Department of Public Health, 1438University of California Berkeley, CA, USA.
7152San Francisco Department of Public Health, Center for Public Health Research, San Francisco, CA, USA.
Int J STD AIDS. 2021 Jul;32(8):704-709. doi: 10.1177/0956462420986663. Epub 2021 Feb 3.
We examined pre-exposure prophylaxis (PrEP) awareness and uptake among low-income heterosexual men and women in San Francisco in 2019. Of 294 HIV-negative survey participants, 42.5% were aware of PrEP. Few women (12.5%) and men (8.9%) had discussed PrEP with a healthcare provider; 3.8% of women and 0% of men had used PrEP in the last year. White participants (adjusted odds ratio (aOR) 5.39, 95% CI 1.02, 28.56), women (aOR 2.19, 95% CI 1.30, 3.70), and age 60 years or above (aOR 4.00, 95% CI 1.12, 14.34) had greater odds of being aware of PrEP. Testing for HIV or sexually transmitted infection in the past year was marginally associated with a greater PrEP awareness. Our findings reveal gaps in PrEP implementation associated with social disparities among low-income heterosexuals. Testing services and targeted promotional and educational materials are needed lest high-risk, low-income populations are left behind in San Francisco's aggressive "Getting to Zero" efforts.
我们在 2019 年调查了旧金山低收入异性恋男女的暴露前预防 (PrEP) 意识和接受情况。在 294 名 HIV 阴性的调查参与者中，有 42.5%的人了解 PrEP。很少有女性（12.5%）和男性（8.9%）与医疗保健提供者讨论过 PrEP；过去一年中，有 3.8%的女性和 0%的男性使用过 PrEP。白人参与者（调整后的优势比 (aOR) 5.39，95%置信区间 1.02，28.56）、女性（aOR 2.19，95%置信区间 1.30，3.70）和 60 岁或以上的年龄（aOR 4.00，95%置信区间 1.12，14.34）更有可能了解 PrEP。过去一年中进行 HIV 或性传播感染检测与更高的 PrEP 意识略有相关。我们的研究结果揭示了与低收入异性恋者社会差异相关的 PrEP 实施差距。需要检测服务和有针对性的宣传和教育材料，以免在旧金山积极的“零艾滋”努力中，高风险、低收入人群掉队。
