拉丁美洲和加勒比地区的暴露前预防 - 巴巴多斯的经验
Journal of health care for the poor and underserved
|July 19, 2023
概括
在巴巴多斯与男性发生性关系的男性中,口服暴露前预防 (PrEP) 的意识很高,但目前的使用率很低. 稳定的生活状况和同性恋身份与PrEP使用有关.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 性健康 性的健康
背景情况:
- 同性恋,双性恋和其他与男性发生性关系的男性 (gbMSM) 在全球范围内受到艾滋病毒的影响不成比例.
- 口服暴露前预防 (PrEP) 是一种非常有效的艾滋病毒预防策略.
- 了解像巴巴多斯这样的特定地区的gbMSM中PrEP意识和使用情况对于有针对性的干预至关重要.
研究的目的:
- 探索巴巴多斯的gbMSM口服PrEP意识和性行为.
- 为了确定与此人群中PrEP使用相关的因素.
- 调查PrEP吸收和坚持的障碍和促进因素.
主要方法:
- 在巴巴多斯,对171名男性参与者进行了横截面调查.
- 收集了有关人口统计,性行为,PrEP意识和使用的数据.
- 用皮尔森基平方和逻辑回归分析来检查与prep使用相关的因素.
主要成果:
- 意识到PrEP的比例为77%,有29%的人知道他们正在使用PrEP.
- 目前的PrEP使用者更有可能有稳定的生活安排 (p < .05) 和认定同性恋/同性恋 (p = .03).
- 采用被归因于非判断性,机密的服务;障碍包括成本和STI风险,尽管免费服务.
结论:
- 虽然巴巴多斯的gbMSM中对PrEP的认识很大,但目前的使用仍然不够理想.
- 稳定的生活状况和同性恋自我认同与prep使用有关.
- 关于PrEP和STI护理的免费可用性,可能存在潜在的知识差距,需要对所感知的障碍进行进一步调查.
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