构建艾滋病毒暴露前预防 作为公共或私人事项使用
Joel E Martinez1, Kai J Jonas2
1Data Science Initiative and the Department of Psychology, Harvard University, Cambridge, Massachusetts.
概括
针对艾滋病毒预防药物 (暴露前预防或PrEP) 的公共卫生运动可能通过突出社区性健康更有效. 将PrEP视为公共卫生效益,而不仅仅是个人风险管理,与与男性发生性关系的男性产生共.
科学领域:
- 公共卫生 公共卫生
- 社会科学 社会科学 社会科学
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 预备预防措施 (PrEP) 运动往往侧重于个人艾滋病毒风险管理.
- 在与男性发生性关系 (MSM) 的男性中,以社区为中心的"公共"PrEP框架的相关性未得到充分探索.
- 了解PrEP框架对于优化艾滋病预防策略至关重要.
研究的目的:
- 调查MSM中PrEP的"私人"与"公共"框架的早期采用和相关性.
- 量化对不同PrEP框架的支持,并确定相关因素.
- 探索PrEP框架和个人披露之间的关系.
主要方法:
- 美国 (N=311,2015) 和荷兰 (N=222,2020) 的MSM在PrEP引入后的横截面调查.
- 使用回归分析和机器学习来分析框架支持和相关性.
- 检查了PrEP框架,用户状态和披露舒适度之间的关联.
主要成果:
- 受访者对PrEP框架表现出普遍的中立性 (美国:44%,荷兰:48%).
- 很大一部分人支持私人 (美国: 23%,荷兰: 28%) 和公共 (美国: 33%,荷兰: 24%) 框架.
- 公共和中立的框架与做准备使用者和讨论做准备使用的舒适性相关.
结论:
- 在MSM中,PrEP的"私人"和"公共"框架都在早期采用中存在.
- 一个"公共"的框架,强调社区的性健康,是相关的,并与PrEP使用和披露相关.
- 通过考虑MSM如何感知和沟通他们的PrEP使用,可以增强PrEP信息和吸收.
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