Abstract：
While pre-exposure prophylaxis (PrEP) has demonstrated efficacy in preventing HIV transmission, disparities in access persist in the United States, especially among Hispanic/Latinx sexual minority men (SMM). Language barriers and differences in how Latinx SMM obtain information may impact access to PrEP and HIV prevention. This study used data from the 2021 American Men\'s Internet Survey (AMIS) to examine differences in communication networks and PrEP use among Latinx SMM by primary language (Spanish vs. English). We examined the associations between Latinx SMM\'s individual- and meso-level communication networks and PrEP-related outcomes using modified Poisson regression with robust variances. Spanish-speaking Latinx SMM in the study were less likely to test for HIV, be aware of PrEP, and use daily PrEP, compared to English-speaking participants. Sexuality disclosure to a healthcare provider was positively associated with PrEP uptake among all participants and predicted STI testing over the past 12 months among English-speaking Latinx SMM. Findings highlight disparities in PrEP awareness and uptake among Latinx SMM, especially among those whose primary language is Spanish. Addressing these disparities through targeted interventions, including improved communication with healthcare providers, may help facilitate PrEP access and use in this population.
摘要：
虽然暴露前预防（PrEP）已证明在预防艾滋病毒传播方面的功效，美国的准入差距仍然存在，尤其是在西班牙裔/拉丁裔性少数男性（SMM）中。LatinxSMM获取信息的语言障碍和差异可能会影响PrEP和HIV预防的获取。这项研究使用了2021年美国男性互联网调查（AMIS）的数据，以主要语言（西班牙语与English).我们使用具有稳健方差的改良泊松回归研究了LatinxSMM的个人和中观水平通信网络与PrEP相关结果之间的关联。研究中讲西班牙语的拉丁裔SMM不太可能检测艾滋病毒，注意PrEP,每天使用PrEP，与讲英语的参与者相比。在讲英语的LatinxSMM中，向医疗保健提供者披露的性行为与所有参与者的PrEP摄取呈正相关，并预测了过去12个月的STI测试。调查结果强调了拉丁裔SMM在PrEP意识和吸收方面的差异，尤其是那些主要语言是西班牙语的人。通过有针对性的干预措施解决这些差距，包括改善与医疗保健提供者的沟通，可能有助于促进该人群的PrEP访问和使用。
