Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
AIDS Care. 2023 Sep;35(9):1411-1419. doi: 10.1080/09540121.2023.2217375. Epub 2023 May 26.
Little is known about the effect of travel-related factors, such as mode of transportation, on retention in PrEP care, or PrEP persistence. We used data from the 2020 American Men's Internet Survey and conducted multilevel logistic regression to estimate the association between mode of transportation used for healthcare access and PrEP persistence among urban gay, bisexual, and other men who have sex with men (MSM) in the U.S. MSM using public transportation were less likely to report PrEP persistence (aOR: 0.51; 95% CI: 0.28-0.95) than MSM using private transportation. There were no significant associations between PrEP persistence and using active transportation (aOR: 0.67; 95% CI: 0.35-1.29) or multimodal transportation (aOR: 0.85; 95% CI: 0.51-1.43) compared to using private transportation. Transportation-related interventions and policies are needed to address structural barriers to accessing PrEP services and to improve PrEP persistence in urban areas.
关于旅行相关因素（如交通方式）对 PrEP 护理保留或 PrEP 持续时间的影响知之甚少。我们使用了 2020 年美国男性互联网调查的数据，并进行了多层次逻辑回归分析，以估计在美国城市男同性恋、双性恋和其他与男性发生性关系的男性（MSM）中，用于获得医疗保健的交通方式与 PrEP 持续时间之间的关联。与使用私人交通工具的 MSM 相比，使用公共交通工具的 MSM 报告 PrEP 持续时间的可能性较低（aOR：0.51；95%CI：0.28-0.95）。与使用私人交通工具相比，使用主动交通（aOR：0.67；95%CI：0.35-1.29）或多式联运（aOR：0.85；95%CI：0.51-1.43）与 PrEP 持续时间没有显著关联。需要采取交通相关干预措施和政策来解决获得 PrEP 服务的结构性障碍，以提高城市地区的 PrEP 持续时间。
