J Am Pharm Assoc (2003). 2024 Sep-Oct;64(5):102153. doi: 10.1016/j.japh.2024.102153. Epub 2024 Jul 1.
BACKGROUND: Pre-exposure prophylaxis (PrEP) medication is the keystone of preventative measures to curtail the spread of human immunodeficiency virus (HIV). However, oral PrEP, the tablet intended to prevent HIV, has been slow to proliferate among men who have sex with men (MSM). This is of major concern given that MSM account for the largest number of new HIV diagnoses in the United States. More recently, the newest generation of PrEP in the form of a long-acting injectable (LAI) is to be administered every 2 months as an intramuscular injection and many MSM indicate preferring LAI-PrEP to the oral form of PrEP. However, uptake of PrEP, in all forms, remains low. Research is sparse that focuses on LAI-PrEP uptake among Black and Latinx MSM (BLMSM). OBJECTIVE: This study aimed to address this concern; this study explored the willingness to uptake LAI-PrEP and recommendations for increasing awareness and encouraging uptake of LAI-PrEP among BLMSM. METHODS: Qualitative data were collected between February 2022 and December 2022 through focus groups via Zoom with BLMSM (N = 30, Black = 14, Latinx = 16) aged 18 to 29 years (mean = 23, SD = 3) in Los Angeles County. RESULTS: Findings revealed that although 90% of BLMSM were aware of PrEP in oral form, only 10% were aware of LAI-PrEP. Findings from the qualitative analysis suggested to consider self-administration of LAI-PrEP, allow local community pharmacists to assess and administer it, and promote uptake of LAI-PrEP using high-profile male content creators and stars on OnlyFans social media platform. CONCLUSION: Increasing PrEP uptake, in all forms available, such as promoting awareness through popular social media stars, and engaging community pharmacists in feasible ways, is critical for addressing the disproportionate impact of HIV among the BLMSM community.
背景:暴露前预防 (PrEP) 药物是遏制人类免疫缺陷病毒 (HIV) 传播的预防措施的关键。然而,用于预防 HIV 的口服 PrEP 药物在男男性行为者 (MSM) 中的普及速度缓慢。鉴于 MSM 占美国新诊断出的 HIV 病例数最多,这令人严重关切。最近,以长效注射剂 (LAI) 形式出现的新一代 PrEP 每 2 个月通过肌肉注射给药,许多 MSM 表示更喜欢 LAI-PrEP 而不是口服 PrEP。然而,所有形式的 PrEP 的使用率仍然很低。针对黑人和拉丁裔男男性行为者 (BLMSM) 中 LAI-PrEP 使用率的研究很少。
目的:本研究旨在解决这一问题;本研究探讨了 BLMSM 接受 LAI-PrEP 的意愿,以及提高 BLMSM 对 LAI-PrEP 的认识和鼓励其使用 LAI-PrEP 的建议。
方法:2022 年 2 月至 2022 年 12 月,通过在洛杉矶县使用 Zoom 进行焦点小组,收集了 18 至 29 岁(平均 23 岁,标准差 3 岁)的 30 名 BLMSM(黑人 14 名,拉丁裔 16 名)的定性数据。
结果:研究结果显示,尽管 90%的 BLMSM 知晓口服 PrEP,但只有 10%的人知晓 LAI-PrEP。定性分析的结果表明,考虑允许 BLMSM 自行管理 LAI-PrEP,允许当地社区药剂师进行评估和管理 LAI-PrEP,并通过 OnlyFans 社交媒体平台上的知名男性内容创作者和明星来促进 LAI-PrEP 的使用。
结论:增加所有可用形式的 PrEP 的使用率,例如通过流行的社交媒体明星提高认识,并以可行的方式让社区药剂师参与其中,对于解决 BLMSM 群体中 HIV 的不成比例影响至关重要。
AIDS Patient Care STDS. 2019-10-11