Профилактика

Что мешает геям принимать PrEP?

Что мешает геям принимать PrEP?

Американский профессор Руси Джаспал и доктор Джейк Байли рассказали об исследовании отношений геев к доконтактной профилактике ВИЧ (ДКП/PrEP).

Без побочек

PrEP действительно важен. Мы уже видели невероятные преимущества PrEP в сокращении новых случаев ВИЧ-инфекции. Данные по общественному здравоохранению в Англии показали 40%-ное снижение новых диагнозов ВИЧ в Англии в 2016 году по сравнению с предыдущим годом.

Тем не менее, высокая стоимость PrEP не является единственным препятствием для того, чтобы он стал популярнее. Существуют и другие социальные и психологические факторы, которые могут сделать его недоступным для геев.

В 2016 году мы опросили группу гомосексуалов в Лондоне и Лестере, чтобы узнать, что они знают и думают о PrEP. Все участники опроса сообщали, что знали либо немного, либо вообще ничего не знали о PrEP до начала исследования, но, когда им объясняли, большинство из них считало PrEP хорошим средством.

Однако, когда их спросили, будут ли они использовать PrEP сами, большинство из них выразило озабоченность.

Некоторые мужчины выразили опасение, что этот препарат может иметь побочные эффекты, несмотря на то, что в течение многих лет его используют люди живущие с ВИЧ (ЛЖВ) и выявлено крайне мало «побочек».

Наблюдается интересная градация. Если молодые геи часто думают, что PrEP эффективен в профилактике ВИЧ, то пожилые гомосексуалы считают, что только презервативы являются эффективным способом избежать инфекцию.

Некоторые опрошенные геи также беспокоятся о том, что другие будут плохо реагировать на их использование PrEP. Они опасаются суждений со стороны друзей и семьи, беспокоятся о том, что их сексуальные партнеры могут предположить, что у них ВИЧ или что им нравится беспорядочный секс.

Большинство опрошенных просто не хотят считать себя «в группе риска», что часто ассоциируется с использованием PrEP, хотя многие сами признавались в том, что иногда практикуют опансое сексуальное поведение.

Признание облегчает

Если вы не признаете, что подвергаетесь риску заражения ВИЧ, вы вряд ли предпримете необходимые шаги для снижения своего риска. Крайне важно, чтобы гомосексуалы, подверженные риску ВИЧ, действительно признавали это и рассматривали включение PrEP в свою стратегию снижения риска.

Затем мы провели еще одно исследование осведомленности PrEP среди геев в Лестере и обнаружили, что 56% опрошенных не считают, что прием PrEP будет им выгоден.

Что мешает геям принимать PrEP?

Те, кто верно трактовал свои риски инфицирования и регулярно посещал тесты на ВИЧ (имея в виду высокий уровень знаний и участия в сексуальном здоровье), с большей вероятностью рассмотрели возможность использования PrEP.

В настоящее время большинство геев, принимающих PrEP, хорошо осведомлены о риске ВИЧ. И наоборот, многие из тех, кто не имеет доступа к PrEP, имеют плохое знание о ВИЧ и могут рисковать, не зная об этом. Геи из этнических меньшинств — одна из таких групп.

***

Сейчас единственным препаратом PrEP, одобренным Управлением по контролю за продуктами и лекарствами США, является таблетки Truvada. Их следует принимать ежедневно, если имеет место рискованное поведение. Прием таких таблеток по инструкции снижает риск заражения ВИЧ на 99% и более среди геев. Снижение риска для женщин может значительно превышать отметку в 90%, но этот вопрос еще недостаточно изучен.

Ранее «Парни ПЛЮС» запустили опрос о том, что российские геи, бисексуалы и трансгендеры знают о ДКП/PrEP, могли бы начать принимать их и сколько, по их мнению, они могут стоить. Это позволит узнать уровень информированности о доконтактной профилактике среди мужчин, практикующих секс с мужчинами (МСМ).

Полученная информация также даст шанс Фонду Элтона Джона развить проект по продвижению ДКП/PrEP среди МСМ сообщества в России. Пройти анонимный опрос можно по ссылке.

По материалам pinknews.com

Если вы нашли ошибку, пожалуйста, выделите фрагмент текста и нажмите Ctrl+Enter.

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