Rapid Diffusion of Awareness and Uptake of Doxy-PEP among Men who Have Sex with Men in San Francisco.

IF 2.4 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
AIDS and Behavior Pub Date : 2025-07-01 Epub Date: 2025-04-28 DOI:10.1007/s10461-025-04728-5
Antonio A M Moscatelli, Paloma L Ramirez, Bow Suprasert, Moranda Tate, Stephanie E Cohen, Maria Amelia S M Veras, Glenda Baguso, Erin C Wilson, Willi McFarland
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Abstract

In October 2022, the San Francisco Department of Public Health published guidelines for doxycycline post-exposure prophylaxis (doxy-PEP) to prevent bacterial sexually transmitted infections (STI) among men who have sex with men (MSM). We evaluated awareness and use of doxy-PEP using data from the National HIV Behavioral Surveillance in 2023 in San Francisco (N = 533). In the year following the publication of the guidelines, 66.6% of MSM reported awareness of doxy-PEP, and 19.3% had used it. Among MSM who are not living with HIV, awareness of doxy-PEP was associated with higher educational levels, condomless sex, bacterial STI diagnoses, and PrEP use; use was associated with STI diagnoses and PrEP use. Among MSM living with HIV, both awareness and use were associated with younger age. These findings indicate rapid dissemination and early adoption of doxy-PEP in a priority population in a real-world setting.

旧金山男男性行为者对Doxy-PEP的认识和吸收迅速扩散。
2022年10月,旧金山公共卫生部发布了多西环素暴露后预防(doxy-PEP)指南,以预防男男性行为者(MSM)中的细菌性传播感染(STI)。我们使用2023年旧金山全国艾滋病毒行为监测数据(N = 533)评估了doxy-PEP的认识和使用情况。在指南发布后的一年中,66.6%的男男性行为者报告知道doxy-PEP, 19.3%的人使用过它。在未感染艾滋病毒的男男性行为者中,对doxy-PEP的认识与较高的教育水平、无安全套性行为、细菌性传播感染诊断和PrEP使用有关;使用与性传播感染诊断和PrEP使用有关。在感染艾滋病毒的男男性行为者中,对艾滋病毒的认识和使用都与年龄较小有关。这些发现表明,doxy-PEP在现实世界中的优先人群中迅速传播和早期采用。
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来源期刊
AIDS and Behavior
AIDS and Behavior Multiple-
CiteScore
6.60
自引率
13.60%
发文量
382
期刊介绍: AIDS and Behavior provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews. provides an international venue for the scientific exchange of research and scholarly work on the contributing factors, prevention, consequences, social impact, and response to HIV/AIDS. This bimonthly journal publishes original peer-reviewed papers that address all areas of AIDS behavioral research including: individual, contextual, social, economic and geographic factors that facilitate HIV transmission; interventions aimed to reduce HIV transmission risks at all levels and in all contexts; mental health aspects of HIV/AIDS; medical and behavioral consequences of HIV infection - including health-related quality of life, coping, treatment and treatment adherence; and the impact of HIV infection on adults children, families, communities and societies. The journal publishes original research articles, brief research reports, and critical literature reviews.5 Year Impact Factor: 2.965 (2008) Section ''SOCIAL SCIENCES, BIOMEDICAL'': Rank 5 of 29 Section ''PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH'': Rank 9 of 76
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