Trends in Awareness and Use of HIV PrEP Among Gay, Bisexual, and Other Men who have Sex with Men in Vancouver, Canada 2012-2016

被引：31

作者：

Mosley, Terrance ^{[1
,8
]}

Khaketla, Moliehi ^{[2
]}

Armstrong, Heather L. ^{[2
,3
,8
]}

Cui, Zishan ^{[3
]}

Sereda, Paul ^{[3
]}

Lachowsky, Nathan J. ^{[3
,4
,8
]}

Hull, Mark W. ^{[2
,3
]}

Olarewaju, Gbolahan ^{[3
,8
]}

Jollimore, Jody ^{[5
]}

Edward, Joshua ^{[6
]}

Montaner, Julio S. G. ^{[2
,3
]}

Hogg, Robert S. ^{[3
,7
,8
]}

Roth, Eric A. ^{[4
,8
]}

Moore, David M. ^{[2
,3
,8
]}

机构：

[1] Univ British Columbia, Sch Populat & Publ Hlth, Vancouver, BC, Canada

[2] Univ British Columbia, Fac Med, Vancouver, BC, Canada

[3] BC Ctr Excellence, HIV AIDS, Vancouver, BC, Canada

[4] Univ Victoria, Victoria, BC, Canada

[5] Community Based Res Ctr Gay Mens Hlth, Vancouver, BC, Canada

[6] Hlth Initiat Men, Vancouver, BC, Canada

[7] Simon Fraser Univ, Fac Hlth Sci, Burnaby, BC, Canada

[8] Momentum Hlth Study, 505-1200 Burrard St, Vancouver, BC V6Z 1Z5, Canada

来源：

AIDS AND BEHAVIOR | 2018年 / 22卷 / 11期

基金：

加拿大健康研究院;

关键词：

HIV; AIDS; Pre-exposure prophylaxis; Men who have sex with men; Primary prevention; Longitudinal data; PREEXPOSURE PROPHYLAXIS; UNITED-STATES; SOCIOECONOMIC-STATUS; FOOD INSECURITY; SAN-FRANCISCO; YOUNG MEN; HIGH-RISK; INDIVIDUALS; INFECTION; TRANSMISSION;

D O I：

10.1007/s10461-018-2026-4

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Gay, bisexual, and other men who have sex with men (gbMSM) are at the highest risk for HIV infection in British Columbia (BC). Pre-exposure prophylaxis (PrEP) has been recently licensed but is currently not publicly funded in BC. Using respondent-driven sampling, we recruited a cohort of gbMSM to complete a computer-assisted self-interview with follow-up every 6months. Stratified by HIV status, we examined trends in awareness of PrEP from 11/2012 to 02/2016 and factors associated with PrEP awareness. 732 participants responded to the PrEP awareness question. Awareness of PrEP among HIV-negative men increased from 18 to 80% (p<0.0001 for trend); among HIV-positive men, awareness increased from 36 to 77% (p<0.0001). PrEP awareness was associated with factors related to HIV risk including sero-adaptive strategies and sexual sensation seeking. Eight HIV-negative men reported using PrEP. Low PrEP uptake highlights that PrEP access should be expanded for at-risk gbMSM in BC. ResumenLos hombres que tienen relaciones sexuales con hombres (HSH) estan en mayor riesgo de contraer la infeccion por el VIH en Columbia Britanica (BC). La profilaxis previa a la exposicion (PrEP) fue recientemente licenciada en Canada pero actualmente no esta financiada publicamente en BC. Usando el muestreo conducido por el encuestado, hemos reclutado una cohorte de HSH para completar una auto-entrevista asistida por ordenador con seguimiento cada seis meses. Estratificado por el estatus de VIH, examinamos las tendencias en el conocimiento de la PrEP de julio de 2012 a febrero de 2016 y los factores asociados con la conciencia de la PrEP. 732 participantes respondieron a la pregunta de sensibilizacion sobre la PrEP. La proporcion de hombres seronegativos que conocian la PrEP aumento de 18% a 80% (p<0,0001 para la tendencia); entre los hombres VIH positivos, la conciencia aumento del 36% al 77% (p<0,0001). 8 hombres VIH-negativos informaron usar PrEP. La conciencia de PrEP se asocio con factores relacionados con el riesgo de VIH, incluyendo estrategias sero-adaptativas y busqueda de sensaciones. La baja captacion de PrEP destaca que el acceso a la PrEP deberia ampliarse para los HSH en riesgo en BC.

引用

页码：3550 / 3565

页数：16

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