Department of Infectious Diseases and Microbiology, Concord Hospital, Sydney, NSW, Australia.
Canberra Sexual Health Centre, Canberra, ACT, Australia.
Front Public Health. 2023 Mar 13;11:1018983. doi: 10.3389/fpubh.2023.1018983. eCollection 2023.
The HIV epidemic in Australia is changing with higher risk for HIV among newly-arrived Asian-born men who have sex with men (MSM) compared to Australian-born MSM. We evaluated the preferences for HIV prevention strategies among 286 Asian-born MSM living in Australia for <5 years. A latent class analysis uncovered three classes of respondents who were defined by their preferences: "PrEP" (52%), "Consistent condoms" (31%), and "No strategy" (17%). Compared to the "No strategy" class, men in the "PrEP" class were less likely to be a student or ask their partner for their HIV status. Men in the "Consistent condoms" class were more likely to get information about HIV from online, and less likely to ask their partner for their HIV status. Overall, PrEP was the preferred HIV prevention strategy for newly arrived migrants. Removing structural barriers to access PrEP can accelerate progress toward ending HIV transmission.
澳大利亚的艾滋病毒疫情正在发生变化，与澳大利亚出生的男男性行为者（MSM）相比，新抵达的亚洲出生的 MSM 感染艾滋病毒的风险更高。我们评估了 286 名在澳大利亚居住不到 5 年的亚洲出生的 MSM 对艾滋病毒预防策略的偏好。潜在类别分析揭示了三类有不同偏好的受访者：“PrEP”（52%）、“坚持使用安全套”（31%）和“无策略”（17%）。与“无策略”类相比，“PrEP”类的男性更不可能是学生或询问伴侣的艾滋病毒状况。“坚持使用安全套”类的男性更有可能从网络上获取有关艾滋病毒的信息，且不太可能询问伴侣的艾滋病毒状况。总体而言，PrEP 是新移民首选的艾滋病毒预防策略。消除获得 PrEP 的结构性障碍可以加速实现终结艾滋病毒传播的目标。
