Factors associated with PrEP adherence among MSM living in Jackson, Mississippi.

IF 0.4 Q4 SOCIAL WORK Journal of HIV-AIDS & Social Services Pub Date : 2021-01-01 DOI:10.1080/15381501.2021.1956666
Laura Whiteley, Lacey Craker, Shufang Sun, Nicholas Tarantino, Dylan Hershkowitz, Jesse Moskowitz, Trisha Arnold, Kayla Haubrick, Elizabeth Olsen, Leandro Mena, Larry K Brown
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引用次数: 3

Abstract

Understanding the determinants of pre-exposure prophylaxis (PrEP) adherence is integral to reducing HIV incidence in the United States, especially for those at highest risk. To this end, the present study explored demographic, psychosocial, and behavioral factors related to adherence among 43 Southern, predominately Black, men who have sex with men (MSM). During the study months, 46% of the sample reported being nonadherent to PrEP. Those with more sexual partners (p = .05), greater self-efficacy for taking PrEP (p = .03), and those who felt condoms were less important (p = .02), were more likely to be adherent to PrEP at six-month follow-up. Further interventions that consider perceived sexual risk, condom use, and adherence self-efficacy are needed to improve PrEP adherence among Southern MSM.

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生活在密西西比州杰克逊的男男性接触者中与PrEP依从性相关的因素。
了解暴露前预防(PrEP)依从性的决定因素对于降低美国的艾滋病毒发病率至关重要,特别是对高危人群。为此,本研究探讨了43名南方男男性行为者(主要是黑人)的人口统计学、社会心理和行为因素与依从性的关系。在研究的几个月里,46%的样本报告没有坚持使用PrEP。那些有更多性伴侣的人(p = 0.05),使用PrEP的自我效能更高(p = 0.03),以及那些认为避孕套不那么重要的人(p = 0.02),在六个月的随访中更有可能坚持使用PrEP。需要进一步的干预措施,考虑到感知性风险、避孕套使用和依从性自我效能,以提高南方MSM的PrEP依从性。
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