Framing HIV Pre-exposure Prophylaxis Use as a Public or Private Matter.

IF 1.6 4区 医学 Q2 EDUCATION & EDUCATIONAL RESEARCH
Joel E Martinez, Kai J Jonas
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引用次数: 0

Abstract

PrEP campaigns often promote a "private" frame emphasizing personal HIV risk management. We explore how a "public" frame emphasizing community-managed sexual health is relevant among men who have sex with men (MSM) and can advance HIV prevention. We sampled MSM from the United States (N = 311 in 2015) and the Netherlands (N = 222 in 2020) soon after each country's official PrEP introduction to study the early adoption of PrEP frames. Using regressions and machine learning, we quantified support for different PrEP frames, person-level correlates, and relationships to personal PrEP disclosure. Respondents were generally neutral about PrEP framing (U.S.: 44%, Netherlands: 48%), yet many held private (U.S.: 23%, Netherlands: 28%) and public (U.S.: 33%, Netherlands: 24%) frames. Public and neutral frames were associated with PrEP users and disclosure comfort. PrEP messaging and uptake could improve by understanding how and when MSM frame their PrEP use as a public or private matter.

将艾滋病毒暴露前预防使用作为公共或私人事务。
预防艾滋病运动经常提倡一种强调个人艾滋病毒风险管理的“私人”框架。我们探讨了强调社区管理性健康的“公共”框架如何与男男性行为者(MSM)相关,并能促进艾滋病毒预防。在美国(2015年N = 311)和荷兰(2020年N = 222)正式引入PrEP后不久,我们对MSM进行了抽样调查,以研究PrEP框架的早期采用情况。使用回归和机器学习,我们量化了对不同PrEP框架的支持,个人层面的相关性以及与个人PrEP披露的关系。受访者对PrEP框架总体持中立态度(美国:44%,荷兰:48%),但许多人持有私人框架(美国:23%,荷兰:28%)和公共框架(美国:33%,荷兰:24%)。公共框架和中性框架与PrEP使用者和信息披露舒适度相关。通过了解男男性行为者如何以及何时将其PrEP使用作为公共或私人事务,可以改善PrEP的信息传递和吸收。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.20
自引率
5.60%
发文量
30
期刊介绍: Presenting state-of-the-art research and information, AIDS Education and Prevention is a vital addition to the library collections of medical schools, hospitals, and other institutions and organizations with HIV/AIDS research programs. The journal integrates public health, psychosocial, sociocultural, and public policy perspectives on issues of key concern nationally and globally.
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