有刑事法律牵连的 PrEP 感染者对艾滋病毒风险的认知与实际感受。

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-11-01 Epub Date: 2024-08-01 DOI:10.1080/09540121.2024.2383873
Taylor Krajewski, Katherine H LeMasters, Carrie B Oser, Lauren Brinkley-Rubinstein
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引用次数: 0

摘要

接受社区监管的个人会遇到影响健康结果的多层次障碍。由于可能重新参与无保护的性行为和/或不安全的注射毒品行为,这是感染 HIV 的高危期。本研究旨在评估实际和感知的 HIV 风险之间的一致性,以及个人、社会和行为因素对社区监管对象风险感知的影响程度。虽然所有参与者都有 PrEP 的临床指征,但大多数参与者(81.5%)并不认为自己有感染 HIV 的风险(69.5%)或不确定自己的风险(12.0%)。在不认为有风险或不确定有风险的人群中,94% 的人参与了使自己面临艾滋病风险的性行为。感知到的 HIV 风险与共用注射器具(aPR = 1.8,95% CI [1.02,3.3])、性少数群体身份(aPR = 2.3,95% CI [1.3,3.9])以及与 HIV 感染者伴侣发生性行为(aPR = 2.4,95% CI [1.3,4.3])相关。与携带 HIV 的伴侣发生性行为是唯一与感知到的 HIV 风险相关的性风险行为。这些研究结果表明,实际的艾滋病风险与感知到的艾滋病风险之间存在巨大差异,这突出表明有必要采取有针对性的干预措施,以提高风险感知的准确性,并加强对社区监管对象的风险预防。
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Perceived versus actual HIV risk among PrEP indicated persons with criminal legal involvement.

Individuals involved with community supervision experience multi-level obstacles impacting health outcomes. This is a high-risk period for HIV acquisition due to potential reengagement in unprotected sex and/or unsafe injection drug practices. This study aimed to assess the congruence between actual and perceived HIV risk and the degree to which individual, social, and behavioral factors impact risk perception among individuals on community supervision. While all participants were clinically indicated for PrEP, most participants (81.5%) did not consider themselves at risk for HIV (69.5%) or were not sure of their risk (12.0%). Among those with no or unsure perceived risk, 94% engaged in sexual behaviors that put them at-risk of HIV. Perceived HIV risk was associated with sharing injection equipment (aPR = 1.8, 95% CI [1.02, 3.3]), identifying as a sexual minority (aPR = 2.3, 95% CI [1.3, 3.9]), and having sex with a partner living with HIV (aPR = 2.4, 95% CI [1.3, 4.3]). Having sex with a partner living with HIV was the only sexual risk behavior associated with a perceived risk of HIV. These findings indicate a substantial discrepancy between actual and perceived HIV risk, highlighting the need for targeted interventions to improve risk perception accuracy and enhance risk prevention among individuals on community supervision.

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