Charles R. Drew University of Medicine and Science, Los Angeles, California.
David Geffen School of Medicine at UCLA, Los Angeles, California.
AIDS Educ Prev. 2023 Oct;35(5):390-405. doi: 10.1521/aeap.2023.35.5.390.
We explored whether siblings can be engaged in PrEP promotion. We used the Information-Motivation-Behavior model to develop and conduct surveys and dyadic interviews with Latino men who have sex with men (LMSM) and their siblings (n = 31) and three sibling-only focus groups (n = 20). For LMSM, only n = 14 (45%) agreed they would benefit from taking PrEP, yet = 22 (71%) would take PrEP to make their sibling worry less about them, and = 23 (74%) requested a PrEP referral. For siblings, n = 20 (65%) believed PrEP would benefit their brother, and n = 19 (95%) in the focus groups said they would take PrEP to help their brother get started. Qualitative results include (1) siblings' support for PrEP use, (2) explicit conversations about sex were not necessary for discussing sexual health, and (3) siblings wanted to understand what they could do to encourage their brother to consider PrEP. We conclude siblings can be engaged in PrEP promotion.
我们探讨了兄弟姐妹是否可以参与 PrEP 的推广。我们使用信息-动机-行为模型，对与男男性行为者（MSM）的拉丁裔男性（LMSM）及其兄弟姐妹（n=31）进行了调查和对偶访谈，并进行了三个仅针对兄弟姐妹的焦点小组（n=20）。对于 LMSM，只有 n=14（45%）同意他们会从服用 PrEP 中受益，但 n=22（71%）会为了让他们的兄弟姐妹少担心自己而服用 PrEP，n=23（74%）则要求提供 PrEP 转介。对于兄弟姐妹，n=20（65%）认为 PrEP 会使他们的兄弟受益，n=19（95%）在焦点小组中表示，他们会服用 PrEP 来帮助兄弟开始服用 PrEP。定性结果包括：（1）兄弟姐妹对 PrEP 使用的支持；（2）讨论性健康并不一定需要进行明确的性话题对话；（3）兄弟姐妹希望了解他们可以做些什么来鼓励他们的兄弟考虑 PrEP。我们的结论是，兄弟姐妹可以参与 PrEP 的推广。
