了解美国南部男同性恋、双性恋和其他与男性发生性行为的男性对可视化新型和未来HIV预防产品的偏好:一项混合方法研究

Understanding Preferences for Visualized New and Future HIV Prevention Products Among Gay, Bisexual and Other Men Who Have Sex with Men in the Southern United States: A Mixed-Methods Study.

作者信息

Denson Damian J, Stanley Ayana, Randall Laura, Tesfaye Casey Langer, Glusberg Daniela, Cardo Jessica, King Adrian R, Gale Bryan, Betley Valerie, Schoua-Glusberg Alisú, Frew Paula M

机构信息

Division of HIV Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Atlanta, GA, USA.

Research Support Services, Inc, Evanston, IL, USA.

出版信息

J Homosex. 2025 Jun 7;72(7):1268-1286. doi: 10.1080/00918369.2024.2373803. Epub 2024 Jul 11.

Abstract

Men who have sex with men (MSM) are vulnerable to HIV infection. Although daily oral pre-exposure prophylaxis (PrEP) prevents HIV among MSM, its usage remains low. We conducted virtual in-depth interviews (IDIs) and focus groups (FGs) with Black, Hispanic/Latino, and White MSM consisting of current PrEP users and those aware of but not currently using PrEP. We delved into their preferences regarding six emerging PrEP products: a weekly oral pill, event-driven oral pills, anal douche/enema, anal suppository, long-acting injection, and a skin implant. Our mixed methods analysis involved inductive content analysis of transcripts for thematic identification and calculations of preferences. Among the sample ( = 98), the weekly oral pill emerged as the favored option among both PrEP Users and PrEP Aware IDI participants. Ranking exercises during FGs also corroborated this preference, with the weekly oral pill being most preferred. However, PrEP Users in FGs leaned toward the long-acting injectable. Conversely, the anal suppository and douche/enema were the least preferred products. Overall, participants were open to emerging PrEP products and valued flexibility but expressed concerns about limited protection for products designed solely for receptive sex. Public health practitioners should tailor recommendations based on individuals' current sexual behaviors and long-term vulnerability to infection.

摘要

与男性发生性关系的男性(男男性行为者)易感染艾滋病毒。尽管每日口服暴露前预防(PrEP)可预防男男性行为者感染艾滋病毒,但其使用率仍然很低。我们对黑人、西班牙裔/拉丁裔和白人男男性行为者进行了虚拟深入访谈(IDI)和焦点小组(FG),其中包括当前的PrEP使用者以及了解但目前未使用PrEP的人。我们深入探讨了他们对六种新兴PrEP产品的偏好:每周口服一次的药丸、事件驱动型口服药丸、肛门灌洗/灌肠剂、肛门栓剂、长效注射剂和皮肤植入物。我们的混合方法分析包括对访谈记录进行归纳性内容分析以确定主题并计算偏好。在样本(n = 98)中,每周口服一次的药丸在PrEP使用者和了解PrEP的IDI参与者中都成为最受欢迎的选择。焦点小组中的排名练习也证实了这一偏好,每周口服一次的药丸最受青睐。然而,焦点小组中的PrEP使用者倾向于长效注射剂。相反,肛门栓剂和灌洗/灌肠剂是最不受欢迎的产品。总体而言,参与者对新兴的PrEP产品持开放态度并重视灵活性,但对仅为接受性行为设计的产品保护有限表示担忧。公共卫生从业者应根据个人当前的性行为和长期感染易感性来调整建议。

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