Department of Psychology, San Diego State University, San Diego, CA, 92120, USA.
SDSU/UC San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, 92120, USA.
AIDS Behav. 2024 Mar;28(3):759-773. doi: 10.1007/s10461-023-04185-y. Epub 2023 Sep 29.
Latinx men who have sex with men (MSM) are an at-risk population for new HIV diagnoses. Pre-exposure prophylaxis (PrEP) is a suite of biomedical approaches to prevent HIV infection. Latinx MSM are less likely to take PrEP compared to non-Latinx White MSM. This qualitative study identified interpersonal- and community-level barriers and facilitators of PrEP among young adult Latinx MSM. Using stratified purposeful sampling, 27 Latinx men, ages 19-29 years and living in a US-Mexico border region, completed self-report demographic surveys and participated in semi-structured in-depth interviews assessing barriers and facilitators to PrEP. Directed content analysis was used to identify both a priori and emerging themes. Most participants reported that other people, including peers, friends, partners, and health care providers were both supportive and discouraging of PrEP use. Participants' intersectional identities as members of both Latinx and LGBTQ+ (Lesbian, Gay, Bisexual, Transgender, Queer) communities both hindered and facilitated PrEP use.
拉丁裔男男性行为者（MSM）是新诊断出 HIV 的高危人群。暴露前预防（PrEP）是一系列预防 HIV 感染的生物医学方法。与非拉丁裔白人 MSM 相比，拉丁裔 MSM 服用 PrEP 的可能性较小。这项定性研究确定了年轻拉丁裔 MSM 中 PrEP 的人际和社区层面的障碍和促进因素。使用分层有目的的抽样，27 名年龄在 19-29 岁、居住在美国-墨西哥边境地区的拉丁裔男性完成了自我报告的人口统计调查，并参与了半结构化深入访谈，评估了 PrEP 的障碍和促进因素。定向内容分析用于识别预先存在和新出现的主题。大多数参与者报告说，其他人，包括同龄人、朋友、伴侣和医疗保健提供者，对 PrEP 的使用既表示支持，也表示反对。参与者作为拉丁裔和 LGBTQ+（女同性恋、男同性恋、双性恋、跨性别、酷儿）社区成员的交叉身份既阻碍了 PrEP 的使用，也促进了 PrEP 的使用。
