Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
AIDS Behav. 2021 Dec;25(12):4102-4114. doi: 10.1007/s10461-021-03267-z. Epub 2021 May 2.
Pre-exposure prophylaxis (PrEP) is a highly effective HIV prevention intervention and is critical to the Ending the HIV Epidemic strategy. Most PrEP research has been conducted among urban populations; less is known about PrEP awareness, willingness to use, and actual use among rural and suburban populations. We examined these PrEP indicators by United States region and urbanicity among men who have sex with men who responded to the 2019 cycle of the American Men's Internet Survey. Rural and suburban men were less likely than urban men to be aware of PrEP, to have discussed PrEP with a healthcare provider in the past 12 months, and to have ever used PrEP. Smaller differences were observed across regions. Notably, willingness to use PrEP was similar across region and urbanicity. Additional work will be needed to increase PrEP awareness and access among rural and suburban populations.
暴露前预防（PrEP）是一种非常有效的艾滋病预防干预措施，对终结艾滋病流行策略至关重要。大多数 PrEP 研究都是在城市人群中进行的；对于农村和郊区人群对 PrEP 的认知、使用意愿和实际使用情况，了解较少。我们通过对 2019 年美国男性互联网调查周期中回应调查的男男性行为者的美国地区和城市性特征进行分析，研究了这些 PrEP 指标。农村和郊区男性比城市男性更不容易了解 PrEP，也不太可能在过去 12 个月内与医疗保健提供者讨论过 PrEP，并且更不可能曾经使用过 PrEP。在不同地区观察到的差异较小。值得注意的是，不同地区和城市性特征的人使用 PrEP 的意愿相似。需要进一步努力提高农村和郊区人群对 PrEP 的认识和获取。
