PrEP uptake 缓慢：有较高 PrEP 使用意向的男男性行为者中，行为预测因素和价格对 PrEP 使用的影响。
Slow Uptake of PrEP: Behavioral Predictors and the Influence of Price on PrEP Uptake Among MSM with a High Interest in PrEP.
机构信息
Department of Work & Social Psychology, Faculty of Psychology and Neuroscience, Maastricht University, PO Box 616, 6200 MD, Maastricht, The Netherlands.
Department of Interdisciplinary Social Science, Utrecht University, Utrecht, The Netherlands.
出版信息
AIDS Behav. 2021 Aug;25(8):2382-2390. doi: 10.1007/s10461-021-03200-4. Epub 2021 Feb 21.
Abstract
Despite the improved availability and affordability of PrEP in the Netherlands, PrEP uptake is low among men who have sex with men (MSM). To optimize uptake, it is important to identify facilitators and barriers of PrEP use. During our study period, the price of PrEP dropped significantly after generic PrEP was introduced. We investigated whether the price drop predicts PrEP uptake, alongside behavioral and demographic characteristics. Participants (N = 349) were recruited online and completed three questionnaires over a period of 6 months, between February 2017 and March 2019. After 6 months, 159 (45.6%) participants were using PrEP. PrEP uptake was greater among MSM who ever had postexposure prophylaxis (PEP) treatment, among MSM with a better perceived financial situation, and when the price of PrEP dropped. MSM in a tighter perceived financial situation may use PrEP more when it would be free or fully reimbursed.
摘要
尽管在荷兰，PrEP 的可及性和可负担性有所提高，但男男性行为者 (MSM) 中 PrEP 的使用率仍然很低。为了提高 PrEP 的使用率，了解 PrEP 使用的促进因素和障碍非常重要。在我们的研究期间，在推出通用 PrEP 后，PrEP 的价格大幅下降。我们调查了价格下降是否可以预测 PrEP 的使用情况，以及行为和人口统计学特征。参与者（N=349）通过在线招募，并在 2017 年 2 月至 2019 年 3 月期间的 6 个月内完成了三份问卷。6 个月后，有 159 名（45.6%）参与者正在使用 PrEP。曾经接受过暴露后预防（PEP）治疗、经济状况较好以及 PrEP 价格下降的 MSM，PrEP 的使用率更高。经济状况较差的 MSM 在 PrEP 免费或全额报销时可能会更倾向于使用 PrEP。
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