Crosby Richard A, Geter Angelica, DiClemente Ralph J, Salazar Laura F
Department of Health Behavior, College of Public Health, University of Kentucky, 121 Washington Ave, Lexington, KY 40506, USA.
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.
Vaccines (Basel). 2014 Feb 18;2(1):129-37. doi: 10.3390/vaccines2010129.
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.
当前的研究调查并比较了与男性发生性行为的年轻黑人男性（YBMSM）接受暴露前预防（PrEP）、成年男性包皮环切术以及使用避孕套以降低感染艾滋病毒风险的意愿。大多数人（67%）报告在过去六个月中有过无保护的肛交行为。约四分之三（71%）的人表示，如果PrEP 100%有效，他们会接受使用。费用影响了对PrEP的接受度，19%的人表示在每月自付费用100美元时会接受。在未接受包皮环切术的人中，50%表示如果包皮环切术100%有效就愿意接受。当自付费用为100美元时，接受包皮环切术的比例显著降至17%。约73%的男性表示，如果避孕套100%有效，他们愿意使用，50%的人表示在每月费用为10美元时愿意使用。研究结果表明，推广使用避孕套的策略应始终处于公共卫生努力控制YBMSM中艾滋病毒发病率的前沿。
