Min Se Hee, Kuhns Lisa, Garofalo Robert, Scherr Thomas F, Wood Olivia R, Schnall Rebecca
University of Pennsylvania School of Nursing, 418 Curie Blvd, Philadelphia, PA, 19104, USA.
Northwestern University Feinberg School of Medicine, Adolescent and Young Adult Medicine, Robert H. Lurie Children's Hospital of Chicago, 225 E. Chicago Avenue, Chicago, IL, 60611, USA.
AIDS Behav. 2025 Apr;29(4):1109-1117. doi: 10.1007/s10461-024-04587-6. Epub 2024 Dec 30.
The HIV incidence rate continues to increase among youth, especially among young men who have sex with men (YMSM) and young transgender women (YTW). To date, behavioral intention has often been viewed as the likelihood of engaging in prevention behaviors and emphasized as a key antecedent for condom use, disclosure of serostatus, and PrEP use among people living with HIV. In addition, individuals with different sociodemographic factors may have varying degrees of HIV prevention intention, which is a critical knowledge needed to identify facilitators and barriers to HIV prevention intention. This is a secondary data analysis of baseline data from a randomized controlled trial (RCT) (N = 488). This study aimed to identify distinct, latent classes of HIV prevention intention among youth vulnerable to HIV acquisition and to understand the sociodemographic and contextual factors associated with each latent class. Latent class analysis was conducted to identify meaningful latent classes of youths based on HIV prevention intention. Class 1: "High condomless sex, low serosorting, low PrEP intention," Class 2: "High condomless sex, high serosorting, low PrEP intention," Class 3: "Moderate condom use, serosorting, low PrEP intention," and Class 4: "Moderate condom use, high serosorting, moderate PrEP intention" were identified. Significant differences were found in age, sexual orientation, level of education, current employment status, annual household income, housing/living arrangement, and relationship status. Overall, YMSM and YTW without a recent history of HIV testing or PrEP use may have particularly low intentions for HIV prevention, and therefore may be at higher risk for HIV infection.
在青年人群中,尤其是在男男性行为者(YMSM)和年轻的跨性别女性(YTW)中,艾滋病毒发病率持续上升。迄今为止,行为意图通常被视为采取预防行为的可能性,并被强调为艾滋病毒感染者使用避孕套、披露血清学状态和使用暴露前预防(PrEP)的关键前提。此外,具有不同社会人口学因素的个体可能有不同程度的艾滋病毒预防意图,这是识别艾滋病毒预防意图的促进因素和障碍所需的关键知识。这是一项对随机对照试验(RCT)(N = 488)基线数据的二次数据分析。本研究旨在识别易感染艾滋病毒的青年中不同的、潜在的艾滋病毒预防意图类别,并了解与每个潜在类别相关的社会人口学和背景因素。进行潜在类别分析以根据艾滋病毒预防意图识别有意义的青年潜在类别。确定了第1类:“高无保护性行为、低血清分类、低PrEP意图”,第2类:“高无保护性行为、高血清分类、低PrEP意图”,第3类:“适度使用避孕套、血清分类、低PrEP意图”,以及第4类:“适度使用避孕套、高血清分类、适度PrEP意图”。在年龄、性取向、教育水平、当前就业状况、家庭年收入、住房/生活安排和恋爱状况方面发现了显著差异。总体而言,近期没有艾滋病毒检测或PrEP使用史的男男性行为者和年轻的跨性别女性可能对艾滋病毒预防的意图特别低,因此可能感染艾滋病毒的风险更高。
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