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为基于惩教机构的暴露前预防提供服务而识别男男性行为者的最佳做法。

Best practices for identifying men who have sex with men for corrections-based pre-exposure prophylaxis provision.

作者信息

Brinkley-Rubinstein Lauren, Peterson Meghan, Zaller Nickolas D, Wohl David A

机构信息

Department of Social Medicine, Center for Health Equity, University of North Carolina at Chapel Hill, 333 S. Columbia St., 341B MacNider Hall, Chapel Hill, NC, 27599, USA.

Center for Health Equity Research, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.

出版信息

Health Justice. 2019 Apr 13;7(1):7. doi: 10.1186/s40352-019-0088-7.

DOI:10.1186/s40352-019-0088-7
PMID:30982117
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6717965/
Abstract

PURPOSE

Men who have sex with men (MSM) who are incarcerated are at increased risk for HIV acquisition, yet there are challenges associated with disclosing sexual identity/orientation among people who are incarcerated.

METHODS

The current study used semi-structured, qualitative interviews to explore attitudes and awareness of pre-exposure prophylaxis (PrEP) among 26 MSM who were incarcerated at the Rhode Island Department of Corrections.

RESULTS

Participants noted variable levels of willingness to disclose sexual identity/orientation.

CONCLUSIONS

CJ institutions should consider involving medical staff and outside agencies when using the CDC PrEP guidelines or consider a WHO-based, rather than behavior-based, approach to determining candidacy for PrEP.

摘要

目的

被监禁的男男性行为者(MSM)感染艾滋病毒的风险增加,但在被监禁者中披露性身份/性取向存在挑战。

方法

本研究采用半结构化定性访谈,以探讨罗德岛惩教部关押的26名男男性行为者对暴露前预防(PrEP)的态度和认识。

结果

参与者表示出不同程度的披露性身份/性取向的意愿。

结论

惩教机构在使用疾病控制与预防中心的PrEP指南时应考虑让医务人员和外部机构参与,或考虑采用基于世界卫生组织的方法而非基于行为的方法来确定PrEP的适用对象。

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本文引用的文献

1
Knowledge, interest, and anticipated barriers of pre-exposure prophylaxis uptake and adherence among gay, bisexual, and men who have sex with men who are incarcerated.在押男同性恋、双性恋和与男性发生性关系的男性对暴露前预防措施的了解、兴趣和预期障碍及其坚持情况。
PLoS One. 2018 Dec 7;13(12):e0205593. doi: 10.1371/journal.pone.0205593. eCollection 2018.
2
Institutional distrust among gay, bisexual, and other men who have sex with men as a barrier to accessing pre-exposure prophylaxis (PrEP).男同性恋者、双性恋者及其他与男性发生性行为者之间的机构性不信任是获得暴露前预防(PrEP)的障碍。
AIDS Care. 2019 Mar;31(3):364-369. doi: 10.1080/09540121.2018.1524114. Epub 2018 Sep 19.
3
The Path to Implementation of HIV Pre-exposure Prophylaxis for People Involved in Criminal Justice Systems.为刑事司法系统相关人员实施艾滋病毒暴露前预防的途径。
Curr HIV/AIDS Rep. 2018 Apr;15(2):93-95. doi: 10.1007/s11904-018-0389-9.
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Can I Ask for Help? The Relationship Among Incarcerated Males' Sexual Orientation, Sexual Abuse History, and Perceptions of Rape in Prison.我可以寻求帮助吗?被监禁男性的性取向、性虐待史与狱中强奸认知之间的关系。
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