Health Behavior and Biological Sciences, University of Michigan School of Nursing, Ann Arbor, MI, USA.
Center for Sexuality and Health Disparities, University of Michigan School of Nursing, Ann Arbor, MI, USA.
J Int Assoc Provid AIDS Care. 2021 Jan-Dec;20:23259582211024770. doi: 10.1177/23259582211024770.
HIV prevention research among men who have sex with men (MSM) has traditionally focused on individual risk reduction strategies. Our study evaluated awareness, utilization, and preferences for 10 complementary HIV prevention strategies among 1,286 MSM recruited via Facebook and Instagram from June-August 2018. Ages ranged from 18-85 years, and the majority were non-Hispanic white (n = 1,019, 79.24%), college-educated (n = 819, 63.69%), gay-identifying (n = 1,074, 83.51%), and partnered (n = 808, 62.83%). Post-exposure prophylaxis was the least familiar option, and engaging in sexual activities other than anal sex was the most utilized option. Progressively older and bisexual-identifying MSM were less likely, but those with higher educational levels and easy access to local HIV resources were more likely to be aware of and to be utilizing a greater number of strategies. Additionally, Hispanic MSM were less likely to be aware of, and those in a "closed" relationship were less likely to be utilizing a greater number of strategies. In a subset of 775 multiple strategy users, pre-exposure prophylaxis, regularly testing for HIV, and limiting the number of sex partners emerged as the most preferred options. Combination intervention packages for MSM should be tailored to personal circumstances, including sexual orientation, relationship characteristics and access to local HIV resources.
HIV 预防研究一直集中在男男性行为者(MSM)的个体风险降低策略上。我们的研究评估了 1286 名通过 Facebook 和 Instagram 招募的 MSM 对 10 种补充 HIV 预防策略的意识、利用和偏好,他们的年龄在 18-85 岁之间,大多数是非西班牙裔白人(n=1019,79.24%)、受过大学教育(n=819,63.69%)、同性恋(n=1074,83.51%)和伴侣(n=808,62.83%)。暴露后预防是最不熟悉的选择,而进行肛交以外的性行为是最常用的选择。年龄较大和双性恋的 MSM 不太可能,但那些教育程度较高且容易获得当地 HIV 资源的人更有可能了解和利用更多的策略。此外,西班牙裔 MSM 不太可能了解,而处于“封闭”关系的 MSM 不太可能利用更多的策略。在 775 名多策略使用者的子集中,暴露前预防、定期检测 HIV 和限制性伴侣数量成为最受欢迎的选择。针对 MSM 的组合干预措施应该根据个人情况进行定制,包括性取向、关系特征和获得当地 HIV 资源的情况。