Department of Family and Social Medicine, Albert Einstein College of Medicine , Bronx, New York.
LGBT Health. 2016 Apr;3(2):103-8. doi: 10.1089/lgbt.2014.0114. Epub 2016 Feb 9.
Identifying sources of and eliminating social stigma associated with the promotion and use of pre-exposure prophylaxis (PrEP) for the prevention of sexually acquired HIV infection among men who have sex with men (MSM) is both a moral imperative and necessary requirement to ensure that public health objectives of HIV prevention can be met. This article will examine and address ethical concerns and criticisms regarding the use of PrEP, barriers to its promotion, and use among MSM and examine the types of social stigma associated with PrEP. An ethical justification for both healthcare and LGBT communities to address and overcome social stigma regarding the use of PrEP among MSM is offered.
确定男男性行为者中推广和使用暴露前预防(PrEP)以预防性获得性 HIV 感染的相关社会污名的来源并消除这些污名,既是确保实现艾滋病毒预防公共卫生目标的道德需要,也是必要条件。本文将探讨和处理有关 PrEP 使用的道德问题和批评意见,探讨在男男性行为者中推广和使用 PrEP 的障碍,并探讨与 PrEP 相关的社会污名类型。本文还为医疗保健和 LGBT 社区提供了一个伦理依据,以解决和克服男男性行为者中与 PrEP 使用相关的社会污名问题。