J Health Care Poor Underserved. 2023;34(1):58-73. doi: 10.1353/hpu.2023.0005.
This study explored oral pre-exposure prophylaxis (PrEP) awareness, and sexual behavior of gay, bisexual, and other men who have sex with men (gbMSM) in Barbados. Factors associated with PrEP use were examined using Pearson chi-square and logistic regression. Of the 171 male participants who completed the survey, 22% were under 25 years old, 70% identified as gay/homosexual, and 59% were single. PrEP awareness was 77%, and of these 29% were current PrEP users. Users were more likely to have stable living arrangements (p < .05) and to identify as gay/homosexual (p=.03). Uptake by current PrEP users was attributed to non-judgmental and confidential PrEP services. Barriers identified by former PrEP users included cost and risks of STIs. Since the PrEP program is free, as is general health care for STIs, this suggests that there may be a knowledge gap. Further studies are needed to explore perceived barriers to the program.
本研究探讨了巴巴多斯男同性恋、双性恋和其他男男性行为者（gbMSM）的口服暴露前预防（PrEP）意识和性行为。使用 Pearson 卡方检验和逻辑回归分析了与 PrEP 使用相关的因素。在完成调查的 171 名男性参与者中，22%的人年龄在 25 岁以下，70%的人自认为是同性恋/同性恋者，59%的人是单身。PrEP 意识为 77%，其中 29%是当前的 PrEP 用户。使用者更有可能有稳定的居住安排（p <.05），并认同自己是同性恋/同性恋者（p=.03）。目前 PrEP 用户的使用归因于无评判和保密的 PrEP 服务。以前的 PrEP 用户确定的障碍包括 STI 的成本和风险。由于 PrEP 计划是免费的，STI 的一般医疗保健也是免费的，这表明可能存在知识差距。需要进一步的研究来探索对该计划的认知障碍。
