纽约市使用基于地理位置社交网络智能手机应用程序的男同性恋、双性恋及其他与男性发生性行为的男性中，暴露前预防（PrEP）知晓率及使用意愿的相关因素
Correlates of Awareness of and Willingness to Use Pre-exposure Prophylaxis (PrEP) in Gay, Bisexual, and Other Men Who Have Sex with Men Who Use Geosocial-Networking Smartphone Applications in New York City.
作者信息
Goedel William C, Halkitis Perry N, Greene Richard E, Duncan Dustin T
机构信息
Department of Population Health, School of Medicine, New York University, 227 East 30th Street, New York, NY, 10016, USA.
College of Global Public Health, New York University, New York, NY, USA.
出版信息
AIDS Behav. 2016 Jul;20(7):1435-42. doi: 10.1007/s10461-016-1353-6.
Geosocial-networking smartphone applications are commonly used by gay, bisexual, and other men who have sex with men (MSM) to meet sexual partners. The purpose of the current study was to evaluate awareness of and willingness to use pre-exposure prophylaxis (PrEP) among MSM who use geosocial-networking smartphone applications residing in New York City. Recruitment utilizing broadcast advertisements on a popular smartphone application for MSM yielded a sample of 152 HIV-uninfected MSM. Multivariable models were used to assess demographic and behavioral correlates of awareness of and willingness to use PrEP. Most participants (85.5 %) had heard about PrEP but few (9.2 %) reported current use. Unwillingness to use PrEP was associated with concerns about side effects (PR = 0.303; 95 % CI 0.130, 0.708; p = 0.006). Given that more than half (57.6 %) of participants were willing to use PrEP, future research is needed to elucidate both individual and structural barriers to PrEP use among MSM.
基于地理位置的社交网络智能手机应用程序被男同性恋者、双性恋者以及其他与男性发生性行为的男性（男男性行为者）广泛用于寻找性伴侣。本研究旨在评估居住在纽约市、使用基于地理位置的社交网络智能手机应用程序的男男性行为者对暴露前预防（PrEP）的知晓情况和使用意愿。通过在一款面向男男性行为者的热门智能手机应用程序上投放广播广告进行招募，共获得了152名未感染艾滋病毒的男男性行为者样本。采用多变量模型评估PrEP知晓情况和使用意愿的人口统计学及行为学相关因素。大多数参与者（85.5%）听说过PrEP，但只有少数人（9.2%）报告目前正在使用。不愿使用PrEP与对副作用的担忧有关（PR = 0.303；95%置信区间0.130，0.708；p = 0.006）。鉴于超过一半（57.6%）的参与者愿意使用PrEP，未来需要开展研究以阐明男男性行为者中PrEP使用的个体和结构障碍。
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