居住在密西西比州杰克逊市的男男性行为者中与暴露前预防依从性相关的因素。
Factors associated with PrEP adherence among MSM living in Jackson, Mississippi.
作者信息
Whiteley Laura, Craker Lacey, Sun Shufang, Tarantino Nicholas, Hershkowitz Dylan, Moskowitz Jesse, Arnold Trisha, Haubrick Kayla, Olsen Elizabeth, Mena Leandro, Brown Larry K
机构信息
Warren Alpert Medical School, Brown University, Providence, RI, USA.
Department of Psychiatry, Rhode Island Hospital, Providence, RI, USA.
出版信息
J HIV AIDS Soc Serv. 2021;20(3):246-261. doi: 10.1080/15381501.2021.1956666. Epub 2021 Aug 6.
Abstract
Understanding the determinants of pre-exposure prophylaxis (PrEP) adherence is integral to reducing HIV incidence in the United States, especially for those at highest risk. To this end, the present study explored demographic, psychosocial, and behavioral factors related to adherence among 43 Southern, predominately Black, men who have sex with men (MSM). During the study months, 46% of the sample reported being nonadherent to PrEP. Those with more sexual partners ( = .05), greater self-efficacy for taking PrEP ( = .03), and those who felt condoms were less important ( = .02), were more likely to be adherent to PrEP at six-month follow-up. Further interventions that consider perceived sexual risk, condom use, and adherence self-efficacy are needed to improve PrEP adherence among Southern MSM.
摘要
了解暴露前预防（PrEP）依从性的决定因素对于降低美国的艾滋病毒发病率至关重要，尤其是对于那些风险最高的人群。为此，本研究探讨了43名来自美国南部、以黑人为主要群体的男男性行为者（MSM）中与依从性相关的人口统计学、心理社会和行为因素。在研究期间，46%的样本报告未坚持服用PrEP。在六个月的随访中，性伴侣较多（p = .05）、服用PrEP的自我效能感较高（p = .03）以及认为避孕套不太重要的人（p = .02）更有可能坚持服用PrEP。需要进一步的干预措施，考虑到感知到的性风险、避孕套使用情况和依从性自我效能感，以提高美国南部男男性行为者的PrEP依从性。
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