Changes in HIV Pre-exposure Prophylaxis Awareness and Use Among Males Who Inject Drugs Who Have Sex with Men by Sexual Identity, 19 US Urban Areas, 2018 & 2022.

IF 3.4 2区 医学 Q3 IMMUNOLOGY AIDS Pub Date : 2024-09-03 DOI:10.1097/QAD.0000000000004005
Patrick C Eustaquio, Janet Burnett, Joseph Prejean, Johanna Chapin-Bardales, Susan Cha
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Abstract

Background: Men who inject drugs who have sex with men (MWIDSM) may acquire HIV through injecting drugs or sex. Interventions to increase awareness of HIV preexposure prophylaxis (PrEP) have focused on gay/bisexual MSM and may not be reaching heterosexual-identifying men or people who inject drugs (PWID). We explored changes in PrEP awareness and use among MWIDSM from 2018 to 2022 by sexual identity.

Methods: We used data from the 2018 and 2022 National HIV Behavioral Surveillance among PWID recruited via respondent-driven sampling in 19 urban areas in the US. We examined changes in PrEP awareness and use over time by sexual identity among HIV-negative men who inject drugs and who had sex with another man in the past 12 months using log-linked Poisson regression models with robust standard errors with an interaction term between year and sexual identity.

Results: Among 758 HIV-negative MWIDSM (463 in 2018; 295 in 2022), nearly all sample participants were likely indicated for PrEP (94.2 and 92.9%, respectively). PrEP awareness increased from 2018 to 2022 among gay/bisexual-identifying MWIDSM [45.5-65.5%; aPR = 1.49, 95% confidence interval (95% CI) = 1.30-1.70] but remained stable for heterosexual-identifying MWIDSM (39.4-40.8%; aPR = 1.01, 95% CI 0.75-1.36). PrEP use remained low among all MWIDSM (2.5-7.7%, among heterosexually identifying; 15.3 to 10.2% among gay/bisexual-identifying).

Conclusion: PrEP awareness increased among gay/bisexual-identifying MWIDSM but not among heterosexual-identifying. PrEP use was low for all MWIDSM. Public health initiatives catered to MWIDSM should focus on improved campaigns and expanding PrEP accessibility in existing healthcare, harm reduction, and social services.

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2018 年和 2022 年美国 19 个城市地区注射毒品并与男性发生性关系的男性对艾滋病毒暴露前预防措施的认识和使用情况变化(按性取向分列)。
背景:男男性行为者(MWIDSM)可能会通过注射毒品或性行为感染艾滋病毒。为提高人们对艾滋病暴露前预防(PrEP)的认识而采取的干预措施主要针对男同性恋/双性恋 MSM,可能无法惠及认同异性恋的男性或注射吸毒者(PWID)。我们探讨了从 2018 年到 2022 年,MWIDSM 对 PrEP 的认识和使用情况在性别认同方面的变化:我们使用了 2018 年和 2022 年全国艾滋病毒行为监测的数据,这些数据来自美国 19 个城市地区通过受访者驱动的抽样调查招募的 PWID。我们使用具有稳健标准误差的对数链接泊松回归模型,并在年份和性身份之间加入交互项,研究了过去 12 个月中与另一名男性发生过性关系的 HIV 阴性男性注射吸毒者中,随着时间的推移,不同性身份的人对 PrEP 的认识和使用情况的变化:在 758 名 HIV 阴性的 MWIDSM 中(2018 年 463 人;2022 年 295 人),几乎所有样本参与者都可能有 PrEP 适应症(分别为 94.2% 和 92.9%)。从 2018 年到 2022 年,同性恋/双性恋认同的 MWIDSM 对 PrEP 的认知度有所提高[45.5%-65.5%;aPR = 1.49,95% 置信区间 (95% CI) = 1.30-1.70],但异性恋认同的 MWIDSM 对 PrEP 的认知度保持稳定(39.4%-40.8%;aPR = 1.01,95% CI 0.75-1.36)。在所有女性同性恋、双性恋和变性者中,PrEP 的使用率仍然很低(异性恋认同者为 2.5%-7.7%;同性恋/双性恋认同者为 15.3%-10.2%):结论:在认同同性恋/双性恋的女性艾滋病患者中,对 PrEP 的认识有所提高,但在认同异性恋的女性艾滋病患者中却没有提高。在所有女性同性恋、双性恋和变性者中,PrEP 的使用率都很低。针对女性同性恋、双性恋和变性者的公共卫生措施应侧重于改进宣传活动,并在现有的医疗保健、减低伤害和社会服务中扩大 PrEP 的可及性。
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来源期刊
AIDS
AIDS 医学-病毒学
CiteScore
5.90
自引率
5.30%
发文量
478
审稿时长
3 months
期刊介绍: ​​​​​​​​​​​​​​​​​Publishing the very latest ground breaking research on HIV and AIDS. Read by all the top clinicians and researchers, AIDS has the highest impact of all AIDS-related journals. With 18 issues per year, AIDS guarantees the authoritative presentation of significant advances. The Editors, themselves noted international experts who know the demands of your work, are committed to making AIDS the most distinguished and innovative journal in the field. Submitted articles undergo a preliminary review by the editor. Some articles may be returned to authors without further consideration. Those being considered for publication will undergo further assessment and peer-review by the editors and those invited to do so from a reviewer pool.
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