The Importance of Sexual History Taking for PrEP Comprehension Among Young People of Color

被引:19
作者
Golub, Sarit A. [1 ,2 ,3 ]
Gamarel, Kristi E. [3 ,4 ]
Lelutiu-Weinberger, Corina [3 ]
机构
[1] CUNY Hunter Coll, Dept Psychol, 695 Pk Ave, New York, NY 10021 USA
[2] CUNY, Grad Ctr, Dept Psychol, New York, NY 10017 USA
[3] Hunter HIV AIDS Res Team HART, New York, NY 10065 USA
[4] Brown Univ, Dept Psychiat & Human Behav, Alpert Med Sch, Providence, RI 02912 USA
关键词
Pre-exposure prophylaxis; PrEP; Young people of color; Messaging; FUZZY-TRACE THEORY; OF-THE-LITERATURE; GAY MALE COUPLES; NEW-YORK-CITY; HIV PREVENTION; UNITED-STATES; PREEXPOSURE PROPHYLAXIS; RISK BEHAVIORS; BLACK-MEN; CARE;
D O I
10.1007/s10461-016-1512-9
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Despite demonstrated efficacy, uptake of pre-exposure prophylaxis (PrEP) remains low, especially among highest priority populations. This study examined four PrEP messaging factors hypothesized to impact comprehension of PrEP educational information: (1) modality (video versus in-person message delivery); (2) frame (risk versus health focus); (3) specificity (gist versus verbatim efficacy information); and (4) sexual history (administered either before or after PrEP education). We examined message comprehension among 157 young people of color (YPoC) eligible for PrEP, using a series of multiple choice questions. Overall, 65.6 % (n = 103) got all message comprehension questions correct. In multivariate analyses, engaging in a sexual history before receiving PrEP education was associated with increased odds of message comprehension (aOR 2.23; 95 % CI 1.06-4.72). This effect was even stronger among those who received PrEP education via video (aOR 3.53; 95 % CI 1.16-10.81) compared to via health educator. This research underscores the importance of sexual history-taking as part of PrEP education and clinical practice for YPoC, and suggests that engaging patients in a sexual history prior to providing them with PrEP education may be key to increasing comprehension.
引用
收藏
页码:1315 / 1324
页数:10
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