School of Public Health, Rutgers University, Piscataway, NJ, USA.
University of California, San Francisco, San Francisco, CA, USA.
AIDS Behav. 2019 Oct;23(10):2687-2693. doi: 10.1007/s10461-019-02428-5.
Efforts in San Francisco are maximizing the use of pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) where high levels of use are needed to maximize reducing new HIV infections. National HIV Behavioral Surveillance surveys MSM in San Francisco. Demographics, health care and risk behaviors are assessed. PrEP use is measured for 12 month, 6 month and 30 day periods. Of 399 HIV uninfected men sampled in 2017, 43.4% used PrEP in the past 12 months. Proportions of men using PrEP by race/ethnicity were not significant at any time point. Decreases between 6 month and 30 day use were highest among African American and Latino men. These men had the highest proportion of intermittent use in the past 30 days but not significantly. While our data suggest the disparity in PrEP use by race/ethnicity has narrowed in San Francisco, novel delivery of PrEP may narrow disparity further.
旧金山的努力正在最大限度地提高男男性行为者（MSM）中使用暴露前预防（PrEP）的比例，因为需要高水平的使用才能最大限度地减少新的 HIV 感染。国家艾滋病毒行为监测调查了旧金山的 MSM。评估人口统计、医疗保健和风险行为。测量了 12 个月、6 个月和 30 天的 PrEP 使用情况。在 2017 年抽样的 399 名未感染 HIV 的男性中，43.4%的人在过去 12 个月中使用了 PrEP。任何时间点，按种族/族裔划分的男性使用 PrEP 的比例都没有显著差异。在过去 30 天内，6 个月和 30 天使用 PrEP 的比例下降幅度最大的是非洲裔美国人和拉丁裔男性。这些男性在过去 30 天内间歇性使用 PrEP 的比例最高，但没有显著差异。虽然我们的数据表明，旧金山的 PrEP 使用种族差异已经缩小，但 PrEP 的新的提供方式可能会进一步缩小差距。
