在美国,出生时被指定为男性的性少数群体和跨性别青少年对暴露前预防措施的认识和了解。

Awareness and Knowledge of Pre-exposure Prophylaxis Among Sexual and Gender Minority Adolescents Assigned Male at Birth in the United States.

机构信息

Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, 625 N. Michigan Avenue, Chicago, IL, 60611, USA.

Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USA.

出版信息

Arch Sex Behav. 2021 May;50(4):1701-1711. doi: 10.1007/s10508-020-01904-7. Epub 2021 May 12.

Abstract

Sexual and gender minority (SGM) adolescents assigned male at birth are at increased risk for HIV infection. Pre-exposure prophylaxis (PrEP) is a daily pill taken to prevent HIV, which the United States Food and Drug Administration approved for minors under age 18 years weighing at least 77.5 lb in 2018. A lack of awareness and knowledge of PrEP are barriers to uptake among adults and adolescents, but SGM adolescents' awareness and knowledge about PrEP remain underexplored and no studies have assessed SGM adolescents' informational needs. We collected data on 59 SGM adolescents' (ages 14-18 years) awareness, knowledge, and questions about PrEP in an online survey and six online focus groups. Although a majority of SGM adolescents (83.1%) were aware of PrEP before the study, many wanted more information about side effects and how to navigate potential barriers to PrEP initiation. Findings can inform public health efforts to promote PrEP knowledge and uptake among SGM adolescents.

摘要

性少数群体(SGM)青少年中出生时被指定为男性的人感染艾滋病毒的风险增加。暴露前预防(PrEP)是一种每日服用的药丸,用于预防艾滋病毒,美国食品和药物管理局于 2018 年批准体重至少 77.5 磅的 18 岁以下未成年人使用。对 PrEP 的认识和了解不足是成年人和青少年接受 PrEP 的障碍,但 SGM 青少年对 PrEP 的认识和了解仍未得到充分探索,也没有研究评估 SGM 青少年的信息需求。我们在一项在线调查和六次在线焦点小组中收集了 59 名 SGM 青少年(14-18 岁)对 PrEP 的认识、知识和问题的数据。尽管大多数 SGM 青少年(83.1%)在研究前就已经了解 PrEP,但许多人希望了解更多关于副作用的信息,以及如何解决 PrEP 启动的潜在障碍。研究结果可以为促进 SGM 青少年对 PrEP 的了解和接受提供公共卫生方面的信息。

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