Perceptions of HIV Pre-Exposure Prophylaxis Among Young, Black Men Who Have Sex with Men

Overview

Journal AIDS Patient Care STDS

Specialty Infectious Diseases

Date 2019 Apr 26

PMID 31021175

Citations 30

Authors

Latesha Elopre

Chastity McDavid

Ashley Brown

Sally Shurbaji

Michael J Mugavero

Janet M Turan

Affiliations

Soon will be listed here.

Abstract

We conducted in-depth interviews guided by the Andersen-Newman Health Service Utilization Framework to understand perceptions of pre-exposure prophylaxis (PrEP) with 25 young, black men who have sex with men (YBMSM) in the Southern United States. The mean age of participants was 24 years; 21 were insured; and 18 had a regular source of care. Five major themes emerged: (i) stigma related to being black, gay and living in the South; (ii) lack of discussion in the black community about HIV prevention and sexual health; (iii) stigma related to PrEP; (iv) medical mistrust; and (v) low perceived need to be on PrEP. This study presents formative qualitative work that underscores the need for behavioral interventions to address intersectional stigma and perceptions of risk among YBMSM in the South, so that PrEP is no longer viewed as a drastic step but rather as a routine HIV prevention strategy.

Citing Articles

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References

Thigpen M, Kebaabetswe P, Paxton L, Smith D, Rose C, Segolodi T . Antiretroviral preexposure prophylaxis for heterosexual HIV transmission in Botswana. N Engl J Med. 2012; 367(5):423-34. DOI: 10.1056/NEJMoa1110711. View

Eaton L, Kalichman S, Price D, Finneran S, Allen A, Maksut J . Stigma and Conspiracy Beliefs Related to Pre-exposure Prophylaxis (PrEP) and Interest in Using PrEP Among Black and White Men and Transgender Women Who Have Sex with Men. AIDS Behav. 2017; 21(5):1236-1246. PMC: 5926187. DOI: 10.1007/s10461-017-1690-0. View

Garcia J, Parker C, Parker R, Wilson P, Philbin M, Hirsch J . Psychosocial Implications of Homophobia and HIV Stigma in Social Support Networks: Insights for High-Impact HIV Prevention Among Black Men Who Have Sex With Men. Health Educ Behav. 2016; 43(2):217-25. PMC: 4973624. DOI: 10.1177/1090198115599398. View

Altman D, Aggleton P, Williams M, Kong T, Reddy V, Harrad D . Men who have sex with men: stigma and discrimination. Lancet. 2012; 380(9839):439-45. DOI: 10.1016/S0140-6736(12)60920-9. View

Andersen R, NEWMAN J . Societal and individual determinants of medical care utilization in the United States. Milbank Mem Fund Q Health Soc. 1973; 51(1):95-124. View

Sullivan P, Hamouda O, Delpech V, Geduld J, Prejean J, Semaille C . Reemergence of the HIV epidemic among men who have sex with men in North America, Western Europe, and Australia, 1996-2005. Ann Epidemiol. 2009; 19(6):423-31. DOI: 10.1016/j.annepidem.2009.03.004. View

Grohskopf L, Chillag K, Gvetadze R, Liu A, Thompson M, Mayer K . Randomized trial of clinical safety of daily oral tenofovir disoproxil fumarate among HIV-uninfected men who have sex with men in the United States. J Acquir Immune Defic Syndr. 2013; 64(1):79-86. DOI: 10.1097/QAI.0b013e31828ece33. View

Andersen R, Bozzette S, Shapiro M, St Clair P, Morton S, Crystal S . Access of vulnerable groups to antiretroviral therapy among persons in care for HIV disease in the United States. HCSUS Consortium. HIV Cost and Services Utilization Study. Health Serv Res. 2000; 35(2):389-416. PMC: 1089126. View

Ganczak M, Barss P, Alfaresi F, Almazrouei S, Muraddad A, Al-Maskari F . Break the silence: HIV/AIDS knowledge, attitudes, and educational needs among Arab university students in United Arab Emirates. J Adolesc Health. 2007; 40(6):572.e1-8. DOI: 10.1016/j.jadohealth.2007.01.011. View

10.

Duffy L . Suffering, shame, and silence: the stigma of HIV/AIDS. J Assoc Nurses AIDS Care. 2005; 16(1):13-20. DOI: 10.1016/j.jana.2004.11.002. View

11.

Frye V, Wilton L, Hirshfied S, Chiasson M, Usher D, Lucy D . "Just Because It's Out There, People Aren't Going to Use It." HIV Self-Testing Among Young, Black MSM, and Transgender Women. AIDS Patient Care STDS. 2015; 29(11):617-24. PMC: 4808283. DOI: 10.1089/apc.2015.0100. View

12.

Weinstein M, Yang O, Cohen A . Were we prepared for PrEP? Five years of implementation. AIDS. 2017; 31(16):2303-2305. PMC: 5642332. DOI: 10.1097/QAD.0000000000001626. View

13.

Beyrer C, Baral S, van Griensven F, Goodreau S, Chariyalertsak S, Wirtz A . Global epidemiology of HIV infection in men who have sex with men. Lancet. 2012; 380(9839):367-77. PMC: 3805037. DOI: 10.1016/S0140-6736(12)60821-6. View

14.

Seeley J, Watts C, Kippax S, Russell S, Heise L, Whiteside A . Addressing the structural drivers of HIV: a luxury or necessity for programmes?. J Int AIDS Soc. 2012; 15 Suppl 1:1-4. PMC: 3499845. DOI: 10.7448/IAS.15.3.17397. View

15.

Van Damme L, Corneli A, Ahmed K, Agot K, Lombaard J, Kapiga S . Preexposure prophylaxis for HIV infection among African women. N Engl J Med. 2012; 367(5):411-22. PMC: 3687217. DOI: 10.1056/NEJMoa1202614. View

16.

Grant R, Lama J, Anderson P, McMahan V, Liu A, Vargas L . Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N Engl J Med. 2010; 363(27):2587-99. PMC: 3079639. DOI: 10.1056/NEJMoa1011205. View

17.

Elopre L, Kudroff K, Westfall A, Overton E, Mugavero M . Brief Report: The Right People, Right Places, and Right Practices: Disparities in PrEP Access Among African American Men, Women, and MSM in the Deep South. J Acquir Immune Defic Syndr. 2016; 74(1):56-59. PMC: 5903558. DOI: 10.1097/QAI.0000000000001165. View

18.

Laufer F, OConnell D, Feldman I, Zucker H . Vital Signs: Increased Medicaid Prescriptions for Preexposure Prophylaxis Against HIV infection--New York, 2012-2015. MMWR Morb Mortal Wkly Rep. 2015; 64(46):1296-301. DOI: 10.15585/mmwr.mm6446a5. View

19.

Andersen R . Revisiting the behavioral model and access to medical care: does it matter?. J Health Soc Behav. 1995; 36(1):1-10. View

20.

Cahill S, Taylor S, Elsesser S, Mena L, Hickson D, Mayer K . Stigma, medical mistrust, and perceived racism may affect PrEP awareness and uptake in black compared to white gay and bisexual men in Jackson, Mississippi and Boston, Massachusetts. AIDS Care. 2017; 29(11):1351-1358. PMC: 5595632. DOI: 10.1080/09540121.2017.1300633. View