J Assoc Nurses AIDS Care. 2020 Jan-Feb;31(1):80-91. doi: 10.1097/JNC.0000000000000115.
Men who have sex with men (MSM) in the southeastern United States continue to be at high risk for HIV. Pre-exposure prophylaxis (PrEP) provides effective prevention, but PrEP awareness varies across communities. We assessed sexual risk, HIV/sexually transmitted infection (STI) testing history, health care experiences associated with PrEP awareness, provider discussions, and PrEP use in a sample of 164 MSM in the Central Savannah River Area of the South. Results revealed that 80.5% of participants were aware of PrEP, 16.4% had discussed PrEP with a provider, and 9.2% had used PrEP. Education, gay identity, HIV status, recent HIV testing, and lack of provider awareness about sexual minorities independently predicted PrEP awareness. Recent STI testing independently predicted increased odds of PrEP discussion. Recent HIV and STI testing and non-White identity were associated with PrEP use. Effective, tailored marketing, provider competence, and open communication can increase PrEP adoption by southern MSM.
美国东南部的男男性行为者（MSM）仍然面临着较高的 HIV 感染风险。暴露前预防（PrEP）是一种有效的预防方法，但不同社区对 PrEP 的认知程度存在差异。我们在南卡罗来纳州中部萨凡纳河流域的 164 名 MSM 中评估了性风险、HIV/性传播感染（STI）检测史、与 PrEP 认知相关的医疗保健经验、提供者讨论情况以及 PrEP 的使用情况。结果表明，80.5%的参与者知晓 PrEP，16.4%的参与者与提供者讨论过 PrEP，9.2%的参与者曾使用过 PrEP。教育程度、同性恋身份、HIV 状况、最近的 HIV 检测以及提供者对性少数群体的认知不足，这些因素均独立预测了 PrEP 的知晓率。最近的性传播感染检测则独立预测了 PrEP 讨论的可能性增加。最近的 HIV 和 STI 检测以及非白人身份与 PrEP 的使用相关。有效的、有针对性的营销、提供者的能力和开放的沟通可以提高南部 MSM 对 PrEP 的接受度。
