Facilitators and barriers to PrEP use among straight and LGB young adults experiencing homelessness

IF 1.3 Q2 SOCIAL WORK

JOURNAL OF GAY & LESBIAN SOCIAL SERVICES Pub Date : 2021-07-23 DOI:10.1080/10538720.2021.1954575

Jarrod Call, D. Gerke, Anamika Barman-Adhikari

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引用次数: 1

Abstract

Abstract Young adults experiencing homelessness (YAEH) are up to 12 times more likely to contract HIV than their housed peers. One important HIV prevention tool is pre-exposure prophylaxis (PrEP), though few studies examine YAEH PrEP use, particularly among those who identify as lesbian, gay, or bisexual (LGB). This study surveyed 160 YAEH about sexual risk behaviors, knowledge about and interest in using PrEP, and facilitators and barriers to PrEP use. Chi-Squared tests assessed if participants varied on these factors by sexual orientation. LGB YAEH were more likely to have heard of and be interested in using PrEP, as well as report access to free sexual healthcare, counseling about sex life, and concerns about possible medication interactions if they became HIV + as important motivating factors for PrEP use. Straight YAEH were more likely to report concerns about PrEP protectiveness as important. These findings, though preliminary, have important implications for YAEH HIV prevention programs.

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无家可归的异性恋和LGB年轻人使用PrEP的促进者和障碍

摘要无家可归的年轻人感染艾滋病毒的可能性是他们在家的同龄人的12倍。一个重要的HIV预防工具是暴露前预防（PrEP），尽管很少有研究检查YAEH PrEP的使用，特别是在那些认定为女同性恋、男同性恋或双性恋（LGB）的人中。本研究调查了160名YAEH的性风险行为、使用PrEP的知识和兴趣，以及PrEP使用的促进因素和障碍。卡方检验评估了参与者是否因性取向而在这些因素上有所不同。LGB YAEH更有可能听说过并对使用PrEP感兴趣，并报告了获得免费性保健、性生活咨询的机会，以及对感染艾滋病毒后可能发生的药物相互作用的担忧 + 作为PrEP使用的重要激励因素。直型YAEH更有可能报告对PrEP保护性的担忧是重要的。这些发现虽然是初步的，但对YAEH艾滋病毒预防计划具有重要意义。

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

JOURNAL OF GAY & LESBIAN SOCIAL SERVICES SOCIAL WORK-

CiteScore

2.50

自引率

6.70%

发文量

期刊介绍： The Journal of Gay and Lesbian Social Services provides empirical knowledge and conceptual information related to sexual minorities and their social environment. Filled with innovative ideas and resources for the design, evaluation, and delivery of social services for these populations at all stages of life, the journal is a positive influence on the development of public and social policy, programs and services, and social work practice. Dedicated to the development of knowledge which meets the practical needs of lesbian, gay, bisexual, and transgendered people in their social context, the Journal of Gay & Lesbian Social Services is a forum for studying.