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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >A Multi-US City Assessment of Awareness and Uptake of Pre-exposure Prophylaxis (PrEP) for HIV Prevention Among Black Men and Transgender Women Who Have Sex with Men
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A Multi-US City Assessment of Awareness and Uptake of Pre-exposure Prophylaxis (PrEP) for HIV Prevention Among Black Men and Transgender Women Who Have Sex with Men

机译:多美国城市对预防预防(准备)对与男性发生性关系性发生性发生性关系的艾滋病毒预防的意识和摄取的意识和吸收

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The HIV epidemic among Black men and transgender women who have sex with men (BMTW) demands an urgent public health response. HIV point prevalence among this population ranges from 25 to 43%-a rate far exceeding any other group. Pre-exposure prophylaxis (PrEP) for HIV prevention is a very promising prevention tool; however, its full potential to slow the epidemic has yet to be realized. For the current study, random time-location sampling at Black Gay Pride Events was used to collect data from N = 1274 BMTW, from five US cities, reporting HIV-negative/unknown status. In-field HIV testing was also provided to participants. Participants were assessed on awareness and use of PrEP, health care factors, HIV testing history, psychosocial variables, and sex behaviors. About one third of participants were aware of PrEP (39%), and a small percentage of participants were users of PrEP (4.6%). In multivariable analyses, being in a relationship, testing for HIV in the past 6 months, and others being aware of one's sexuality were positively associated with PrEP awareness. Higher levels of internalized homophobia and greater numbers of female sex partners were positively associated with PrEP use, while education and condom use were negatively associated. Based on study findings, messaging and uptake of PrEP needs greater expansion and requires novel approaches for scale-up. Improving linkage to HIV testing services is likely critical for engaging BMTW with PrEP. The potential for PrEP to slow the HIV epidemic is high; however, we must strengthen efforts to ensure universal availability and uptake.
机译:黑人男性和患有男性(BMTW)发生性关系的艾滋病病毒疫情疫情要求紧急公共卫生反应。艾滋病病毒疫情在这个人口中的普及率为25%至43%-A率远远超过任何其他组。预防艾滋病毒预防的预防预防(制备)是一种非常有前途的防止工具;然而,它尚未实现其慢速流行病的充分潜力。对于目前的研究,黑色同性恋骄傲事件中的随机时间位置采样用于从五个美国城市收集来自N = 1274 BMTW的数据,报告HIV-负/未知状态。还向参与者提供了现场HIV测试。参与者被评估就准备,医疗保健因素,艾滋病毒检测历史,心理社会变量和性行为的认识和使用。大约三分之一的参与者意识到准备(39%),少量参与者是准备的用户(4.6%)。在多变量分析中,在关系中,在过去6个月内对艾滋病毒进行检测,其他人意识到一个人的性行为与准备意识有关。与准备使用较高的内化性交恐惧症和更多女性性伴侣的内部化疾病和更多的女性性伴侣呈积极相关,而教育和避孕套使用是负相关的。基于研究调查结果,准备的消息传递和摄取需要更大的扩张,需要进行扩大的新方法。改善与HIV测试服务的联系可能对于使用PREP进行BMTW可能是至关重要的。准备慢慢缓慢艾滋病毒流行病的可能性很高;但是,我们必须加强努力,以确保普遍的可用性和吸收。

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