在中国MSM全国样本中,与使用LAI-PrEP的意愿相关的与PrEP相关的感知与使用LAI-PrEP的意愿有关
Hao Lin1, Pengyue Guo2, Xiaodong Wang3
1School of Public Health, Peking University, Beijing, China.
概括
这项针对与男性发生性关系的中国男性的长期注射性暴露前预防 (LAI-PrEP) 的研究发现,超过一半的中国男性愿意使用它. 量身定制的干预措施是LAI-PrEP采用的关键.
科学领域:
- 公共卫生 公共卫生
- 预防艾滋病毒 预防艾滋病毒
- 行为科学 行为科学
背景情况:
- 长效注射性暴露前预防 (LAI-PrEP) 提供了一种新的艾滋病毒预防方法.
- 了解对LAI-PrEP的看法和态度对于其成功实施至关重要.
- 与男性发生性关系的中国男性 (MSM) 是艾滋病毒预防策略的关键人口.
研究的目的:
- 调查中国MSM对LAI-PrEP的看法和态度.
- 在这个人群中确定与愿意使用LAI-PrEP相关的因素.
- 探索PrEP-naïve和PrEP经验丰富的个体之间的LAI-PrEP意愿预测因子的差异.
主要方法:
- 一项涉及1545名与男性发生性关系 (MSM) 的中国男性的横截面研究.
- 在2023年12月收集的数据.
- 使用了统计分析,包括调整的赔率比率 (AOR) 和结构方程建模 (SEM).
主要成果:
- 66.5%符合PrEP资格标准,53.7%愿意在6个月内使用LAI-PrEP.
- 当前口服PrEP使用者 (AOR=2.23) 和参与无避孕套交 (AOR=1.32) 或最近被诊断为性病 (AOR=1.84) 的人表现出更高的意愿.
- 对于从未使用PrEP的人来说,意愿受到结果预期,艾滋病毒风险感知,自我有效性和主观规范的影响;使用PrEP的个人主要依赖于结果预期.
结论:
- 很大一部分中国MSM愿意使用LAI-PrEP,特别是那些有PREP经验或高风险行为的人.
- 显著的认知因素影响LAI-PrEP在PREP-naive与PREP经验丰富的MSM中的意愿.
- 针对特定心理和社会因素的定制干预措施对于最大限度地提高LAI-PrEP的吸收率和艾滋病毒预防工作的有效性至关重要.
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