Barriers to PrEP Uptake in Young U.K. Men Who Have Sex With Men

Loukas Haggipavlou, Richard J. T. Hamshaw
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Abstract

Pre-exposure prophylaxis (PrEP) prevents HIV contraction in HIV-negative individuals. Despite higher risks, uptake is low among young men who have sex with men (YMSM). This study investigates barriers to PrEP uptake in U.K. YMSM, where treatment has recently been approved within services. Semi-structured interviews with 10 YMSM living in the United Kingdom were analyzed using data-driven reflexive thematic analysis. Analysis highlighted three principal barriers to PrEP uptake: lack of perceived necessity, lack of knowledge, and perceived acquisition discomfort. YMSM experience unique barriers to PrEP uptake. Recommendations for tackling barriers included implementation of an online application, alongside educational measures.
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英国年轻男男性行为者接受 PrEP 的障碍
暴露前预防疗法(PrEP)可预防艾滋病毒阴性者感染艾滋病毒。尽管风险较高,但年轻男男性行为者(YMSM)的接受率却很低。本研究调查了英国青年男性同性性行为者采用 PrEP 的障碍,该疗法最近已被批准在服务机构内使用。研究人员对居住在英国的 10 名男男性行为者进行了半结构式访谈,并使用数据驱动的反思性主题分析法对访谈内容进行了分析。分析结果突出显示了采用 PrEP 的三个主要障碍:缺乏必要性感知、缺乏相关知识和获得感知不适。青年男性和女性在使用 PrEP 方面遇到了独特的障碍。应对障碍的建议包括实施在线申请和教育措施。
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