A Medical Care Missed Opportunity: Preexposure Prophylaxis and Young Black Men Who Have Sex With Men

Overview

Journal J Adolesc Health

Publisher Elsevier

Specialty Pediatrics

Date 2016 Oct 11

PMID 27720357

Citations 23

Authors

Renata Arrington-Sanders

Anthony Morgan

Jessica Oidtman

Ian Qian

David Celentano

Chris Beyrer

Affiliations

Soon will be listed here.

Abstract

Purpose: HIV disproportionately impacts young black men who have sex with men (YBMSM). Preexposure prophylaxis (PrEP) is an effective strategy that can avert new HIV infections in YBMSM. Barriers exist for YBMSM to access PrEP.

Methods: We sought to determine factors associated with awareness of and willingness to take PrEP in a sample of YBMSM.

Results: Only 8% were currently on PrEP despite many (66%) reporting condomless anal sex, a recent provider visit (54%), disclosing their sexual orientation to their regular medical provider (62%), or a willingness to take PrEP (62%). In bivariate analysis, increased number of lifetime partners, current PrEP use, and disclosure of sexual orientation to a doctor were associated with awareness of PrEP, while condomless anal sex and higher perceived risk was associated with willingness to take PrEP. Sex with females was associated with lower willingness.

Conclusions: Providers may be missing key opportunities to educate YBMSM about PrEP and incorporate PrEP into comprehensive sexual health care.

Citing Articles

Pediatricians' Discomfort With Pre-exposure Prophylaxis (PrEP) for HIV Prevention: The Need for Greater Education.

Grant M, Chenault K, Waddell J, Tepper V Cureus. 2025; 17(2):e78826.

PMID: 40078253 PMC: 11903101. DOI: 10.7759/cureus.78826.

Weighing the Options: Which PrEP (Pre-exposure Prophylaxis) Modality Attributes Influence Choice for Young Gay and Bisexual Men in the United States?.

Hill-Rorie J, Biello K, Quint M, Johnson B, Elopre L, Johnson K AIDS Behav. 2024; 28(9):2970-2978.

PMID: 39126557 DOI: 10.1007/s10461-024-04384-1.

Increasing pre-exposure prophylaxis (PrEP) in primary care: A study protocol for a multi-level intervention using the multiphase optimization strategy (MOST) framework.

Lockhart E, Turner D, Guastaferro K, Szalacha L, Alzate H, Marhefka S Contemp Clin Trials. 2024; 143:107599.

PMID: 38848935 PMC: 11812645. DOI: 10.1016/j.cct.2024.107599.

Factors Associated with the Awareness of and Willingness to Use HIV Pre-exposure Prophylaxis Among Gay, Bisexual, and Other Men Who Have Sex with Men, Baltimore, MD, 2017-2019.

King H, Thornton N, Evans K, Tadfor Y, German D, Flynn C J Racial Ethn Health Disparities. 2024; .

PMID: 38436888 PMC: 11371943. DOI: 10.1007/s40615-024-01954-w.

Who prefers what? Correlates of preferences for next-generation HIV prevention products among a national U.S. sample of young men who have sex with men.

Biello K, Valente P, Teixeira da Silva D, Lin W, Drab R, Hightow-Weidman L J Int AIDS Soc. 2023; 26 Suppl 2():e26096.

PMID: 37439061 PMC: 10339006. DOI: 10.1002/jia2.26096.

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