在黑人性少数群体男性中作为少数群体压力的PrEP耻辱:混合方法研究
Rodman Turpin1, Aaron D Camp2,3, C J Mandell4
1Department of Global and Community Health, College of Public Health, George Mason University, Fairfax, VA, USA. RTurpin@gmu.edu.
AIDS and behavior
|September 17, 2024
概括
暴露前预防 (PrEP) 污名显著减少了黑人性少数群体男性中PrEP的使用. 通过具有文化能力的策略解决PrEP的耻辱是预防艾滋病毒和健康公平的关键.
科学领域:
- 公共卫生 公共卫生
- 社会医学科学 社会医学科学
- 流行病学 流行病学
背景情况:
- 黑人性少数群体男性 (BSMM) 经历了不成比例的高艾滋病毒率.
- 在这个人口群体中,暴露前预防 (PrEP) 的吸收仍然很低.
- 少数民族压力理论表明,PrEP的耻辱可能会加剧基于种族和性取向的边缘化.
研究的目的:
- 为了确定PrEP特定的耻辱是否与BSMM中PrEP摄入量减少有关.
- 质量地探索PrEP使用如何在BSMM社区中受到污名.
主要方法:
- 探索性的顺序混合方法方法.
- 使用修改的波桑回归,对试点数据 (n=151) 的横截面分析.
- 面试的定性主题分析 (n=23).
主要成果:
- 在BSMM中,PrEP污名与不到一半的PrEP使用相关 (aPR=0.43),独立于社会行为因素.
- 定性主题包括PrEP特定的性耻辱,PrEP和HIV耻辱的交叉点,以及PrEP错误信息.
- 耻辱主题植根于与性和种族有关的少数民族压力因素.
结论:
- 在BSMM中,PrEP污名是PrEP吸收的一个重要障碍.
- 在文化上有能力推广PrEP是解决污名化的关键.
- 解决耻辱是健康平等和结束艾滋病毒流行病至关重要的.
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