促进男男性行为者使用暴露前预防措施的行为干预措施：综述。
Behavioral Interventions to Enhance PrEP Uptake Among Black Men Who Have Sex With Men: A Review.
出版信息
J Assoc Nurses AIDS Care. 2019 Mar-Apr;30(2):151-163. doi: 10.1097/JNC.0000000000000015.
Abstract
In the United States, nearly 500,000 men who have sex with men (MSM) are at risk of contracting HIV. Men who have sex with men constitute 70% of all new cases of HIV in the United States; within this population, the incidence of HIV infection is the highest among Black MSM. Our integrated review synthesized published behavioral interventions designed to enhance the uptake of and adherence to pre-exposure prophylaxis (PrEP) for the prevention of HIV in the Black MSM population. A search of 4 electronic databases revealed only 7 studies whose samples included Black MSM. Adherence to PrEP medication declined over time across all studies. No statistically significant changes in safer sexual behaviors were reported. Few studies described theory-driven interventions. Effective interventions are needed to enhance the uptake of PrEP and to reinforce behaviors that prevent HIV transmission among Black MSM.
摘要
在美国，近 50 万与男性发生性关系的男性（MSM）有感染 HIV 的风险。与男性发生性关系的男性构成了美国所有新的 HIV 病例的 70%；在这一人群中，黑人 MSM 感染 HIV 的发病率最高。我们的综合回顾综合了已发表的行为干预措施，旨在提高黑人 MSM 人群对暴露前预防（PrEP）的接受程度和坚持程度，以预防 HIV。对 4 个电子数据库的搜索仅发现了 7 项研究，其样本包括黑人 MSM。所有研究中，PrEP 药物的依从性随时间推移而下降。没有报告安全性行为有统计学意义的变化。很少有研究描述了基于理论的干预措施。需要有效的干预措施来提高 PrEP 的接受程度，并加强防止黑人 MSM 之间 HIV 传播的行为。
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