Center for Interdisciplinary Research on AIDS, Yale University, 135 College Street, Suite 200, New Haven, CT, 06510, USA,
AIDS Behav. 2014 Feb;18(2):226-40. doi: 10.1007/s10461-013-0675-x.
Antiretroviral pre-exposure prophylaxis (PrEP) has received increasing recognition as a viable prescription-based intervention for people at risk for HIV acquisition. However, little is known about racial biases affecting healthcare providers' willingness to prescribe PrEP. This investigation sought to explore medical students' stereotypes about sexual risk compensation among Black versus White men who have sex with men seeking PrEP, and the impact of such stereotypes on willingness to prescribe PrEP. An online survey presented participants (n = 102) with a clinical vignette of a PrEP-seeking, HIV-negative man with an HIV-positive male partner. Patient race was systematically manipulated. Participants reported predictions about patient sexual risk compensation, willingness to prescribe PrEP, and other clinical judgments. Bootstrapping analyses revealed that the Black patient was rated as more likely than the White patient to engage in increased unprotected sex if prescribed PrEP, which, in turn, was associated with reduced willingness to prescribe PrEP to the patient.
抗逆转录病毒药物事前预防（PrEP）作为一种针对艾滋病毒感染风险人群的可行的基于处方的干预措施，已得到越来越多的认可。然而，对于影响医疗保健提供者开处方 PrEP 的意愿的种族偏见，人们知之甚少。本研究旨在探索医学生对寻求 PrEP 的黑人和白人男男性行为者的性风险补偿的刻板印象，以及这种刻板印象对开处方 PrEP 的意愿的影响。一项在线调查向 102 名参与者（n=102）提供了一个 PrEP 寻求者、艾滋病毒阴性的男性与艾滋病毒阳性的男性伴侣的临床案例。患者的种族被系统地操纵。参与者报告了对患者性风险补偿、开处方 PrEP 的意愿和其他临床判断的预测。引导分析显示，与白人患者相比，黑人患者如果开了 PrEP，更有可能增加无保护性行为，而这反过来又与降低了向患者开处方 PrEP 的意愿有关。
