对与性伴侣沟通PrEP能力的信心在黑人cisgender女性中
Whitney Irie1, Anais Mahone2, Raja Nakka3
1Boston College School of Social Work, Chestnut Hill, Massachusetts, and The Fenway Institute, Fenway Health, Boston, Massachusetts.
概括
黑人女性,黑人女性.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 性健康 性的健康
背景情况:
- 与男性伴侣就暴露前预防 (PrEP) 进行沟通对于异性恋关系中的黑人女性至关重要.
- 关于PrEP研究的这一方面仍未得到充分研究,这凸显了对理解的重大差距.
- 影响讨论PrEP信心的因素需要进一步调查以支持吸收.
研究的目的:
- 确定与黑人女性在与男性性伴侣讨论暴露前预防 (PrEP) 的信心相关的因素.
- 了解所感知的耻辱感,社会规范和PrEP沟通信心之间的关系.
- 为改善异性恋伙伴关系中的PrEP讨论提供有针对性的干预信息.
主要方法:
- 一项涉及315名黑人女性在异性恋伙伴关系中的横截面研究.
- 分析了包括就业,艾滋病毒感染的担忧,对口服PrEP的兴趣以及各种社会规范 (主观,禁令,描述) 在内的因素.
- 统计检查这些因素之间的关联,以及在讨论PrEP时的信心.
主要成果:
- 在自信和不自信的沟通者之间观察到预期的耻辱和PrEP兴趣的显著差异.
- 工作,对艾滋病毒的担忧,对口服PrEP的兴趣,以及积极的社会规范 (主观,禁令,描述) 与更高的信心有关.
- 对PrEP的不赞成和感知到的耻辱感与讨论PrEP的信心降低有关.
结论:
- 与男性伴侣讨论PrEP的信心受到个人,社会和规范因素的结合的影响.
- 干预措施应解决预期的耻辱感,并利用社会规范来加强PrEP沟通.
- 需要进一步的研究和社区层面的努力,以使异性恋夫妇之间的PrEP讨论和采用正常化.
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