Department of Applied Health Science, Indiana University, School of Public Health-Bloomington, 1025 E. 7th St., Bloomington, IN, 47405, USA.
Health Sciences, Zuckerman College of Public Health, University of Arizona, Tucson, AZ, USA.
AIDS Behav. 2023 Sep;27(9):2932-2943. doi: 10.1007/s10461-023-04016-0. Epub 2023 Feb 14.
Awareness of and discussions with a healthcare provider (HCP) around pre-exposure prophylaxis (PrEP), an effective HIV prevention method, are associated with PrEP uptake, yet few studies utilize representative samples or report on these outcomes using distinct behavioral risk subgroups. This cross-sectional study utilized responses given by men on the 2017-2019 National Survey of Family Growth, a nationally representative survey of Americans aged 15-49 years. Multiple logistic regression models were used to determine how respondents' sociodemographic characteristics and HIV risk behaviors were related to PrEP awareness and HCP discussions. PrEP awareness was low (29.40%) as was the proportion who reported ever discussing PrEP with an HCP (4.48%). Odds of being PrEP aware and discussing PrEP with an HCP varied significantly within sexual behavior subgroups based on sociodemographic and behavioral characteristics highlighting the differential risks within distinct behavioral subgroupings of men. Sexual behavior subgroupings should be considered when promoting PrEP awareness and discussions as HIV risk behaviors vary considerably and sexual identity alone may not sufficiently capture one's HIV risk.
卫生保健提供者（HCP）对暴露前预防（PrEP）的认识和讨论与 PrEP 的采用有关，PrEP 是一种有效的 HIV 预防方法，但很少有研究使用代表性样本或使用不同的行为风险亚组报告这些结果。本横断面研究利用了 2017-2019 年全国家庭增长调查中男性的回答，该调查是一项针对 15-49 岁美国人的全国代表性调查。多因素逻辑回归模型用于确定受访者的社会人口统计学特征和 HIV 风险行为与 PrEP 意识和 HCP 讨论之间的关系。PrEP 意识较低（29.40%），报告曾与 HCP 讨论过 PrEP 的比例也较低（4.48%）。根据社会人口统计学和行为特征，在性行为亚组内，对 PrEP 有认识和与 HCP 讨论 PrEP 的可能性差异显著，突出了男性不同行为亚组内的不同风险。在促进 PrEP 意识和讨论时应考虑性行为亚组，因为 HIV 风险行为差异很大，仅性取向可能不足以充分捕捉一个人的 HIV 风险。
