Correlates Associated With Willingness to Start Pre-exposure Prophylaxis Among Young Black Men Who Have Sex With Men (MSM) in Jackson, Mississippi

2019 ◽  
Vol 42 (3) ◽  
pp. 189-196
Author(s):  
Lori M. Ward ◽  
Marino A. Bruce ◽  
Roland J. Thorpe ◽  
Leandro Mena ◽  
Amy Nunn ◽  
...  
Keyword(s):  
Black Men ◽  
Sex With Men ◽  
Exposure Prophylaxis

scholarly journals Limited awareness of pre-exposure prophylaxis among black men who have sex with men and transgender women in New York city

AIDS Care ◽  
2017 ◽  
Vol 30 (1) ◽  
pp. 9-17 ◽  
Author(s):  
Matthew Garnett ◽  
Yael Hirsch-Moverman ◽  
Julie Franks ◽  
Eleanor Hayes-Larson ◽  
Wafaa M. El-Sadr ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Black Men ◽  
York City ◽  
Transgender Women ◽  
Sex With Men ◽  
Exposure Prophylaxis

Masculine ideology and Black men who have sex with men’s interest in HIV pre-exposure prophylaxis (PrEP)

2020 ◽  
pp. 135910532094123
Author(s):  
Redd Driver ◽  
Aerielle M Allen ◽  
Stephanie Finneran ◽  
Jessica L Maksut ◽  
Lisa A Eaton ◽  
...  
Keyword(s):  
Black Men ◽  
Behavioral Measures ◽  
Self Presentation ◽  
Masculine Ideology ◽  
Gay Pride ◽  
Sex With Men ◽  
Traditional Masculinity ◽  
Exposure Prophylaxis

We examined how traditional masculinity and stigma surrounding HIV pre-exposure prophylaxis (PrEP) affect PrEP interest among Black men who have sex with men (BMSM). One hundred twenty-three men attending a Black Gay Pride event completed measures assessing traditional masculinity, PrEP stigma, and PrEP interest along with two behavioral measures of interest in PrEP. Results demonstrated that avoidance of femininity directly related to interest in PrEP and indirectly through conformity to heterosexual self-presentation. Further, PrEP stigma differentially moderated both of these relationships. Interventions designed to improve engagement of PrEP for BMSM should be attentive to traditional masculinity as a barrier.

scholarly journals Psychosocial factors related to willingness to use pre-exposure prophylaxis for HIV prevention among Black men who have sex with men attending a community event

Sexual Health ◽  
2014 ◽  
Vol 11 (3) ◽  
pp. 244 ◽  
Author(s):  
Lisa A. Eaton ◽  
Daniel D. Driffin ◽  
Harlan Smith ◽  
Christopher Conway-Washington ◽  
Denise White ◽  
...  
Keyword(s):  
Health Care ◽  
Black Men ◽  
Psychosocial Factors ◽  
Health Care Provider ◽  
Care Provider ◽  
Medical Mistrust ◽  
Sex With Men ◽  
Willingness To Use ◽  
Exposure Prophylaxis ◽  
Hiv Aids

Objectives In the US, Black men who have sex with men (BMSM) are disproportionately affected by HIV/AIDS. Pre-exposure prophylaxis (PrEP) holds tremendous promise for curbing the HIV/AIDS epidemic among these men. However, many psychosocial components must be addressed in order to implement this prevention tool effectively among BMSM. Methods: We assessed PrEP knowledge and use, health care access experiences, race-based medical mistrust, sexual partners and behaviours, and drug and alcohol use among 699 men attending a community event in the south-eastern United States. We used generalised linear modelling to assess factors associated with their willingness to use PrEP. Results: Three hundred and ninety-eight men reported being BMSM and having HIV-negative status. Among these men, 60% reported being willing to use PrEP. Lack of being comfortable with talking to a health care provider about having sex with men, not having discussed having sex with a man with a health care provider, race-based medical mistrust, and alcohol consumption and substance use were all identified as barriers to willingness to use PrEP. Sexual risk-taking, number of sex partners and STI diagnosis were not associated with willingness to use PrEP. Conclusions: Findings from the current paper demonstrate the importance of acknowledging the role of various psychosocial factors in the uptake of PrEP. It is imperative that we prioritise research into understanding these barriers better, as the failure to do so will impede the tremendous potential of this prevention technology.

scholarly journals The Promise of Pre-Exposure Prophylaxis for Black Men Who Have Sex with Men: An Ecological Approach to Attitudes, Beliefs, and Barriers

2016 ◽  
Vol 30 (6) ◽  
pp. 282-290 ◽  
Author(s):  
Morgan M. Philbin ◽  
Caroline M. Parker ◽  
Richard G. Parker ◽  
Patrick A. Wilson ◽  
Jonathan Garcia ◽  
...  
Keyword(s):  
Black Men ◽  
Ecological Approach ◽  
Sex With Men ◽  
Exposure Prophylaxis

scholarly journals A Mobile Intervention to Improve Uptake of Pre-Exposure Prophylaxis for Southern Black Men Who Have Sex With Men: Protocol for Intervention Development and Pilot Randomized Controlled Trial

10.2196/15781 ◽  
2020 ◽  
Vol 9 (2) ◽  
pp. e15781
Author(s):  
Anne-Emilie Rouffiac ◽  
Laura Whiteley ◽  
Larry Brown ◽  
Leandro Mena ◽  
Lacey Craker ◽  
...  
Keyword(s):  
Black Men ◽  
Controlled Trial ◽  
Cost Effective ◽  
Text Messages ◽  
Southern United States ◽  
Structural Barriers ◽  
Randomized Controlled ◽  
Youtube Videos ◽  
Sex With Men ◽  
Exposure Prophylaxis

Background The uptake of pre-exposure prophylaxis (PrEP) has been slow for young black men who have sex with men (BMSM) living in the southern United States. This is a significant issue because 8 of the 10 states with the highest rates of new HIV infections are in the South. Jackson, Mississippi (MS), the site of this project, has the second highest AIDS diagnosis rate in the nation and the highest rate of HIV infection for young, urban BMSM. This study will develop and test an engaging, interactive, and cost-effective mobile messaging intervention to improve engagement in PrEP care for BMSM aged 18 to 35 years living in Jackson, MS. Objective The goals of this mixed methods study are to (1) conduct qualitative interviews with young BMSM in Jackson, MS, to understand individual, community, and structural barriers affecting engagement in PrEP-related care, (2) assemble a PrEP mobile messaging intervention that includes text messages with publicly available internet content (websites and YouTube videos) that provide factual information, motivational materials, and behavioral skills related to PrEP and HIV prevention, and (3) evaluate the preliminary efficacy of the intervention in a randomized controlled study with PrEP-eligible BMSM receiving care in STI/HIV testing clinics in Jackson, MS. Methods This research protocol will be conducted in 2 phases. A development phase will involve in-depth interviews (n=30) with PrEP-eligible BMSM who receive care in STI/HIV testing clinics in MS. These interviews will allow researchers to select the texted material that will be sent out during the intervention. The second phase will consist of an unblinded, small, randomized controlled trial among 66 new participants to examine the preliminary efficacy of the intervention compared with enhanced standard of care (ESC) on attendance at a PrEP services appointment (the first step in initiating PrEP care) and receipt of a PrEP prescription, based on self-report and electronic medical records. The free, publicly available material will be sent to PrEP-eligible BMSM in 8 to 16 interactive text messages over 4 weeks. Study assessments will occur at enrollment and at 4- and 16-weeks postenrollment and can be completed online or in person. All participants will be recruited from a local clinic. Results Institutional review board approval was received on January 16, 2017, and research activities, subsequently, began in February 2018. Recruitment for the study concluded in November 2019. In total, 65 participants were randomized with 33 being assigned to the intervention and 32 to ESC. Collection of follow-up data is ongoing. Conclusions This PrEP mobile messaging intervention aims to increase uptake of PrEP by BMSM in the southern United States. This intervention uses interactive, tailored text messaging and appealing free Web content (publicly accessible educational websites and YouTube videos) to promote linkage to PrEP care and increase HIV preventative behaviors. A cost-effective PrEP mobile messaging intervention has great potential to improve information about PrEP, improve motivation to use PrEP, and decrease stigma and structural barriers that often prevent engagement in PrEP-related medical care. Trial Registration ClinicalTrials.gov NCT03308097; https://clinicaltrials.gov/ct2/show/NCT03308097 International Registered Report Identifier (IRRID) DERR1-10.2196/15781

Developing targeted HIV risk predictors for young black men who have sex with men: a two-city comparative study

2020 ◽  
Vol 31 (4) ◽  
pp. 335-344
Author(s):  
Anthony C Nguyen ◽  
Lindsay E Young ◽  
Matthew R Beymer ◽  
Sze-Chuan Suen
Keyword(s):  
United States ◽  
Los Angeles ◽  
Black Men ◽  
Hiv Risk ◽  
The United States ◽  
Risk Indicator ◽  
Screening Guidelines ◽  
Control And Prevention ◽  
Sex With Men ◽  
Exposure Prophylaxis

HIV burden in the United States is geographically and demographically heterogeneous. While efforts over the last few decades have reduced HIV incidence, young black men who have sex with men (YBMSM) account for a significant portion of new HIV diagnoses compared to any other race and age group. The Centers for Disease Control and Prevention has allocated funding to help reduce HIV in the YBMSM community; however, their recommended screening/treatment criteria do not emphasize demographic specificity. To better guide more applicable screening guidelines specifically for YBMSM, we examine demographic, behavioral, sexual network, and biological predictors of HIV status among YBMSM in two demographically distinct cities with high HIV burden in the United States: Chicago, IL and Los Angeles, CA. We perform multivariable logistic regressions to identify predictors of HIV in these populations. We found that having a history of syphilis was the only statistically significant predictor across both cities despite inclusion of other characteristics previously shown to be associated with HIV among YBMSM. Syphilis history could be a powerful HIV risk indicator for YBMSM and, therefore, should be integrated into clinical screening practices for critical biomedical prevention options like HIV pre-exposure prophylaxis.

We have a duty to eradicate HIV in the community, in the world' : successful PrEP use among black men who have sex with men

2020 ◽  
Author(s):  
◽  
Laura Remy
Keyword(s):  
Black Men ◽  
The United States ◽  
University Of Missouri ◽  
Individual Interviews ◽  
Biomedical Prevention ◽  
Sex With Men ◽  
One Year ◽  
Exposure Prophylaxis ◽  
The University ◽  
Insight Into

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT REQUEST OF AUTHOR.] Black men who have sex with men (BMSM) have a 50% lifetime risk of HIV infection. The HIV epidemic continues to be a perplexing health issue, despite the availability of a highly effective biomedical prevention strategy. Pre-exposure prophylaxis (PrEP) uptake is suboptimal among BMSM: a priority population that accounts for over one fourth of all new HIV diagnoses in the United States. Most research endeavors have focused on identifying barriers to PrEP with less emphasis on facilitators of PrEP uptake. This qualitative study was undertaken to gain a better understanding about the factors that motivate BMSM to seek PrEP and the strategies that resulted in successful uptake. In-depth individual interviews were conducted with Midwestern BMSM (n=12) who were successfully taking PrEP for over one year. The men were sophisticated, privately insured healthcare consumers and yet, the overarching theme that emerged from the data was that obtaining PrEP was a "long, hard road". Facilitators to PrEP access included having an important person, insight into the roles of stigma, sexual partner mistrust, and the desire to be a part of something bigger than oneself. Also prevalent in the data were descriptions about barriers to PrEP access. Men in this study felt strongly that HIV prevention is everyone's responsibility. Findings have important implications for research and clinical practice. Strategies that can decrease healthcare system barriers and help simplify the process to access PrEP are greatly needed.

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