a Department of Communication Studies , Northeastern University.
b Manship School of Journalism , Louisiana State University.
Health Commun. 2019 Jan;34(1):84-90. doi: 10.1080/10410236.2017.1384430. Epub 2017 Oct 19.
HIV is a serious problem in the USA, particularly for men who have sex with men (MSM). A new means of HIV prevention, called pre-exposure prophylaxis (PrEP), has been shown to be highly effective. However, in spite of earning FDA approval, adoption of PrEP by MSM has been limited. The purpose of this study was to examine the experiences of a sample of 38 MSM who have adopted PrEP, focusing on communication with healthcare providers and social networks. In-depth interviews were used to collect data. Findings revealed that stigmatization by healthcare providers as well as stigmatization by other MSM was a relatively common experience for participants. Additionally, participants described that a high level of health literacy, health advocacy, and communication skill were necessary to adopt PrEP. Given these findings, strategies are suggested for improving MSM's healthcare and increasing rates of PrEP adoption.
艾滋病毒是美国的一个严重问题,特别是对男男性接触者(MSM)而言。一种新的艾滋病毒预防方法,称为暴露前预防(PrEP),已被证明非常有效。然而,尽管获得了 FDA 的批准,MSM 对 PrEP 的采用仍然有限。本研究的目的是检查 38 名采用 PrEP 的 MSM 样本的经验,重点是与医疗保健提供者和社交网络的沟通。使用深入访谈收集数据。研究结果表明,医疗保健提供者的污名化以及其他 MSM 的污名化对参与者来说是一种相对常见的经历。此外,参与者还描述了需要高水平的健康素养、健康倡导和沟通技巧才能采用 PrEP。鉴于这些发现,提出了一些策略来改善 MSM 的医疗保健并提高 PrEP 的采用率。