在美国华盛顿州西雅图市，针对男同性恋、与男性发生性关系的跨性别者以及使用甲基苯丙胺的顺性别男性开发一种有针对性的教育干预措施，以提高暴露前预防措施的采用率。
Development of a targeted educational intervention to increase pre-exposure prophylaxis uptake among cisgender men and transgender individuals who have sex with men and use methamphetamine in Seattle (WA, USA).
作者信息
McMahan Vanessa M, Martin Aleks, Garske Lindsay, Violette Lauren R, Andrasik Michele P, Baeten Jared M, Banta-Green Caleb, Stekler Joanne D
机构信息
Department of Medicine, University of Washington, 325 9th Avenue, Seattle, WA 98104, USA; and Corresponding author. Email:
Project NEON, Seattle Counseling Service, 1216 Pine Street, Suite 300, Seattle, WA 98101, USA.
出版信息
Sex Health. 2019 Apr;16(2):139-147. doi: 10.1071/SH18060.
UNLABELLED
Background Cisgender men and transgender individuals who have sex with men (MSM/TG) and use methamphetamine are at elevated risk for HIV and have had limited pre-exposure prophylaxis (PrEP) uptake. The aim of this study was to quantify the knowledge and use of PrEP, identify barriers to PrEP use, and develop a targeted educational campaign to promote PrEP among MSM/TG who use methamphetamine.
METHODS
We conducted three consultations with peer educators of Project Needle and Sex Education Outreach Network (NEON) to develop and disseminate educational materials. We surveyed the peers' HIV-negative contacts before and after this work to explore knowledge and opinions about PrEP and to assess the effect of our materials.
RESULTS
There were 221 respondents at baseline (August 2016) and 100 at follow-up (April-May 2017). At baseline, nearly all participants had 'heard of PrEP' (96%) and were insured (97%). However, only 3% had ever used PrEP. Peers suggested educational cards that included a definition of PrEP, adherence tips and that PrEP does not prevent other sexually transmissible infections. Peers distributed approximately 2560 educational cards. At follow-up, approximately half the respondents (53%) had seen the cards, and those who did reported significantly more agreement with the majority of the card messages about PrEP. Significantly more participants reported ever receiving PrEP at follow-up (21%; P<0.001). There was a trend between seeing the cards and PrEP use (P=0.053).
CONCLUSIONS
Although we cannot be certain that the effect was due to our intervention, a greater number of the peers' contacts reported receiving PrEP at follow-up, and those who saw our materials were more likely to agree with factual statements about PrEP. There is continued need for PrEP education for MSM/TG who use methamphetamine.
未标注
背景：与男性发生性关系的顺性别男性以及跨性别者（男男性行为者/跨性别者）且使用甲基苯丙胺的人群感染艾滋病毒的风险较高，且暴露前预防（PrEP）的使用率有限。本研究的目的是量化PrEP的知识和使用情况，确定PrEP使用的障碍，并开展有针对性的教育活动，以促进在使用甲基苯丙胺的男男性行为者/跨性别者中推广PrEP。
方法
我们与“针头计划”和性教育外展网络（NEON）的同伴教育者进行了三次磋商，以开发和传播教育材料。我们在这项工作前后对同伴的艾滋病毒阴性联系人进行了调查，以探讨对PrEP的知识和看法，并评估我们材料的效果。
结果
基线时（2016年8月）有221名受访者，随访时（2017年4月至5月）有100名。基线时，几乎所有参与者都“听说过PrEP”（96%）且有保险（97%）。然而，只有3%的人曾使用过PrEP。同伴们建议制作教育卡片，内容包括PrEP的定义、坚持用药的小贴士以及PrEP不能预防其他性传播感染。同伴们分发了约2560张教育卡片。随访时，约一半的受访者（53%）看过这些卡片，看过卡片的人对关于PrEP的大多数卡片信息的认同度明显更高。随访时报告曾接受PrEP的参与者明显更多（21%；P<0.001）。看卡片与PrEP使用之间存在一种趋势（P=0.053）。
结论
虽然我们不能确定效果是由于我们的干预，但更多同伴的联系人在随访时报告接受了PrEP，且看过我们材料的人更有可能认同关于PrEP的事实陈述。对于使用甲基苯丙胺的男男性行为者/跨性别者，仍需要持续进行PrEP教育。
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