愿。大多数(67%)报告在过去六个月内无保护的接受性肛交。大约四分之三(71%)的人会接受使用PrEP,如果它是100%有效的。成本影响PrEP接受度,19%表示接受每月100美元的共同支付。在未行包皮环切术的人中,如果包皮环切术100%有效,50%的人表示愿意。包皮环切术的接受率明显下降到17%,共付100美元。约73%的男性愿意使用避孕套,如果它们是100%有效的,50%表示愿意在每月10美元的费用。研究结果表明,避孕套的使用推广策略应保持在公共卫生工作的最前沿,以控制艾滋病毒的发病率YBMSM。
The current study examined and compared the willingness of young Black men who have sex with men (YBMSM) to accept pre-exposure prophylaxis (PrEP), adult male circumcision, and condoms for reducing their risk of HIV acquisition. The majority (67%) reported unprotected receptive anal sex in the last six months. About three-quarters (71%) would accept using PrEP if it was 100% effective. Cost influenced PrEP acceptance with 19% indicating acceptance at $100 per month co-pay. Of those not circumcised, 50% indicated willingness if circumcision was 100% effective. Acceptance of circumcision decreased markedly to 17% with co-pays of $100. About 73% of men were willing to use condoms if they were 100% effective and 50% indicated a willingness at the cost of $10 per month. The findings suggest that condom use promotion strategies should remain at the forefront of public health efforts to control HIV incidence among YBMSM.