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在中国的年轻MSM中了解HIV PrEP和nPEP的意识,利用和意识-利用差距

Jingtao Zhou¹, Yutong Xu¹, Qingyu Li¹

¹Vanke School of Public Health, Tsinghua University, Beijing, 100084, China.

AIDS and behavior

|January 8, 2025

概括

在中国,与男性发生性关系的年轻男性中,对艾滋病毒预防方法如暴露前预防 (PrEP) 和非职业暴露后预防 (nPEP) 的认识很高,但利用率仍然很低. 这表明需要改善教育和减少进入这些拯救生命的干预措施的障碍.

科学领域:

公共卫生公共卫生
流行病学流行病学
预防艾滋病毒/艾滋病预防

背景情况:

艾滋病毒/艾滋病仍然是一个重要的全球健康问题,与男性发生性关系的男性 (MSM) 是一个关键人口.
暴露前预防 (PrEP) 和非职业暴露后预防 (nPEP) 是已被证明是预防艾滋病毒的生物医学干预措施.

研究的目的:

评估中国年轻MSM对PrEP和nPEP的认识和使用情况.
确定与这些艾滋病毒预防方法的认识和利用相关的因素.

主要方法:

在2022年9月,在中国6个省份的2,493名年轻男性 (18-29岁) 中进行了横截面调查.
参与者填写了由社区组织分发的自主管理的在线问卷.
统计分析检查了人口统计,行为因素和PrEP/nPEP意识和利用之间的关联.

主要成果:

观察到对PrEP (91.4%) 和nPEP (93.1%) 的高度认识.
报告使用率较低:PrEP的8.8%,nPEP的8.4%.
与意识相关的因素包括高等教育和最近的男性性伴侣;自我耻辱与负面相关.
与使用相关的因素包括年龄,多个伴侣和性病史;不一致的避孕套使用与较低的PrEP使用有关,收入与较高的nPEP使用有关.

结论:

尽管意识很高,但在中国的年轻男性男性中,PrEP和nPEP的使用率很低,这为预防艾滋病毒提供了错失的机会.
干预措施应侧重于加强教育,促进与避孕套的联合使用,减少耻辱感和解决财务障碍.
为有效的艾滋病毒预防策略提供知识和获得这些干预措施的机会,赋予YMSM权力至关重要.

关键词:

中国中国中国中国.艾滋病毒/艾滋病病毒/艾滋病病毒这就是为什么PrEP是PrEP.那些与男性发生性关系的年轻人.nPEPEP 的意思是

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