School of Nursing, Yale University, Orange, CT 06477, USA.
Department of Social and Behavioral Sciences, School of Public Health, Yale University, New Haven, CT 06520, USA.
Int J Environ Res Public Health. 2022 Apr 8;19(8):4489. doi: 10.3390/ijerph19084489.
At the end of year 2018, it was estimated that in the United States over 1 million people were living with HIV. Although Black/African American individuals comprise an estimated 13.4% of the US population, as of 2019, they represented an estimated 42% of all new HIV diagnoses in 2018. PrEP use among Black men who have sex with men has not reached levels sufficient to have a population impact on HIV incidence. The purpose of this study was to examine whether high perceived autonomy support and care coordination quality were associated with PrEP continuation. Secondary analyses were conducted on data with 226 Black MSM in three US cities. Participants who were PrEP users and scored higher on autonomy support at week 8 were significantly more likely to continue PrEP (OR 1.48; 95% CI 1.04-2.11). Perception of coordination quality did not differ between PrEP users and non-users at any of the visits. Although coordination quality was not statistically significant, greater than half of PrEP users and non-PrEP users utilized the C4 services. Addressing social, individual, and structural barriers to PrEP may benefit Black MSM irrespective of their PrEP use.
截至 2018 年末，据估计，美国有超过 100 万人感染了艾滋病毒。尽管黑人/非裔美国人约占美国人口的 13.4%，但截至 2019 年，他们占 2018 年所有新诊断出的艾滋病毒病例的 42%。黑人男男性行为者中，接受 PrEP 的人数尚未达到足以对艾滋病毒发病率产生人群影响的水平。本研究旨在探讨高感知自主性支持和护理协调质量是否与 PrEP 的持续使用有关。对来自美国三个城市的 226 名黑人男男性行为者的数据进行了二次分析。在第 8 周时，自主性支持评分较高的 PrEP 使用者继续使用 PrEP 的可能性显著更高（OR 1.48；95%CI 1.04-2.11）。在任何一次就诊中，PrEP 用户和非用户对协调质量的看法都没有差异。尽管协调质量没有统计学意义，但超过一半的 PrEP 用户和非 PrEP 用户都使用了 C4 服务。解决 PrEP 方面的社会、个人和结构障碍可能会使黑人男男性行为者受益，无论他们是否使用 PrEP。
