艾滋病毒预防服务是否覆盖所有LGBTQ+青年? 在全国样本中进行交叉分析
Marla E Eisenberg1, Samantha E Lawrence2,3, Amy L Gower2
1Division of General Pediatrics and Adolescent Health, Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA. eisen012@umn.edu.
AIDS and behavior
|December 12, 2023
概括
像检测和PrEP这样的艾滋病毒预防服务并没有到达所有LGBTQ+年轻人. 存在差异,特别是在指派的女性青年和某些指派的男性青年中,这表明需要更具包容性的外展.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 社会和行为科学 社会和行为科学
背景情况:
- 现有研究强调了不同人群在艾滋病毒预防行为中的差异.
- 有关预防艾滋病毒的跨部门研究的必要性至关重要,以确定LGBTQ+社区内缺乏服务的群体.
- 了解这些差异对于制定有针对性和有效的公共卫生干预措施至关重要.
研究的目的:
- 检查性活跃的LGBTQ+年轻人之间一致使用避孕套,艾滋病毒检测和暴露前预防 (PrEP) 意识和利用方面的差异.
- 调查分配的性别,性别认同,性取向和种族/民族认同如何交叉影响获得和使用艾滋病毒预防行为.
- 确定LGBTQ+年轻人的特定子组,他们可能没有得到当前的艾滋病毒预防服务.
主要方法:
- 利用了2022年LGBTQ国家青少年调查的数据,这是一个大量性活跃的LGBTQ+年轻人 (平均年龄16.5岁) 的样本.
- 采用千方位自动交互检测 (CHAID) 模型来分析四个社会身份指标之间的差异.
- 评估了持续使用避孕套,艾滋病毒检测以及PrEP意识和使用率的差异.
主要成果:
- 艾滋病毒检测和PrEP服务的使用率通常在被分配给男性的同性恋和酷尔青年中较高.
- 相反,这些服务在被分配给女性的年轻人中被发现较低.
- 特定的子组,包括指派的女性青年和指派的男性青年,他们认为自己是双性恋,泛性恋,无性恋,质疑性或异性恋 (以及跨性别/性别多样性),报告说访问率较低.
结论:
- 在LGBTQ+年轻人群中,艾滋病毒预防行为和服务获取存在显著差异.
- 某些人口和身份交叉点使特定的年轻人面临着当前艾滋病毒预防战略服务不足的风险.
- 医疗保健提供者和公共卫生倡议必须积极努力接触和服务目前缺少艾滋病毒预防服务的人群,以确保公平的护理.
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