与社会认知和身份相关的因素促进双性恋男性接受暴露前预防 (PrEP)
1Hussman School of Journalism and Media, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. shelbyjlake@gmail.com.
AIDS and behavior
|February 20, 2026
概括
在双性恋男性中,暴露前预防 (PrEP) 的吸收率较低. 他们使用PrEP的意图受到对艾滋病毒风险和家庭隐的担忧的影响,而不是传统的合理行动方法因素.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 预防艾滋病毒 预防艾滋病毒
背景情况:
- 暴露前预防 (PrEP) 对于预防艾滋病毒至关重要,但在美国的双性恋男性中,与同性恋男性相比,吸收率较低.
- 理论驱动的沟通干预措施显示出解决PrEP吸收差异的希望.
- 双性恋男性在预防艾滋病毒的研究中代表性不足,特别是关于理性行动方法 (RAA) 和与身份有关的压力因素.
研究的目的:
- 探索双性恋男性对PrEP使用的可修改的社会文化影响.
- 为针对双性恋男性量身定制的PrEP宣传信息的开发提供信息.
- 检查RAA因素和身份相关压力因素对双性恋男性使用PrEP的意图的相对影响.
主要方法:
- 一项在线调查对276名美国双性恋男性进行了调查.
- 该研究评估了理性行动方法 (RAA) 因素 (态度,规范,控制信念) 对PrEP意图的影响.
- 该研究还研究了与身份相关的压力因素 (隐藏,男性意识,身份冲突) 对PrEP意图的影响.
主要成果:
- 对PrEP的经验态度 (例如,担心艾滋病毒风险) 与使用PrEP的意图有显著的关联.
- 工具性态度,感知规范和控制信念与prep意图没有显著的关联.
- 隐家庭与PrEP意图有负面关联,而男性意识和身份冲突则没有.
结论:
- 双性恋男性的PrEP决策似乎更多地受到情感因素和隐藏问题的影响,而不是RAA中概述的认知预测因素.
- 调查结果强调了将研究从同性恋男性推广到双性恋男性的局限性,这涉及到预防艾滋病毒的行为.
- 需要进一步的研究来了解与双性恋男性PrEP使用相关的具体动机和障碍.
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