A Medical Care Missed Opportunity: Preexposure Prophylaxis and Young Black Men Who Have Sex With Men

被引：42

作者：

Arrington-Sanders, Renata ^{[1
]}

Morgan, Anthony ^{[1
]}

Oidtman, Jessica ^{[1
]}

Qian, Ian ^{[2
]}

Celentano, David ^{[3
]}

Beyrer, Chris ^{[3
]}

机构：

[1] Johns Hopkins Univ, Sch Med, Dept Pediat, Div Gen Pediat & Adolescent Med, Baltimore, MD 21205 USA

[2] Univ Maryland, Dept Biochem, College Pk, MD 20742 USA

[3] Johns Hopkins Univ, Dept Epidemiol, Bloomberg Sch Publ Hlth, Baltimore, MD USA

来源：

JOURNAL OF ADOLESCENT HEALTH | 2016年 / 59卷 / 06期

关键词：

HIV RISK; PREP; ACCEPTABILITY;

D O I：

10.1016/j.jadohealth.2016.08.006

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

Purpose: HIV disproportionately impacts young black men who have sex with men (YBMSM). Preexposure prophylaxis (PrEP) is an effective strategy that can avert new HIV infections in YBMSM. Barriers exist for YBMSM to access PrEP. Methods: We sought to determine factors associated with awareness of and willingness to take PrEP in a sample of YBMSM. Results: Only 8% were currently on PrEP despite many (66%) reporting condomless anal sex, a recent provider visit (54%), disclosing their sexual orientation to their regular medical provider (62%), or a willingness to take PrEP (62%). In bivariate analysis, increased number of lifetime partners, current PrEP use, and disclosure of sexual orientation to a doctor were associated with awareness of PrEP, while condomless anal sex and higher perceived risk was associated with willingness to take PrEP. Sex with females was associated with lower willingness. Conclusions: Providers may be missing key opportunities to educate YBMSM about PrEP and incorporate PrEP into comprehensive sexual health care. (C) 2016 Society for Adolescent Health and Medicine. All rights reserved.

引用

页码：725 / 728

页数：4

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