Latino sexual minority men (SMM) have high HIV incidence rates but report low pre-exposure prophylaxis (PrEP) use. Medical mistrust predicts lower medical care use and could contribute to decreased PrEP engagement. This study examines how medical mistrust relates to the PrEP cascade among 151 Latino SMM aged 18–29. Logistic regressions were employed with medical mistrust predicting PrEP awareness, willingness, current use, and adherence. Greater medical mistrust was associated with decreased odds of all outcomes and may represent a barrier to PrEP engagement for Latino SMM. Further research should explore whether reducing medical mistrust among Latino SMM could increase PrEP engagement.

拉丁裔性少数男性 (SMM) 的 HIV 发病率很高，但报告的暴露前预防 (PrEP) 使用率较低。医疗不信任预示着较低的医疗保健使用，并可能导致 PrEP 参与度下降。本研究调查了医疗不信任与 151 名 18-29 岁的拉丁裔 SMM 之间的 PrEP 级联反应之间的关系。使用逻辑回归与医学不信任预测 PrEP 意识、意愿、当前使用和依从性。更大的医疗不信任与所有结果的几率降低有关，并且可能是拉丁裔 SMM 参与 PrEP 的障碍。进一步的研究应该探讨减少拉丁裔 SMM 之间的医疗不信任是否可以增加 PrEP 参与度。