School of Nursing, University of Pennsylvania, 418 Curie Blvd., Suite 223L, Philadelphia, PA, 19104, USA.
Craig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Arch Sex Behav. 2020 Aug;49(6):2145-2153. doi: 10.1007/s10508-020-01648-4. Epub 2020 Mar 28.
While emerging adulthood (ages 18-25) is marked by increased independence from parents, parental support remains a strong correlate of positive sexual health outcomes for heterosexual youth. With the emergence of pre-exposure prophylaxis (PrEP), few studies have examined the potential for parent-child sex communication and PrEP adoption among emerging adult men who have sex with men (MSM). We aimed to describe the extent to which parents/family characteristics play supportive roles in emerging adult MSM's current PrEP use. PrEP-indicated participants (N = 222) were recruited via social media to complete an online survey. Multivariable logistic regression assessed associations between emerging adult MSM's current PrEP use and comfort with parent-child sex communication, family social support, family outness, and family prioritization, adjusted for sociodemographic variables. Thirty percent of participants reported current PrEP use. Only 20% reported moderate/high comfort with parent sex communication, 80% reported any family sexual identity disclosure, 70% reported moderate/high family social support, and 70% ranked family as a high/very high priority. Our multivariable model demonstrated an association between comfort with parent-child sex communication with current PrEP use only (AOR= 1.55, 95% CI 1.04-2.32). Our findings support that parents of emerging adult MSM possess a critical potential to reduce their sons' risk of HIV and promote PrEP uptake. Interventions that facilitate parents' efficacy to foster affirming, non-judgmental environments and discussions about their child's sexual behaviors, attractions/relationships, and health (e.g., PrEP) may be impactful in reducing the high HIV incidence rate that burdens emerging adult MSM.
虽然成年早期（18-25 岁）的特点是与父母的独立性增强，但父母的支持仍然是异性恋青年积极性健康结果的重要相关因素。随着暴露前预防 (PrEP) 的出现，很少有研究探讨父母与孩子之间的性沟通以及新成年男男性行为者 (MSM) 采用 PrEP 的可能性。我们旨在描述父母/家庭特征在新成年 MSM 当前使用 PrEP 方面起到支持作用的程度。通过社交媒体招募 PrEP 指征参与者（N=222）完成在线调查。多变量逻辑回归评估了新成年 MSM 当前使用 PrEP 与与父母子女性沟通的舒适度、家庭社会支持、家庭公开度和家庭优先度之间的关联，同时调整了社会人口统计学变量。30%的参与者报告目前正在使用 PrEP。只有 20%的人报告与父母进行性沟通时有中度/高度舒适度，80%的人报告有任何家庭性身份披露，70%的人报告有中度/高度家庭社会支持，70%的人将家庭列为高/非常高优先级。我们的多变量模型显示，与父母子女性沟通的舒适度仅与当前 PrEP 的使用相关（AOR=1.55，95%CI 1.04-2.32）。我们的研究结果表明，新成年 MSM 的父母具有重要的潜力，可以降低他们儿子感染 HIV 的风险，并促进 PrEP 的采用。促进父母提高促进肯定、非评判性环境的效力并就其子女的性行为、吸引力/关系和健康（例如 PrEP）进行讨论的干预措施，可能会对降低成年 MSM 的高 HIV 发病率产生重大影响。
