Institute for Sexual and Gender Minority Health and Wellbeing, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
St. John's Community Health, Los Angeles, CA, USA.
Arch Sex Behav. 2024 Jul;53(7):2751-2763. doi: 10.1007/s10508-024-02832-6. Epub 2024 Mar 29.
Pre-exposure prophylaxis (PrEP) is a highly effective method for preventing HIV acquisition and plays a crucial role in the Ending the HIV Epidemic in the US initiative. However, there are various barriers that hinder the access and uptake of PrEP among Latino sexual minority men (SMM) at individual, interpersonal, and cultural levels. While the significance of cultural factors in designing and implementing HIV prevention programs for Latino populations has been consistently emphasized in the literature and prioritized by the Centers for Disease Control and Prevention, few studies have directly integrated these cultural factors into their programs. Our study aimed to investigate the potential influence of siblings in promoting the utilization of PrEP for HIV prevention, an area that has received limited attention. We conducted interviews with 31 pairs of siblings between December 2020 and January 2021, which were held in either English or Spanish and lasted approximately 45-60 min. The data were analyzed using a deductive thematic content analysis approach. The interviews revealed several key themes and categories, including: (1) Sibling support for coming out; (2) Types of support that siblings provide to each other for behavior change; (3) Sibling support for PrEP; and (4) The impact of the study interview on the quality of the sibling relationships. Our findings indicated that siblings were willing to provide support for PrEP in various ways, ranging from emotional support for brothers who may be concerned about potential rejection to practical support such as transportation or financial assistance. These results have significant implications for the design of HIV prevention interventions for Latinos. Incorporating siblings or other extended family members into these interventions can facilitate communication between siblings and their brothers, ultimately encouraging the use of PrEP or similar prevention methods. By considering the unique dynamics and support systems within Latino communities, researchers can develop more effective strategies to promote HIV prevention and support the well-being of Latino SMM.
暴露前预防(PrEP)是预防 HIV 感染的一种非常有效的方法,在美国终结 HIV 流行倡议中发挥着关键作用。然而,在个人、人际和文化层面上,拉丁裔性少数男性(SMM)在获得和使用 PrEP 方面存在各种障碍。尽管文化因素在为拉丁裔人群设计和实施 HIV 预防方案中的重要性在文献中得到了一致强调,并被疾病控制与预防中心(Centers for Disease Control and Prevention)列为优先事项,但很少有研究直接将这些文化因素纳入其方案中。我们的研究旨在调查兄弟姐妹在促进 PrEP 用于 HIV 预防方面的潜在影响,这一领域受到的关注有限。我们在 2020 年 12 月至 2021 年 1 月期间对 31 对兄弟姐妹进行了访谈,访谈可以用英语或西班牙语进行,持续约 45-60 分钟。我们采用演绎主题内容分析法对数据进行分析。访谈揭示了几个关键主题和类别,包括:(1)兄弟姐妹对出柜的支持;(2)兄弟姐妹为彼此提供的行为改变支持类型;(3)兄弟姐妹对 PrEP 的支持;以及(4)研究访谈对兄弟姐妹关系质量的影响。我们的研究结果表明,兄弟姐妹愿意以各种方式提供 PrEP 支持,从为可能担心被拒绝的兄弟提供情感支持,到提供交通或经济援助等实际支持。这些结果对为拉丁裔设计 HIV 预防干预措施具有重要意义。将兄弟姐妹或其他大家庭成员纳入这些干预措施中,可以促进兄弟姐妹之间的沟通,最终鼓励他们使用 PrEP 或类似的预防方法。通过考虑拉丁裔社区中独特的动态和支持系统,研究人员可以制定更有效的策略,促进 HIV 预防并支持拉丁裔 SMM 的福祉。
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