Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
DHAP/NCHHSTP/CDC, 1600 Clifton Road NE MS E-46, 30333, Atlanta, GA, USA.
AIDS Behav. 2023 Sep;27(9):3122-3132. doi: 10.1007/s10461-023-04032-0. Epub 2023 Mar 2.
Treatment as prevention (TasP) is an effective HIV prevention strategy. Our objectives were to explore TasP attitudes and beliefs among people with HIV (PWH) who are not engaged in care and to examine attitudes and beliefs by selected characteristics. We sampled PWH who had participated in the Medical Monitoring Project (MMP), a structured interview survey, from June 2018-May 2019 to participate in 60-minute semi-structured telephone interviews. We obtained sociodemographic and behavioral quantitative data from the MMP structured interview. We used applied thematic analysis to analyze the qualitative data and integrated the qualitative and quantitative data during analysis. Negative attitudes and beliefs, especially skepticism and mistrust, about TasP were pervasive. Only one participant who identified as female, was not sexually active, and had not heard of TasP held positive attitudes and beliefs about TasP. TasP messages should use clear and unambiguous language, address mistrust, and reach people who are not engaged in medical care.
治疗即预防(TasP)是一种有效的艾滋病毒预防策略。我们的目的是探索未参与治疗的艾滋病毒感染者(PLHIV)对 TasP 的态度和信念,并按选定特征检查态度和信念。我们从 2018 年 6 月至 2019 年 5 月抽样参加医疗监测项目(MMP)的 PLHIV 参加 60 分钟的半结构式电话访谈。我们从 MMP 结构化访谈中获得了社会人口统计学和行为定量数据。我们使用应用主题分析来分析定性数据,并在分析过程中整合定性和定量数据。对 TasP 的消极态度和信念,尤其是怀疑和不信任,普遍存在。只有一名自认为是女性、没有性行为且没有听说过 TasP 的参与者对 TasP 持积极态度和信念。TasP 信息应该使用清晰明确的语言,解决不信任问题,并覆盖未接受医疗护理的人群。