Department of Sociology, University of Antwerp, Antwerp, Belgium.
Department of Public Health, Institute of Tropical Medicine, Antwerp, Belgium.
PLoS One. 2021 Aug 18;16(8):e0256269. doi: 10.1371/journal.pone.0256269. eCollection 2021.
This study produces an estimate of the proportion of eligible PrEP users among people of Sub-Saharan African background based on the Belgian PrEP eligibility criteria and examines associations with socio-economic and demographic characteristics.
We performed logistic regression analysis on data of a representative community-based survey conducted among Sub-Saharan African communities (n = 685) living in Antwerp.
Almost a third (30.3%) of the respondents were eligible to use PrEP. Those who were male, single, lower educated, undocumented, and had experienced forced sex were more likely to be eligible for PrEP use. The findings highlight the importance of taking intra-, interpersonal and structural HIV risk factors into account.
The study shows high unmet PrEP needs in this population, especially among those with high vulnerability for HIV acquisition. A better understanding of barriers to PrEP use in this population group is needed to allow for equitable access.
本研究根据比利时的 PrEP 资格标准，对撒哈拉以南非洲背景的合格 PrEP 使用者比例进行了估计，并探讨了与社会经济和人口特征的关联。
我们对居住在安特卫普的撒哈拉以南非洲社区（n=685）进行的一项具有代表性的社区为基础的调查数据进行了逻辑回归分析。
近三分之一（30.3%）的受访者有资格使用 PrEP。那些男性、单身、受教育程度较低、无证和经历过强迫性行为的人更有可能有资格使用 PrEP。研究结果强调了考虑内在、人际和结构性艾滋病毒风险因素的重要性。
该研究表明，该人群的 PrEP 需求未得到满足，尤其是那些感染艾滋病毒风险较高的人群。需要更好地了解该人群群体中 PrEP 使用的障碍，以实现公平获得。
