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| 1 | 男男性行为人群HIV暴露前预防需求与使用障碍研究显示文摘目的:了解MSM对HIV暴露前预防(PrEP)的实际需求及阻碍其使用的相关因素。方法:通过同性社交Blued 6.5.0软件、MSM同伴推荐等方法招募MSM为调查对象,估算样本量600人。利用'问卷星'平台,在调查员的指导下进行匿名电子问卷调查,调查内容包括一般情况、PrEP相关知识和使用意愿与顾虑、PrEP实际需求及PrEP使用自我效能等。结果:共调查622名MSM,知晓和曾使用过PrEP的比例分别为56.4%(351/622)和4.3%(27/622);67.2%(418/622)有PrEP实际需求,PrEP使用自我效能良好的为21.2%(132/622)。结构方程模型分析结果显示,PrEP相关知识和使用顾虑对PrEP使用自我效能发挥直接正向作用,效应系数分别为0.08和0.13,自我歧视是由于PrEP使用顾虑而间接影响PrEP使用自我效能,效应系数为0.035;广义线性混合模型分析结果表明,曾使用过PrEP可增加使用自我效能(OR=5.55);PrEP相关知识和使用顾虑每增加1分,PrEP使用自我效能分别增加0.14倍和0.07倍。担心药物副作用、预防效果和费用者分别占61.1%(380/622)、60.1%(374/622)和53.2%(331/622);期望获取PrEP服务途径主要为CDC(75.6%,470/622)、MSM社会组织(65.4%,407/622)和互联网(63.8%,397/622)。结论:MSM对PrEP呈现高需求与低使用的较大差距,PrEP相关知识缺乏、自我歧视、对药物预防效果、副作用及费用的顾虑是阻碍MSM使用PrEP的因素,故需要建立适合MSM特点的PrEP服务模式,以满足MSM对PrEP干预的需求。 | 石安霞 Don Operario 张志华 赵越 朱晓芳 杨璀 Nickolas Zaller 高攀 王君 孙业桓 张洪波 | 2020 | 中华流行病学杂志2020，41，3： | 28 |
| 2 | Pre-exposure Prophylaxis State of the Science: Empirical Analogies for Research and Implementation显示文摘 | Sarit A. Golub Don Operario Pamina M. Gorbach | 2010 | Current HIV / AIDS Reports2010，，4： | 1 |
| 3 | Need for HIV/AIDSeducation and intervention for MTF transgenders : responding tothe challenge显示文摘 | Nemoto T Sausa LA Operario D | 2006 | J Homosex2006，51，1： | 1 |
| 4 | Incidenee and time-varying predictors of HIV and sexually transmitted infections among male sex workers in Mexico City显示文摘Background:Male sex workers are at high-risk for acquisition of sexually transmitted infections(STIs),including human immunodeficiency virus(HIV).We quantified incidence rates of STIs and identified their time-varying predictors among male sex workers in Mexico City.Methods:From January 2012 to May 2014,male sex workers recruited from the largest HIV clinic and community sites in Mexico City were tested for chlamydia,gonorrhea,syphilis,hepatitis,and HIV at baseline,6-months,and 12-months.Incide nee rates with 95%bootstrapped confide nee limits were calculated.We examined potential timevarying predictors using generalized estimating equations for a population averaged model.Results:Among 227 male sex workers,median age was 24 and baseline HIV prevalence was 32%.Incidence rates(per 100 person-years)were as follows:HIV[5.23;95%confidence interval(CI):2.15-10.31],chlamydia(5.15;95%CI:2.58-9.34),gonorrhea(3.93;95%CI:1.88-7.83),syphilis(13.04;95%CI:8.24-19.94),hepatitis B(2.11;95%CI:0.53-4.89),hepatitis C(0.95;95%CI:0.00-3.16),any STI except HIV(30.99;95%CI:21.73-40.26),and any STI including HIV(50.08;95%CI:37.6062.55).In the multivariable-adjusted model,incident STI(excluding HIV)were lower among those who reported consistently using condoms during anal and vaginal intercourse(odds ratio=0.03,95%CI:0.00-0.68)compared to those who reported inconsistently using condoms during anal and vaginal intercourse.Conclusions:Incidence of STIs is high among male sex workers in Mexico City.Consistent condom use is an important protective factor for STIs,and should be an important comp on ent of interventions to prevent incide nt infect i ons. | Karla Y.Ganley Marta Wilson-Barthes Andrew R.Zullo Sandra G.Sosa-Rubi Carlos J.Conde-Glez Santa Garcia-Cisneros Mark N.Lurie Brandon D.L.Marshall Don Operario Kenneth H.Mayer Omar Galarraga | 2021 | Infectious Diseases of Poverty2021，10，1： | 1 |
| 5 | Sexual risk and substance use behaviors among African American men who have sex with men and women 显示文摘 | Operario D Smith CD Arnold E | 2011 | AIDS Behav2011，15，3： | 1 |
| 6 | Conditional economic incentives for reducing HIV risk behaviors:integration of psychology and behavioral economics显示文摘 | Don Operario Caroline Kuo Sandra G | 2013 | Health Psychology2013，32，： | 1 |
| 7 | Subjective social status: Reliability and predictive utility for global health 显示文摘 | Operario D Adler NE Williams DR | 2004 | Psychology and Health2004，19，2： | 1 |
| 8 | Use of Electronic Reminder Devices to Improve Adherence to Antiretroviral Therapy:A Systematic Review显示文摘 | Wise J Operario D | 2008 | AIDS Patient care and STDs2008，22，6： | 1 |
| 9 | Age and race mixing patterns of sexual partnerships among Asian men who have sex with men:implications for HIV transmission and prevention显示文摘 | Choi Kh Operario D Gregorich S | 2003 | AIDS Education and Prevention2003，15，： | 1 |
| 10 | Effects of stigma on the mental health of adolescents orphaned by AIDS显示文摘 | Cluver LD Gardner F Operario D | 2007 | J Adolesc Health2007，42，4： | 1 |
| 11 | Packaging PrEP to prevent HIV: an integrated framework to plan for pre-exposure prophylaxis implementation in clinical practice 显示文摘 | Underhill K Operario D Skeer M | 2010 | J Acquit Immune Defic Syndr2010，55，： | 1 |
| 12 | Implementation science of pre-exposure prophylaxis : preparing for public use 显示文摘 | I Underhill K Operario D Mimiaga M J | 2010 | Curr HIV/AIDS Rep2010，7，： | 1 |
| 13 | High acceptabili- ty of HIV pre-exposure prophylaxis but challenges in adherence and use :qualitative insights from a phase I trial of intermittent anti daily PrEP in at-risk populations in Kenya 显示文摘 | Van der Elst EM Mbogua J Operario D | 2013 | AIDS Behav2013，17，6： | 1 |
| 14 | Prevalence and correlateS ofSubStance uSe among young ASian pacific iSlander men who have Sex with men显示文摘 | Operario D Choi H Chu C | 2006 | Prevention Science2006，7，： | 1 |
| 15 | HIV risk and prevention among Asian/Pacific Islander men who have sex with men: listen to our stories显示文摘 | Nemoto T Operario D Soma T | 2003 | AIDS education and prevention2003，15，： | 1 |
| 16 | Effects of stigma on the mental health of adolescents orphaned by AIDS 显示文摘 | Cluver L D Gardner F Operario D | 2007 | J Adolesc Health2007，42，4： | 1 |
| 17 | Effects of stigma on the mental health of adolescents orphaned by AIDS显示文摘 | Cluver LD Gardner F Operario D | 2007 | J Adolesc Health2007，42，4： | 1 |
| 18 | HIV risk behaviorsamong male-to-female transgender persons of color in SanFrancisco 显示文摘 | Nemoto T Operario D Keatley J | 2004 | Am J Public Health2004，94，7： | 1 |
| 19 | Substance use, substance choice, and unprotected anal intercourse among young Asian American and Pacific Islander men who have sex with men 显示文摘 | Choi KH Operario D Gregorich SE | 2005 | AIDSEducPrev2005，17，5： | 1 |
| 20 | Age and race mixing patterns of sexual partnerships among Asian men who have sex with men:implications for HIV transmission and prevention显示文摘 | Choi KH Operario D Gregorich S | 2003 | AIDS Education and Prevention2003，15，： | 1 |
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