PDF(Pubmed)
Abstract：
Latinx men who have sex with men (MSM) are an at-risk population for new HIV diagnoses. Pre-exposure prophylaxis (PrEP) is a suite of biomedical approaches to prevent HIV infection. Latinx MSM are less likely to take PrEP compared to non-Latinx White MSM. This qualitative study identified interpersonal- and community-level barriers and facilitators of PrEP among young adult Latinx MSM. Using stratified purposeful sampling, 27 Latinx men, ages 19-29 years and living in a US-Mexico border region, completed self-report demographic surveys and participated in semi-structured in-depth interviews assessing barriers and facilitators to PrEP. Directed content analysis was used to identify both a priori and emerging themes. Most participants reported that other people, including peers, friends, partners, and health care providers were both supportive and discouraging of PrEP use. Participants\' intersectional identities as members of both Latinx and LGBTQ+ (Lesbian, Gay, Bisexual, Transgender, Queer) communities both hindered and facilitated PrEP use.
摘要：
与男性发生性关系的拉丁裔男性（MSM）是新的HIV诊断的高危人群。暴露前预防（PrEP）是一套预防HIV感染的生物医学方法。与非拉丁裔白人MSM相比，拉丁裔MSM不太可能采取PrEP。这项定性研究确定了年轻成年拉丁裔MSM中个人和社区层面的障碍和PrEP的促进者。使用分层有目的的抽样，27名拉丁裔男子，年龄在19-29岁，生活在美墨边境地区，完成自我报告人口调查，并参与半结构化深入访谈，评估PrEP的障碍和促进者。定向内容分析用于识别先验主题和新兴主题。大多数参与者报告说，其他人，包括同龄人，朋友,合作伙伴,和卫生保健提供者都支持和不鼓励使用PrEP.参与者作为拉丁裔和LGBTQ+成员的交叉身份(女同性恋，同性恋,双性恋,变性人,酷儿）社区既阻碍又促进了PrEP的使用。
