scholarly journals Willingness to use pre-exposure prophylaxis among Black and White men who have sex with men in Atlanta, Georgia

2016 ◽  
Vol 28 (9) ◽  
pp. 849-857 ◽  
Author(s):  
Charlotte-Paige Rolle ◽  
Eli S Rosenberg ◽  
Nicole Luisi ◽  
Jeremy Grey ◽  
Travis Sanchez ◽  
...  
Keyword(s):  
Low Cost ◽  
Healthcare Access ◽  
Scale Up ◽  
White Men ◽  
Anal Intercourse ◽  
Black Msm ◽  
Black And White ◽  
Sex With Men ◽  
Willingness To Use ◽  
Exposure Prophylaxis

PrEP willingness may be different among black and white men who have sex with men (MSM) given known disparities in HIV incidence, sociodemographic factors, and healthcare access between these groups. We surveyed 482 black and white HIV-negative MSM in Atlanta, GA about their willingness to use pre-exposure prophylaxis (PrEP) and facilitators and barriers to PrEP willingness. Overall, 45% (215/482) of men indicated interest in using PrEP. Engaging in recent unprotected anal intercourse (UAI) was the only factor significantly associated with PrEP willingness in multivariate analyses (OR 1.73, 95% CI 1.13, 2.65). Willing men identified “extra protection” against HIV as the most common reason for interest in using PrEP, whereas unwilling men most commonly cited not wanting to take medication daily, and this reason was more common among white MSM (42.3% of white MSM vs. 28.9% of black MSM, p = 0.04). Most men indicated willingness to use PrEP if cost was <50 dollars/month; however, more black MSM indicated willingness to use PrEP only if cost were free (17.9% of white MSM vs. 25.9% of black MSM, p = 0.03). Overall, these data are useful to scale up PrEP interventions targeting at-risk MSM in Atlanta and highlight the need for implementation of low cost-programs, which will be especially important for black MSM.

scholarly journals Willingness to Use Pre-Exposure Prophylaxis Among Black and White Men Who Have Sex With Men in Atlanta, Georgia

2016 ◽  
Vol 3 (suppl_1) ◽  
Author(s):  
Charlotte-Paige Rolle ◽  
Eli S. Rosenberg ◽  
Nicole Luisi ◽  
Jeremy Grey ◽  
Travis Sanchez ◽  
...  
Keyword(s):  
White Men ◽  
Black And White ◽  
Sex With Men ◽  
Willingness To Use ◽  
Exposure Prophylaxis

scholarly journals 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

2017 ◽  
Vol 21 (5) ◽  
pp. 1236-1246 ◽  
Author(s):  
Lisa A. Eaton ◽  
Seth C. Kalichman ◽  
Devon Price ◽  
Stephanie Finneran ◽  
Aerielle Allen ◽  
...  
Keyword(s):  
White Men ◽  
Transgender Women ◽  
Black And White ◽  
Conspiracy Beliefs ◽  
Sex With Men ◽  
Exposure Prophylaxis

scholarly journals Willingness, preferred ways and potential barriers to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in China

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e053634
Author(s):  
Simin Yu ◽  
Wendy Cross ◽  
Louisa Lok Yi Lam ◽  
Kaili Zhang ◽  
Biswajit Banik ◽  
...  
Keyword(s):  
Scale Up ◽  
University Education ◽  
Hunan Province ◽  
Cross Sectional Survey ◽  
Potential Barriers ◽  
Factors Associated ◽  
Barriers To Use ◽  
Sex With Men ◽  
Willingness To Use ◽  
Exposure Prophylaxis

ObjectiveTo explore willingness and preferred ways to use HIV pre-exposure prophylaxis (PrEP), factors associated with willingness, and potential barriers to PrEP use among men who have sex with men (MSM) in Changsha, China.DesignA cross-sectional survey was conducted from 25 June to 31 August 2019. Two hundred and fifty-five MSM were recruited from three community-based organisations (CBOs) in Changsha City. Willingness and potential barriers to use PrEP were examined using researcher-created scales. Univariate and multivariate logistic regression was used to analyse the factors associated with willingness to use PrEP. P values <0.05 were considered significant.SettingThree MSM inclusive CBOs in Changsha, Hunan Province, China.Participants255 HIV-negative MSM were recruited through their CBOs with snowball sampling.ResultsLess than half of the participants (43.1%) had heard of PrEP and 15.3% were willing to use PrEP. The participants reported higher willingness to use event-driven PrEP (3.70±0.07) than daily PrEP (2.65±0.07). Higher self-rated risk and fear of contracting HIV (OR: 14.47, 95% CI 2.19 to 95.53), awareness of PrEP (OR: 4.20, 95% CI 1.64 to 10.73), sharing one’s own sexual orientation with parents or siblings (OR: 2.52, 95% CI 1.54 to 7.20) and having a university education or above (OR:0.29, 95% CI 0.12 to 0.72) were associated with willingness to use PrEP. Only 12.2% of the sample was concerned about potential barriers to PrEP use.ConclusionEfforts to improve awareness and knowledge of PrEP, teach self-evaluation of HIV infection risk and provide social and emotional support for MSM are needed to scale up PrEP implementation in China.

scholarly journals Estimated Impact of Targeted Pre-Exposure Prophylaxis: Strategies for Men Who Have Sex with Men in the United States

2019 ◽  
Vol 16 (9) ◽  
pp. 1592 ◽  
Author(s):  
Richard A. Elion ◽  
Mina Kabiri ◽  
Kenneth H. Mayer ◽  
David A. Wohl ◽  
Joshua Cohen ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Black Msm ◽  
Number Needed To Treat ◽  
Latino Msm ◽  
Sex With Men ◽  
Young Black Msm ◽  
Exposure Prophylaxis ◽  
The Impact ◽  
Black And Latino

Pre-exposure prophylaxis (PrEP) effectively reduces human immunodeficiency virus (HIV) transmission. We aimed to estimate the impact of different PrEP prioritization strategies among Black and Latino men who have sex with men (MSM) in the United States, populations most disproportionately affected by HIV. We developed an agent-based simulation to model the HIV epidemic among MSM. Individuals were assigned an HIV incidence risk index (HIRI-MSM) based on their sexual behavior. Prioritization strategies included PrEP use for individuals with HIRI-MSM ≥10 among all MSM, all Black MSM, young (≤25 years) Black MSM, Latino MSM, and young Latino MSM. We estimated the number needed to treat (NNT) to prevent one HIV infection, reductions in prevalence and incidence, and subsequent infections in non-PrEP users avoided under these strategies over 5 years (2016–2020). Young Black MSM eligible for PrEP had the lowest NNT (NNT = 10) followed by all Black MSM (NNT = 33) and young Latino MSM (NNT = 35). All Latino MSM and all MSM had NNT values of 63 and 70, respectively. Secondary infection reduction with PrEP was the highest among young Latino MSM (53.2%) followed by young Black MSM (37.8%). Targeting all MSM had the greatest reduction in prevalence (14.7% versus 2.9%–3.9% in other strategies) and incidence (49.4% versus 9.4%–13.9% in other groups). Using data representative of the United States MSM population, we found that a strategy of universal PrEP use by MSM was most effective in reducing HIV prevalence and incidence of MSM. Targeted use of PrEP by Black and Latino MSM, however, especially those ≤25 years, had the greatest impact on HIV prevention.

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.

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