获取框架的健康信息,医疗信任和暴露前预防 (PrEP) 自我有效性:一项实验研究
Anthony J Gifford1, Rusi Jaspal2, Bethany A Jones1
1NTU Psychology, School of Social Sciences, Nottingham Trent University, Nottingham NG1 4FQ, UK.
Healthcare (Basel, Switzerland)
|August 28, 2025
概括
获得框架的健康叙述有效地减少了与男性发生性关系的男性的医疗不信任,并改善了与男性发生性关系的男性的预暴露性预防 (PrEP) 的自我有效性. 认同弹性也在增强PrEP使用的信任和信心方面发挥了关键作用.
科学领域:
- 心理学
- 公共卫生
- 行为科学
背景情况:
- 暴露前预防 (PrEP) 有效预防艾滋病毒,但在英国与男性发生性关系的男性中使用率很低.
- 心理障碍,如对医生的不信任和自我效能低下, 阻碍了PrEP的使用.
- 有效的干预需要超越生物医学可用性的心理知情策略.
研究的目的:
- 测试叙事说服和信息框架是否可以减少PrEP吸收的心理障碍.
- 调查获利与损失的叙述对医疗不信任和PrEP自我有效性的影响.
- 检查身份弹性在调解这些心理因素中的作用.
主要方法:
- 一个在线实验对246名与男性发生性关系的男性进行.
- 参与者完成了基线身份弹性测量.
- 随机分配到获利或损失框架的叙述条件,然后对医疗不信任和PrEP自我有效性的操作后测量.
主要成果:
- 与损失相关的叙述相比, 收益相关的叙述导致医疗不信任度较低.
- 医疗不信任与PrEP自效率的降低有关.
- 更高的身份性与更低的医疗不信任和更高的PrEP自我有效性相关.
结论:
- 获取框架的健康叙述有助于减少不信任,并间接增强PrEP的自我有效性.
- 身份性是对使用PrEP的信任和行为信心的关键心理因素.
- 结合获利框架的叙述与身份弹性策略可以提高MSM中公平的PrEP吸收率.
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