“你不想让父母知道你在服用暴露前预防药物”：黑人及拉丁裔青少年中的暴露前预防药物污名。
"You Don't Want Your Parents Knowing That You're Taking Pre-exposure Prophylaxis": Pre-exposure Prophylaxis Stigma Among Black and Latinx Adolescents.
机构信息
Sharanya Rao, MA, is a Doctoral Candidate in Clinical Psychology, Department of Psychological and Brain Sciences, George Washington University, Washington, DC, USA. Tashuna Albritton, PhD, MSW, is an Assistant Medical Professor, Department of Community Health and Social Medicine, City University of New York School of Medicine, New York, New York, USA. Paulo Pina, MD, MPH, is a Clinical Assistant Professor, Department of Pediatrics, New York University Grossman School of Medicine, New York, New York, USA. Yilin Liang, MPH, is a Medical Student, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois, USA. Tamara Taggart, PhD, MPH, is an Assistant Professor, Department of Prevention and Community Health, George Washington University Milken Institute School of Public Health, Washington, DC, and is also an Assistant Professor Adjunct of Public Health, Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut, USA.
出版信息
J Assoc Nurses AIDS Care. 2022;33(4):395-405. doi: 10.1097/JNC.0000000000000313. Epub 2021 Nov 10.
Pre-exposure prophylaxis (PrEP) stigma is an understudied barrier to PrEP uptake among Black and Latinx adolescents. U.S. Black and Latinx adolescents (13-17 years) completed an online survey or participated in focus groups/interviews. Associations between PrEP stigma, PrEP disclosure, and provider-initiated PrEP discussion preferences were examined using logistic-regression models. Qualitative data provided further context to quantitative findings. The survey sample included 208 adolescents (53% female; 58% Latinx; M = 15 years), with 98% endorsing PrEP stigma. The qualitative sample included 26 adolescents (54% female; 34% Latinx; M = 15 years). PrEP stigma was associated with lower odds of PrEP disclosure to parents/guardians, and preference for health care providers to initiate PrEP-related discussions only with patients the provider judged to be at high risk for HIV. Qualitative data supported quantitative results: Adolescents endorsed multiple negative stereotypes about PrEP users. Mitigating PrEP stigma among Black and Latinx adolescents is an important step in overcoming challenges related to PrEP uptake.
暴露前预防 (PrEP) 污名是阻碍黑人和拉丁裔青少年接受 PrEP 的一个未被充分研究的障碍。美国黑人和拉丁裔青少年（13-17 岁）完成了在线调查或参加了焦点小组/访谈。使用逻辑回归模型检查了 PrEP 污名、PrEP 披露以及提供者发起 PrEP 讨论偏好之间的关联。定性数据为定量发现提供了更多的背景。调查样本包括 208 名青少年（53%为女性；58%为拉丁裔；平均年龄为 15 岁），其中 98%的人认可 PrEP 污名。定性样本包括 26 名青少年（54%为女性；34%为拉丁裔；平均年龄为 15 岁）。PrEP 污名与向父母/监护人披露 PrEP 的可能性降低有关，并且偏好医疗保健提供者仅与提供者认为有 HIV 高风险的患者发起 PrEP 相关讨论。定性数据支持定量结果：青少年对 PrEP 用户有多种负面刻板印象。减轻黑人和拉丁裔青少年的 PrEP 污名是克服与 PrEP 接受相关的挑战的重要步骤。
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