Preexposure Prophylaxis for HIV Prevention: Awareness and Interest among a Northern Midwestern US Indigenous Population.

IF 2.7 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Allison O'Rourke, Sean T Allen, Kristin E Schneider, Molly C Reid, Maisie Conrad, Pamela Hughes, Melissa Walls
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Abstract

American Indians/Alaska Natives (hereafter referred to as "Indigenous Peoples") experience inequities in rates of HIV infection. Pre-exposure prophylaxis (PrEP) holds considerable potential for reversing HIV inequities among Indigenous Peoples; however, little research has explored PrEP awareness and interest within Indigenous contexts. This research explores PrEP awareness and interest among a population of Indigenous People in the Northern Midwestern United States. We conducted a survey on the reservation lands of a Tribal community in Fall 2022 that included measures of demographics, sociostructural factors, health behaviors, substance use, and PrEP awareness and interest. Eligibility criteria included being aged 18 years or older and having ever used drugs. The analytic sample consisted of surveys from 224 individuals who self-identified as Indigenous and did not report current PrEP use or HIV diagnosis. Univariate and bivariate analyses were conducted to examine differences in PrEP awareness and interest. Approximately one in four (27.7%) participants reported PrEP awareness prior to taking the survey and 17.0% indicated they were interested in taking PrEP. Recent HIV testing was associated with increased PrEP awareness. PrEP interest was significantly associated with reporting: not having health insurance, 2 or more sexual partners in past 6 months, past year STI testing, past year HIV testing, past 6-month drug use, and past 6-month injection drug use. Indigenous participants who reported behaviors associated with increased risk of acquiring HIV were significantly more interested in PrEP utilization. Steps should be taken to increase culturally responsive PrEP awareness and access in Indigenous communities.

暴露前预防HIV预防:美国中西部北部土著居民的意识和兴趣。
美洲印第安人/阿拉斯加原住民(以下简称“土著人民”)在艾滋病毒感染率方面存在不平等。暴露前预防在扭转土著人民艾滋病毒不平等方面具有相当大的潜力;然而,很少有研究探讨土著背景下对预防PrEP的认识和兴趣。本研究探讨了美国中西部北部土著居民对PrEP的认识和兴趣。我们在2022年秋季对部落社区的保留土地进行了一项调查,包括人口统计、社会结构因素、健康行为、物质使用以及PrEP意识和兴趣。资格标准包括年龄在18岁或以上,并且曾经使用过毒品。分析样本包括来自224名自我认定为土著的人的调查,他们没有报告目前的PrEP使用或艾滋病毒诊断。进行单因素和双因素分析以检查PrEP意识和兴趣的差异。大约四分之一(27.7%)的参与者在接受调查前报告了PrEP意识,17.0%的参与者表示他们有兴趣采取PrEP。最近的艾滋病毒检测与PrEP意识的提高有关。对PrEP的兴趣与报告显著相关:没有健康保险,过去6个月有2个或更多性伴侣,过去一年进行性传播感染检测,过去一年进行艾滋病毒检测,过去6个月使用药物,以及过去6个月使用注射药物。报告与感染艾滋病毒风险增加相关的行为的土著参与者对PrEP的使用更感兴趣。应采取步骤,提高土著社区对预防PrEP的文化响应意识和获取途径。
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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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