男男性行为人群对暴露前预防用药的误解：公共卫生和政策意义。
Misunderstanding of Pre-Exposure Prophylaxis Use Among Men Who Have Sex with Men: Public Health and Policy Implications.
机构信息
ARSH: Center for Applied Research on Substance Use and Health Disparities, Nova Southeastern University , Ft. Lauderdale, Florida.
出版信息
LGBT Health. 2016 Dec;3(6):461-464. doi: 10.1089/lgbt.2015.0069. Epub 2015 Dec 31.
Abstract
PURPOSE
Street markets in antiretroviral medications for HIV have been documented, but sources of demand are not well understood. We report unexpected findings from qualitative research suggesting that some demand is for informal pre-exposure prophylaxis (PrEP).
METHODS
Focus groups with young men who have sex with men (N = 31) yielded information on their understanding and use of PrEP.
RESULTS
Of those who had heard of it, few understood PrEP to be a physician-prescribed regimen; most believed it to be a pill taken before and/or after sex and acquired on the street or through HIV-positive friends.
CONCLUSION
Implications for PrEP rollout and public health policy are discussed.
摘要
目的
已记录到街头市场有抗逆转录病毒药物出售用于治疗艾滋病，但人们对需求来源的了解并不充分。我们报告了一项定性研究的意外发现，表明一些需求是为了获得非正式的暴露前预防（PrEP）。
方法
对男男性行为者（MSM）进行了焦点小组讨论，以获取他们对 PrEP 的理解和使用情况的信息。
结果
在听说过 PrEP 的人中，很少有人理解 PrEP 是一种医生开具的方案；大多数人认为 PrEP 是一种在性行为前后服用的药物，可以在街头或通过 HIV 阳性的朋友获得。
结论
讨论了 PrEP 推广和公共卫生政策的影响。
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本文引用的文献
1
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AIDS Patient Care STDS. 2015 Sep;29(9):490-502. doi: 10.1089/apc.2015.0002. Epub 2015 Jun 29.
2
Reports: HIV drugs targeted for black market.
JAMA. 2014 Sep 17;312(11):1086-7. doi: 10.1001/jama.2014.11153.
3
The Demand for Antiretroviral Drugs in the Illicit Marketplace: Implications for HIV Disease Management Among Vulnerable Populations.
AIDS Behav. 2015 May;19(5):857-68. doi: 10.1007/s10461-014-0856-2.
4
Early experiences implementing pre-exposure prophylaxis (PrEP) for HIV prevention in San Francisco.
PLoS Med. 2014 Mar 4;11(3):e1001613. doi: 10.1371/journal.pmed.1001613. eCollection 2014 Mar.
5
Vulnerable infected populations and street markets for ARVs: Potential implications for PrEP rollout in the USA.
AIDS Care. 2014 Apr;26(4):411-5. doi: 10.1080/09540121.2013.837139. Epub 2013 Sep 16.
6
Antiretroviral medication diversion among HIV-positive substance abusers in South Florida.
Am J Public Health. 2013 Jun;103(6):1026-8. doi: 10.2105/AJPH.2012.301092. Epub 2013 Apr 18.
7
Pre-exposure prophylaxis for HIV: who will benefit and what are the challenges?
Am J Prev Med. 2013 Jan;44(1 Suppl 2):S163-6. doi: 10.1016/j.amepre.2012.10.005.
8
Interim guidance: preexposure prophylaxis for the prevention of HIV infection in men who have sex with men.
MMWR Morb Mortal Wkly Rep. 2011 Jan 28;60(3):65-8.
9
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