Denson Damian J, Gelaude Deborah, Schoua-Glusberg Alisú
Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
J Prev Health Promot. 2022 Jan;1. doi: 10.1177/26320770221074979.
HIV-positive Black and Latino men who have sex with men (MSM) have substantial challenges accessing and engaging in HIV care. Findings presented here are an analysis of 14 HIV-discordant couples ( = 28) from Atlanta, GA; Baltimore, MD; Chicago, IL; Los Angeles, CA; and Washington, DC. One-hour in-depth interviews were conducted. Interviews were analyzed using a qualitative content analysis approach. Most couples reported relationship fears associated with delayed disclosure, HIV care engagement instigated by the HIV-uninfected partner, and varying knowledge and concern about the impacts of HIV infection and risk reduction. Findings suggest an opportunity to jointly educate and treat MSM of color in HIV-discordant relationships to improve engagement in ART and PrEP care and adherence.
感染艾滋病毒的黑人及拉丁裔男同性恋者在获得和参与艾滋病毒治疗方面面临重大挑战。此处呈现的研究结果是对来自佐治亚州亚特兰大、马里兰州巴尔的摩、伊利诺伊州芝加哥、加利福尼亚州洛杉矶和华盛顿特区的14对艾滋病毒不一致伴侣（共28人）进行的分析。开展了为期一小时的深入访谈。采用定性内容分析方法对访谈进行了分析。大多数伴侣报告了与延迟披露相关的关系担忧、未感染艾滋病毒的伴侣促使参与艾滋病毒治疗、以及对艾滋病毒感染影响和风险降低的不同认知与担忧。研究结果表明，有机会对处于艾滋病毒不一致关系中的有色人种男同性恋者进行联合教育和治疗，以提高对抗逆转录病毒治疗（ART）和暴露前预防（PrEP）治疗的参与度及依从性。
