Department of Infectious Diseases and Microbiology, Graduate School of Public Health, University of Pittsburgh, PO Box 7319, Pittsburgh, PA, 15213, USA.
Center for LGBT Health Research, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA.
AIDS Behav. 2019 Oct;23(10):2694-2705. doi: 10.1007/s10461-019-02446-3.
Men who have sex with men and women (MSMW), including those who are Black, experience HIV-related disparities compared to men who have sex with men only (MSMO). Few studies have assessed the prevalence and correlates of pre-exposure prophylaxis (PrEP) awareness and use among Black MSMW. We recruited MSM ≥ 18 attending Black Gay Pride events between 2014-2017. We conducted multivariable logistic regressions to assess differences in PrEP awareness and use among HIV-negative Black MSM (n = 2398) and within Black MSMW (n = 419). MSMW were less likely than MSMO to report PrEP awareness (p < 0.001). Among PrEP-aware MSM, MSMW were more likely than MSMO to report PrEP use (p < 0.05). MSMW receiving gay community support were more likely to be PrEP-aware (p < 0.01). MSMW reporting any past-year STI diagnoses were more likely to report PrEP use (p < 0.01). Findings suggest that PrEP awareness campaigns tailored for Black MSMW, concomitant with STI-to-PrEP interventions, will facilitate greater PrEP uptake in this population.
男男性行为者和女性（MSMW），包括黑人，与仅男男性行为者（MSMO）相比，在与艾滋病毒相关的差异方面经历了更多问题。很少有研究评估过黑人 MSMW 中预防前用药（PrEP）意识和使用的流行率和相关性。我们在 2014-2017 年间招募了参加黑人同性恋骄傲活动的年龄在 18 岁及以上的男男性行为者。我们进行了多变量逻辑回归分析，以评估 HIV 阴性黑人 MSM（n=2398）和黑人 MSMW 内（n=419）PrEP 意识和使用方面的差异。与 MSMO 相比，MSMW 报告 PrEP 意识的可能性较低（p<0.001）。在 PrEP 意识的 MSM 中，MSMW 报告 PrEP 使用的可能性高于 MSMO（p<0.05）。接受同性恋社区支持的 MSMW 更有可能意识到 PrEP（p<0.01）。报告任何过去一年性传播感染（STI）诊断的 MSMW 更有可能报告 PrEP 使用（p<0.01）。研究结果表明，针对黑人 MSMW 的 PrEP 意识宣传活动，同时开展 STI 至 PrEP 干预措施，将促进该人群中 PrEP 的更多使用。
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