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在MSM (ANRS-PREVENIR队列) 中关于PrEP,预防和性行为的世代观点

G Boshouwers¹, C Bauquier¹, X Mabire^1,2

¹Research on Healthcare Performance RESHAPE, INSERM U1290, Université Lumière Lyon 2, Lyon, France.

|November 7, 2025

概括

几代与男性发生性关系的男性 (MSM) 显示出不断发展的性规范和艾滋病毒预防策略. 暴露前预防 (PrEP) 越来越多地取代了避孕套,提供了更大的性自由,但面临着持续的耻辱.

科学领域:

公共卫生公共卫生
社会学社会学社会学
艾滋病毒预防研究预防研究

背景情况:

了解性规范和艾滋病毒预防的世代转变对于公共卫生至关重要.
与男性发生性关系的男性 (MSM) 在艾滋病毒/艾滋病流行病学和预防策略方面经历了重大变化.
社会变革和医学进步影响了MSM之间的性行为和认知.

研究的目的:

探讨对性规范和艾滋病毒预防的看法,特别是PrEP使用的世代差异,在MSM中.
确定不断变化的性行为和态度如何影响PrEP的采用和有效性.
了解PrEP在降低危害策略中的作用及其与避孕套使用和性伴侣获取的关系.

主要方法:

使用法国ANRS-PREVENIR队列中MSM的三个重点小组进行的定性研究.
参与者根据他们与关键的艾滋病毒/艾滋病时代 (艾滋病毒前,艾滋病毒/艾滋病毒前ARV,后ARV) 相对的性初恋被分为三个世代组.
采用主题分析来确定与社会变化,性规范和PrEP态度相关的关键主题.

主要成果:

观察到性规范和实践的显著变化,包括避孕套使用的减少.
暴露前预防 (PrEP) 被视为一个转折点,从与艾滋病毒有关的约束中解放出来,成为首要的艾滋病毒预防工具.
虽然与PrEP相关的耻辱感已经减少,但它仍然存在,并对预防工作产生负面影响,特别是在经历了更大的社会转变的老一代中.

结论:

在个人减少MSM危害的策略中,PrEP越来越重要,这可能有助于获得更多的性伴侣.
一代人的经历塑造了对性规范和PrEP的看法,老年MSM显示出更明显的转变.
包容性和适应性PrEP推广策略是必要的,以解决持续的耻辱和优化艾滋病毒预防结果.

关键词:

良好的健康和福祉.艾滋病病毒艾滋病病毒艾滋病病毒准备剂 (暴露前预防)一代又一代,一代又一代的世代.性规范性规范性规范性规范性规范性污名化是一种耻辱.

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