加利福尼亚州和纽约州男同性恋者艾滋病暴露前预防(PrEP)使用者中与PrEP不依从性相关的社会行为因素:一种基于行为理论的方法。

Socio-behavioral factors related to PrEP non-adherence among gay male PrEP users living in California and New York: A behavioral theory informed approach.

作者信息

Dai Minhao, Calabrese Christopher

机构信息

School of Communication and Media, College of Humanities and Social Sciences, Kennesaw State University, 1000 Chastain Road, EB60, Kennesaw, GA, 30144, USA.

Annenberg Public Policy Center, University of Pennsylvania, 202 S. 36th Street, Philadelphia, PA, 19104, USA.

出版信息

J Behav Med. 2022 Apr;45(2):240-251. doi: 10.1007/s10865-021-00275-1. Epub 2022 Jan 6.

Abstract

One effective preventative measure to reduce the number of new HIV infections is through the uptake of daily oral HIV pre-exposure prophylaxis (PrEP). Although previous clinical trials have proven the effectiveness of on-demand PrEP uptake, daily PrEP uptake is the most popular prevention method among PrEP users and is still recommended by most healthcare professionals and organizations. Informed by the integrative model of behavioral prediction, the current study examined the socio-behavioral factors associated with PrEP non-adherence. The present study conducted a cross-sectional survey of 210 gay male daily PrEP users living in California and New York. The results showed more than two-thirds of the sample indicated that they had skipped taking PrEP within the last 30 days, averaging around four to five missed doses. General attitudes toward desirable and undesirable outcomes, perceived behavioral control, and social-level barriers were associated with daily PrEP uptake non-adherence. The findings highlight providers' role in PrEP adherence and the importance of habit-forming, which can be enhanced by cost-effective strategies and technological innovations.

摘要

一种减少新的艾滋病毒感染数量的有效预防措施是每日口服艾滋病毒暴露前预防用药(PrEP)。尽管先前的临床试验已证明按需服用PrEP的有效性,但每日服用PrEP是PrEP使用者中最受欢迎的预防方法,并且大多数医疗保健专业人员和组织仍推荐这种方法。基于行为预测的综合模型,本研究调查了与PrEP不依从相关的社会行为因素。本研究对居住在加利福尼亚州和纽约州的210名男同性恋每日PrEP使用者进行了横断面调查。结果显示,超过三分之二的样本表示他们在过去30天内漏服了PrEP,平均漏服四到五次。对期望和不期望结果的总体态度、感知行为控制以及社会层面的障碍与每日PrEP服用不依从有关。研究结果凸显了医疗服务提供者在PrEP依从性方面的作用以及养成习惯的重要性,而这可以通过具有成本效益的策略和技术创新得到加强。

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