Fallon Susan A, Park Ju Nyeong, Ogbue Christine Powell, Flynn Colin, German Danielle
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD, 21205, USA.
Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD, 21205, USA.
AIDS Behav. 2017 May;21(5):1268-1277. doi: 10.1007/s10461-016-1619-z.
This paper assessed characteristics associated with awareness of and willingness to take pre-exposure prophylaxis (PrEP) among Baltimore men who have sex with men (MSM). We used data from BESURE-MSM3, a venue-based cross-sectional HIV surveillance study conducted among MSM in 2011. Multivariate regression was used to identify characteristics associated with PrEP knowledge and acceptability among 399 participants. Eleven percent had heard of PrEP, 48% would be willing to use PrEP, and none had previously used it. In multivariable analysis, black race and perceived discrimination against those with HIV were significantly associated with decreased awareness, and those who perceived higher HIV discrimination reported higher acceptability of PrEP. Our findings indicate a need for further education about the potential utility of PrEP in addition to other prevention methods among MSM. HIV prevention efforts should address the link between discrimination and potential PrEP use, especially among men of color.
本文评估了巴尔的摩男男性行为者(MSM)中与暴露前预防(PrEP)认知及使用意愿相关的特征。我们使用了BESURE-MSM3研究的数据,这是一项2011年在男男性行为者中开展的基于场所的横断面HIV监测研究。采用多变量回归分析来确定399名参与者中与PrEP知识及可接受性相关的特征。11%的人听说过PrEP,48%的人愿意使用PrEP,且此前无人使用过。在多变量分析中,黑人种族以及对HIV感染者的感知歧视与认知度降低显著相关,而那些感知到更高HIV歧视的人报告称对PrEP的接受度更高。我们的研究结果表明,除了对男男性行为者开展其他预防方法的教育外,还需要进一步开展关于PrEP潜在效用的教育。HIV预防工作应解决歧视与潜在PrEP使用之间的关联,尤其是在有色人种男性中。