Các chỉ số về sự tiếp cận dự phòng phơi nhiễm HIV trước (PrEP) của nam gay, nam song tính và nam khác có quan hệ tình dục với nam giới tại Canada và sự chênh lệch nhân khẩu học giữa những người có nguy cơ cao nhiễm HIV

Springer Science and Business Media LLC - Tập 25 - Trang 3638-3650 - 2021
Sean Colyer1, Nathan J. Lachowsky2,3, Axel J. Schmidt4, Barry D. Adam5, Dana Paquette6, Trevor A. Hart7,8, David J. Brennan9, Martin Blais10, Abigail E. Kroch1,8,11
1Ontario HIV Treatment Network, Toronto, Canada
2School of Public Health and Social Policy, University of Victoria, Victoria, Canada
3Community Based Research Centre, Vancouver, Canada
4Sigma Research, London School of Hygiene and Tropical Medicine, London, UK
5Department of Sociology, Anthropology, and Criminology, University of Windsor, Windsor, Canada
6Public Health Agency of Canada, Ottawa, Canada
7Department of Psychology, Ryerson University, Toronto, Canada
8Dalla Lana School of Public Health, University of Toronto, Toronto, Canada
9Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Canada
10Département de Sexologie, Université du Québec à Montréal, Montréal, Canada
11Public Health Ontario, Toronto, Canada

Tóm tắt

Dự phòng phơi nhiễm trước HIV (PrEP) là một công cụ phòng ngừa hiệu quả đang được mở rộng ở Canada. Chúng tôi mô tả việc tiếp cận PrEP và xác định các mối tương quan nhân khẩu học của việc tiếp cận trong số nam gay, nam song tính và những nam giới khác có quan hệ tình dục với nam giới (gbMSM) có nguy cơ nhiễm HIV cao hơn bằng cách sử dụng dữ liệu từ một khảo sát trực tuyến với gbMSM cư trú tại Canada giữa tháng 10 năm 2017 và tháng 1 năm 2018. Trong số 969 người tham gia có nguy cơ nhiễm HIV cao hơn đã từng xét nghiệm HIV gần đây, có 96,0%, 83,3%, 72,6% và 39,7% báo cáo về nhận thức, kiến thức, sự chấp nhận và việc theo đuổi PrEP, tương ứng; 27,1% đã từng và 24,6% hiện đang sử dụng PrEP. Đặc điểm liên quan mạnh mẽ nhất đến việc sử dụng PrEP là sinh sống tại thành phố có ≥500.000 dân; các yếu tố khác bao gồm việc công khai cho tất cả hoặc hầu hết gia đình, bạn bè và đồng nghiệp về sự hấp dẫn tình dục đối với nam giới, khả năng tài chính tốt hơn và độ tuổi từ 30 đến 49. Việc cải thiện sự mở rộng sử dụng PrEP tại Canada có thể đạt được thông qua việc xem xét những sự chênh lệch này.

Từ khóa

#HIV #PrEP #gay #song tính #nam có quan hệ tình dục với nam giới #nguy cơ nhiễm HIV #nhân khẩu học

Tài liệu tham khảo

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