一个编写的,使用PrEP的同行更换剂改善了对艾滋病毒的感知风险和在黑人性少数群体男性中快速接受转诊的意愿:来自POSSIBLE的初步发现
Derek T Dangerfield Ii1, Janeane N Anderson2
1Department of Prevention and Community Health, George Washington University Milken Institute School of Public Health, Washington, D.C, USA. ddanger2@gwu.edu.
AIDS and behavior
|March 29, 2024
概括
使用同行更换剂的试点干预显著改善了黑人性少数群体男性对艾滋病毒风险的感知. 这种方法可能会提高该社区的暴露前预防 (PrEP) 吸收率.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 暴露前预防 (PrEP) 的使用在黑人性少数群体男性 (SMM) 中是不理想的.
- 对艾滋病毒 (PRH) 的低感知风险有助于降低 PrEP 摄入量.
- 需要有针对性的干预措施来解决在这个人群中使用PrEP的障碍.
研究的目的:
- 描述POSSIBLE试点干预的基线结果.
- 评估同行变化剂 (PCA) 对黑人中小企业的PRH的影响.
- 确定与愿意被转介到PrEP护理相关的因素.
主要方法:
- 在巴尔的摩,与69名黑人SMM进行了为期两届会议的单组可行性干预.
- 参与者参与了一次以采访为基础的激励性会议,使用PrEP使用PCA.
- 两变量分析检查了PRH的变化和PrEP转诊意愿的相关性.
主要成果:
- 在PCA会话后观察到PRH的统计学上显著改善 (p < .01).
- 64%的参与者愿意被转介到PrEP护理; 45%预约.
- 在过去6个月内接受性交,但不是PRH,与转诊意愿有关.
结论:
- 有脚本的PCA干预可以快速改善黑人SMM中的PRH.
- 以个人为中心的PCA方法可能对增加边缘化社区的PrEP使用至关重要.
- 进一步的研究应该探索可扩展的PCA主导的HIV预防干预措施.
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