Knowledge and Barriers to HIV Pre-exposure Prophylaxis in Southern California.

IF 1.6 4区 医学 Q2 EDUCATION & EDUCATIONAL RESEARCH
Gilbert A Orta Portillo, Chrysovalantis Stafylis, Yara Tapia, Jeffrey D Klausner
{"title":"Knowledge and Barriers to HIV Pre-exposure Prophylaxis in Southern California.","authors":"Gilbert A Orta Portillo, Chrysovalantis Stafylis, Yara Tapia, Jeffrey D Klausner","doi":"10.1521/aeap.2025.37.2.126","DOIUrl":null,"url":null,"abstract":"<p><p>Despite the proven effectiveness of human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP), its use remains low in high-incidence areas. This study examined knowledge and barriers to PrEP among individuals at risk in Southern California. From September 2022 to April 2023, we recruited adult men who have sex with men, residing in San Bernardino and Riverside counties, who were not living with HIV and not using PrEP. Recruitment occurred through targeted online advertisements and clinic-distributed materials. Statistical analyses explored associations between demographic factors and barriers to PrEP. While 81% had heard of PrEP, nearly half were unaware of HIV testing requirements or of its availability for uninsured individuals. Uninsured participants were significantly less comfortable discussing sexual health with providers (OR: 0.19, 95% CI [0.05, 0.68]). Addressing misinformation, reducing provider stigma, and expanding access for uninsured individuals are essential for increasing PrEP use.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"37 2","pages":"126-141"},"PeriodicalIF":1.6000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Aids Education and Prevention","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1521/aeap.2025.37.2.126","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"EDUCATION & EDUCATIONAL RESEARCH","Score":null,"Total":0}
引用次数: 0

Abstract

Despite the proven effectiveness of human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP), its use remains low in high-incidence areas. This study examined knowledge and barriers to PrEP among individuals at risk in Southern California. From September 2022 to April 2023, we recruited adult men who have sex with men, residing in San Bernardino and Riverside counties, who were not living with HIV and not using PrEP. Recruitment occurred through targeted online advertisements and clinic-distributed materials. Statistical analyses explored associations between demographic factors and barriers to PrEP. While 81% had heard of PrEP, nearly half were unaware of HIV testing requirements or of its availability for uninsured individuals. Uninsured participants were significantly less comfortable discussing sexual health with providers (OR: 0.19, 95% CI [0.05, 0.68]). Addressing misinformation, reducing provider stigma, and expanding access for uninsured individuals are essential for increasing PrEP use.

南加州HIV暴露前预防的知识和障碍。
尽管人类免疫缺陷病毒(艾滋病毒)暴露前预防(PrEP)已被证明有效,但在高发病率地区,其使用率仍然很低。这项研究调查了南加州高危人群的PrEP知识和障碍。从2022年9月到2023年4月,我们招募了居住在圣贝纳迪诺和河滨县的男男性行为的成年男性,他们没有感染艾滋病毒,也没有使用PrEP。招募是通过有针对性的在线广告和诊所分发的材料进行的。统计分析探讨了人口因素与预防措施障碍之间的关系。81%的人听说过预防措施,但近一半的人不知道艾滋病毒检测的要求,也不知道没有保险的人可以获得预防措施。未参保的参与者在与提供者讨论性健康问题时明显不那么自在(OR: 0.19, 95% CI[0.05, 0.68])。解决错误信息,减少提供者的耻辱感,扩大未投保个人的获取途径,对于增加PrEP的使用至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
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.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信