학술논문

Exploring Gender Differences in PrEP Interest Among Individuals Testing HIV Negative in an Urban Emergency Department.
Document Type
Article
Source
AIDS Education & Prevention. Oct2018, Vol. 30 Issue 5, p382-392. 11p.
Subject
*HIV prevention
*HIV infection risk factors
*HIV seronegativity
*BLACK people
*HOSPITAL emergency services
*PREVENTIVE medicine
*METROPOLITAN areas
*SELF-perception
*SEX distribution
*WHITE people
*MEN who have sex with men
*ODDS ratio
*PSYCHOLOGY
Language
ISSN
0899-9546
Abstract
PrEP is greater than 90% effective at preventing HIV infection, but many people who are vulnerable to HIV choose not to take PrEP. Among women, men who have sex with women (MSW) and men who have sex with men (MSM) who tested HIV negative in our emergency department, we assessed behavioral risk factors, self-perception of HIV risk, and interest in PrEP linkage. Women had lower odds of perceiving any HIV risk versus no risk than MSM, while Whites had greater odds of perceiving themselves as high risk than Blacks. Age and self-perception of risk were not associated with PrEP interest, but patients who were objectively classified as "at risk" had greater odds of interest in PrEP than those not at risk (p <.01). Discordance between HIV risk self-perception and objective risk demonstrates the limitation of relying on patient self-referral for PrEP based on their own subjective risk perception. [ABSTRACT FROM AUTHOR]