无保护措施的群体性行为与艾滋病病毒暴露前预防知识及接受意愿相关：法国巴黎男同性恋者和双性恋者的横断面研究
Condomless Group Sex Is Associated With HIV Pre-Exposure Prophylaxis Knowledge and Interest Uptake: A Cross-Sectional Study of Gay and Bisexual Men in Paris, France.
作者信息
Callander Denton, Park Su Hyun, Al-Ajlouni Yazan A, Schneider John A, Khan Maria R, Safren Steven A, Duncan Dustin T
机构信息
Spatial Epidemiology Lab, Department of Population Health, New York University School of Medicine, New York, New York.
Chicago Center for HIV Elimination, University of Chicago School of Medicine, Chicago, Illinois.
出版信息
AIDS Educ Prev. 2019 Apr;31(2):127-135. doi: 10.1521/aeap.2019.31.2.127.
As a prevention strategy, HIV pre-exposure prophylaxis (PrEP) may benefit men who participate in group sex, but little is known about PrEP among this group internationally and virtually nothing is known of the European context. This study used an online survey of gay men living in Paris, France to assess associations between group sex and awareness of, use and interest in PrEP in its once-daily, episodic, injectable, and microbicidal forms. Men reporting recent (within 3 months) condomless group sex were much more likely to report once-daily PrEP use than men with no group sex experience (41.5% vs 7.7%, p < .001). Uptake was similarly low among men who had group sex with condoms (8.0%) and those with less-recent experience (6.43%). Overall, willingness to use PrEP-including its non-daily forms-was high among men reporting group sex, suggesting opportunities for outreach and implementation.
作为一种预防策略，艾滋病毒暴露前预防（PrEP）可能会使参与群体性行为的男性受益，但在国际上，关于该群体对PrEP的了解甚少，而在欧洲背景下几乎一无所知。本研究通过对居住在法国巴黎的男同性恋者进行在线调查，以评估群体性行为与对每日一次、按需、注射用和杀微生物剂形式的PrEP的知晓、使用及兴趣之间的关联。报告近期（3个月内）有无保护措施群体性行为的男性，比没有群体性行为经历的男性更有可能报告每日一次使用PrEP（41.5%对7.7%，p<0.001）。在有保护措施进行群体性行为的男性（8.0%）和近期无群体性行为经历的男性（6.43%）中，PrEP的使用率同样较低。总体而言，报告有群体性行为的男性中，使用PrEP（包括非每日使用形式）的意愿较高，这表明存在开展宣传和实施PrEP的机会。
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