J Health Care Poor Underserved. 2021;32(1):537-549. doi: 10.1353/hpu.2021.0039.
The goal of this study was to assess awareness of, interest in, and sources of knowledge about pre-exposure prophylaxis (PrEP) among 1,464 HIV-uninfected patients from public STD clinics in Baltimore. Logistic regression analyses were conducted to examine factors associated with PrEP awareness and interest. Results suggest PrEP awareness and interest in knowing more about PrEP was highest among men who reported sex with men or with both men and women. White patients were more likely to be aware of PrEP than African American patients, and those reporting consistent condom use were more likely to have heard about PrEP than those who never used condoms. The major source of knowledge about PrEP was health care providers. Findings can inform future prioritization of locally targeted PrEP programs to enhance access to and uptake of PrEP among those most at risk for HIV transmission.
本研究旨在评估巴尔的摩公立 STD 诊所的 1464 名 HIV 阴性患者对暴露前预防 (PrEP) 的认知、兴趣和知识来源。采用逻辑回归分析方法来考察与 PrEP 认知和兴趣相关的因素。结果表明,报告有男男性行为或男男、男女混合性行为的男性对 PrEP 的认知和了解 PrEP 的兴趣最高。白人患者比非裔美国患者更有可能了解 PrEP,而报告坚持使用安全套的患者比从不使用安全套的患者更有可能听说过 PrEP。了解 PrEP 的主要来源是医疗保健提供者。这些发现可以为未来有针对性地制定以地方为基础的 PrEP 方案提供信息,以增加那些感染 HIV 风险最高的人群对 PrEP 的可及性和接受度。