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在美国三个城市的黑人和西班牙裔男男性行为者中,HIV/AIDS 阴谋论信念背景下的 PrEP 认知。

PrEP Awareness in the Context of HIV/AIDS Conspiracy Beliefs Among Black/African American and Hispanic/Latino MSM in Three Urban US Cities.

机构信息

ICF, Atlanta, Georgia, USA.

Division of HIV/AIDS Prevention, CDC, Atlanta, Georgia, USA.

出版信息

J Homosex. 2020 May 11;67(6):833-843. doi: 10.1080/00918369.2018.1557953. Epub 2019 Jan 11.

DOI:10.1080/00918369.2018.1557953
PMID:30633661
Abstract

We examined HIV conspiracy beliefs and PrEP awareness in a convenience sample of minority MSM. Participants in three cities completed a behavioral self-assessment on sociodemographics, PrEP awareness, and HIV/AIDS conspiracy beliefs. HIV/AIDS conspiracy beliefs were more common among Black than Latino MSM (58% vs. 42%, < .05), and among younger men than older men (age 18-29 (50%), 30-39 (22%), 40+ (28%); < .05). PrEP awareness co-occurred with conspiracy belief less (37%) than with non-belief (63%, < .05), persisting in multivariable regression (aOR = 0.52, 95% CI = 0.38-0.71). This relationship suggests that current HIV care and prevention messaging is either inaccessible or not credible to some minority subpopulations.

摘要

我们在一个由少数族裔男男性接触者组成的便利样本中检查了 HIV 阴谋论信念和 PrEP 意识。三个城市的参与者完成了关于社会人口统计学、PrEP 意识和 HIV/AIDS 阴谋论信念的行为自我评估。与拉丁裔男男性接触者相比,HIV/AIDS 阴谋论信念在黑人男男性接触者中更为常见(58% 对 42%,<0.05),在年轻男性中比年长男性中更为常见(18-29 岁(50%),30-39 岁(22%),40 岁以上(28%);<0.05)。PrEP 意识与阴谋论信念同时出现的比例(37%)低于与非信念同时出现的比例(63%,<0.05),在多变量回归中仍然如此(aOR=0.52,95%CI=0.38-0.71)。这种关系表明,目前的 HIV 护理和预防信息传递对一些少数族裔亚群体来说要么无法获得,要么不可信。

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