Marsh Ketzela Jacobowitz, Rothenberger Meghan
1 Division of Infectious Diseases and International Medicine, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.
2 Division of Pediatric Infectious Diseases and Immunology, Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA.
J Int Assoc Provid AIDS Care. 2019 Jan-Dec;18:2325958219853834. doi: 10.1177/2325958219853834.
Young men who have sex with men (YMSM) are disproportionately affected by HIV in the United States. High-risk sexual behaviors are difficult to modify; thus, HIV pre-exposure prophylaxis (PrEP) with a daily pill is a promising prevention tool for this vulnerable population. We present a case of a young black MSM who was able to successfully access PrEP with the help of a community program but was not able to adhere to the regimen or engage in care. He ultimately acquired HIV infection. We review the existing literature and advocate for increased services and research to support youth's adherence to PrEP and engagement in HIV prevention programs, with a focus on YMSM of color.
在美国，男男性行为者（YMSM）受艾滋病毒影响的比例过高。高危性行为难以改变；因此，每日服用药物进行艾滋病毒暴露前预防（PrEP）对这一弱势群体来说是一种很有前景的预防工具。我们介绍了一名年轻的黑人男男性行为者的案例，他在一个社区项目的帮助下成功获得了PrEP，但未能坚持治疗方案或接受护理。他最终感染了艾滋病毒。我们回顾了现有文献，并主张增加服务和研究，以支持年轻人坚持PrEP并参与艾滋病毒预防项目，重点关注有色人种男男性行为者。
