Arrington-Sanders Renata, Morgan Anthony, Oidtman Jessica, Qian Ian, Celentano David, Beyrer Chris
Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
J Adolesc Health. 2016 Dec;59(6):725-728. doi: 10.1016/j.jadohealth.2016.08.006. Epub 2016 Oct 5.
PURPOSE: HIV disproportionately impacts young black men who have sex with men (YBMSM). Preexposure prophylaxis (PrEP) is an effective strategy that can avert new HIV infections in YBMSM. Barriers exist for YBMSM to access PrEP. METHODS: We sought to determine factors associated with awareness of and willingness to take PrEP in a sample of YBMSM. RESULTS: Only 8% were currently on PrEP despite many (66%) reporting condomless anal sex, a recent provider visit (54%), disclosing their sexual orientation to their regular medical provider (62%), or a willingness to take PrEP (62%). In bivariate analysis, increased number of lifetime partners, current PrEP use, and disclosure of sexual orientation to a doctor were associated with awareness of PrEP, while condomless anal sex and higher perceived risk was associated with willingness to take PrEP. Sex with females was associated with lower willingness. CONCLUSIONS: Providers may be missing key opportunities to educate YBMSM about PrEP and incorporate PrEP into comprehensive sexual health care.
目的：艾滋病毒对与男性发生性关系的年轻黑人男性（YBMSM）的影响尤为严重。暴露前预防（PrEP）是一种有效的策略，可以避免YBMSM感染新的艾滋病毒。YBMSM在获取PrEP方面存在障碍。 方法：我们试图确定在YBMSM样本中与对PrEP的认知和服用意愿相关的因素。 结果：尽管许多人（66%）报告有无保护肛交、近期就医（54%）、向常规医疗服务提供者披露性取向（62%）或愿意服用PrEP（62%），但目前只有8%的人正在服用PrEP。在双变量分析中，终身性伴侣数量增加、当前使用PrEP以及向医生披露性取向与对PrEP的认知相关，而无保护肛交和更高的感知风险与服用PrEP的意愿相关。与女性发生性行为与较低的意愿相关。 结论：医疗服务提供者可能错失了向YBMSM宣传PrEP并将PrEP纳入全面性健康护理的关键机会。
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