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一项基于兄弟姐妹的在线干预试点研究,以增加拉丁裔MSM中PrEP的使用率和意愿

Juan Pablo Zapata¹, Edwin Rojas², Petra Durán³

¹Department of Medical Social Sciences, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, and the Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Feinberg School of Medicine.

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概括

基于兄弟姐妹的新型干预方案Entre Herman@s计划成功地增加了与男性发生性关系的拉丁裔男性 (LMSM) 中的暴露前预防 (PrEP) 使用. 参与兄弟的兄弟姐妹显著影响了PrEP的启动和延续.

科学领域:

公共卫生公共卫生
行为科学行为科学
健康差异在健康上的差异

背景情况:

与男性发生性关系的拉丁裔男性 (LMSM) 在艾滋病毒预防方面面临着显著的差异.
暴露前预防 (PrEP) 是一种有效的艾滋病毒预防工具,但在某些人群中,吸收率仍然不够理想.
参与社交网络,如兄弟姐妹,可能会提高PrEP的使用率.

研究的目的:

评估基于兄弟姐妹的干预项目"企业兄弟"的可行性和可接受性.
探索兄弟姐妹在激励LMSM启动和继续使用PrEP中的作用.
评估兄弟姐妹支持对PrEP吸收的影响.

主要方法:

一项试点研究涉及培训LMSM的兄弟姐妹进行激励面试.
兄弟姐妹使用信息-动机-行为技能 (IMB) 模型构造来鼓励PrEP使用.
通过招聘,保留和干预完成率来评估可行性. 监测了prep的使用和持续时间.

主要成果:

德国企业的干预表明了高可行性,实现了所有招聘,保留和完成的目标.
在23名注册的LMSM中,70%开始了PrEP,而75%的人在3个月的随访中继续了.
开始PrEP的参与者报告了明显更高的兄弟姐妹亲密度 (p = .019),并且所有人都肯定了兄弟姐妹对他们的决定的影响.

结论:

基于兄弟姐妹的干预措施是可行的和可以接受的,以增加LMSM之间的PrEP使用率.
家庭的支持和参与是促进艾滋病毒预防行为的关键因素.
恩特雷赫曼的模型提供了一种有希望的方法来解决脆弱人群中的PrEP差异.

关键词:

预防艾滋病毒预防艾滋病毒拉丁裔MSM的MSM是什么意思这就是为什么PrEP是PrEP.基于家庭的干预.可行性和可接受性试验.

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