Department of Community Health and Social Sciences, City University of New York (CUNY) Graduate School of Public Health and Health Policy, New York, New York.
CUNY School of Medicine.
AIDS Educ Prev. 2022 Jun;34(3):195-208. doi: 10.1521/aeap.2022.34.3.195.
HIV-outcome inequities remain prevalent in the U.S. Medical providers (MPs) are gatekeepers of PrEP, and understanding the dynamics of PrEP assessments is of major interest for public health. We analyzed data from Together 5000, an internet-based U.S. national cohort of sexual and gender minority (SGM) individuals aged 16-49 years and at risk for HIV. Among those eligible for PrEP uptake (n = 6264), we modeled predictors of discussing PrEP with an MP. A third (31%) of participants had spoken to a MP about PrEP. Among those who spoke to a MP, 45% suggested they would initiate PrEP; this outcome was more common among participants older than 24. With a persistent stagnant uptake nationwide, new opportunities to influence PrEP uptake must be explored. An attractive less targeted space is the medical office, specifically ways to support an initial and continued discussion about PrEP between MPs and their patients.
艾滋病毒相关结局的不平等在美国仍然普遍存在。医疗保健提供者（MPs）是 PrEP 的把关人，了解 PrEP 评估的动态对于公共卫生具有重要意义。我们分析了来自 Together 5000 的数据，这是一个基于互联网的美国性少数群体（SGM）年龄在 16-49 岁且有感染艾滋病毒风险的人群的全国性队列。在符合 PrEP 服用条件的人群中（n=6264），我们对与 MPs 讨论 PrEP 的预测因素进行了建模。三分之一（31%）的参与者曾与 MPs 讨论过 PrEP。在与 MPs 交谈过的人中，有 45%的人表示他们将开始服用 PrEP；这一结果在年龄超过 24 岁的参与者中更为常见。在全国范围内 PrEP 的使用率持续停滞不前的情况下，必须探索新的机会来影响 PrEP 的使用。一个有吸引力的、非目标性更强的空间是医疗办公室，特别是支持 MPs 与其患者之间就 PrEP 进行初始和持续讨论的方式。
