Awareness and Willingness to Use Biomedical Prevention Strategies for HIV Among Sexual and Gender Minority Youth: Results From a National Survey

Dunville, Richard; Harper, Christopher R.; Johns, Michelle M.; Viox, Melissa Heim; Avripas, Sabrina; Fordyce, Erin; Stern, Michael; Schlissel, Anna C.; Carpenter, Rachel; Michaels, Stuart

doi:10.1016/j.jadohealth.2020.05.032

Cited by 20 publications

(3 citation statements)

References 22 publications

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“…This suggests that efforts to reduce PrEP out-of-pocket costs, in isolation of the other tradeoffs patients consider, may not be effective to increase interest in PrEP. Surveys have shown that many young GBMSM are not even aware of PrEP [ 27 ], so targeted messaging efforts by public health officials about the safety and efficacy of PrEP may be the best way to increase PrEP uptake among high-risk youth and others unfamiliar with PrEP, especially given the importance of low out-of-pocket costs for PrEP among young GBMSM [ 28 ]. Among those not reporting interest in PrEP, there was no single attribute that stood out as being most important to increase interest in PrEP among that group.…”

Section: Discussionmentioning

confidence: 99%

Optimizing Uptake of Long-Acting Injectable Pre-exposure Prophylaxis for HIV Prevention for Men Who Have Sex with Men

et al. 2023

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Pre-exposure prophylaxis (PrEP) is a highly effective HIV prevention tool. Long-acting injectable PrEP (LAI-PrEP) offers another opportunity to reduce HIV. However, how at-risk individuals will consider LAI-PrEP over other modes of administration is unclear. We conducted a discrete choice experiment on preferences for PrEP among a sample of N = 688 gay, bisexual, and other men who have sex with men (GBMSM). We analyzed preferences for mode of administration, side-effects, monetary cost, and time cost using a conditional logit model and predicted preference for PrEP options. LAI-PrEP was preferred, despite mode of administration being the least important PrEP attribute. Side-effects were the most important attribute influencing preferences for PrEP (44% of decision); costs were second-most-important (35% of decision). PrEP with no side-effects was the most important preference, followed by monthly out-of-pocket costs of $0. Practitioners and policymakers looking to increase PrEP uptake should keep costs low, communicate clearly about PrEP side-effects, and allow the use of patient-preferred modes of PrEP administration, including LAI-PrEP.

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Section: Discussionmentioning

confidence: 99%

Optimizing Uptake of Long-Acting Injectable Pre-exposure Prophylaxis for HIV Prevention for Men Who Have Sex with Men

et al. 2023

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“…Stigma is a major barrier to PrEP initiation among BMSM who may anticipate and/or encounter negative experiences with healthcare providers, such as being labelled as “promiscuous” when attempting to obtain PrEP [ 6 , 25 , 26 ]. Recent studies reported that BMSM are less likely to access PrEP and less likely to disclose their sexual identity and sexual behaviors to healthcare professionals due to stigma [ 16 , 22 , 27 , 28 ]. HIV-related stigma is high in the South, and PrEP could be associated with HIV risk or an HIV-positive status, which furthers create barriers for uptake [ 8 , 26 , 29 ].…”

Section: Bmsm Prep Uptake In the Southmentioning

confidence: 99%

“…The use of antiretrovirals for PrEP is a safe and highly effective method that has been demonstrated through multiple clinical trials to prevent HIV [ 3 , 6 , 14 , 15 ]. The U.S. Food and Drug Administration (FDA) has approved the use of Truvada (tenofovir disoproxil fumarate/emtricitabine) and Descovy (emtricitabine 200 mg and tenofovir alafenamide 25 mg) for PrEP to prevent HIV, with both medications clinically indicated for use among MSM [ 6 , 16 ]. Despite the benefits of PrEP, evidence indicates there is poor uptake of PrEP across the U.S., especially among BMSM [ 3 , 5 , 7 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Pre-Exposure Prophylaxis (PrEP) Uptake among Black Men Who Have Sex with Men (BMSM) in the Southern U.S.

Adeagbo

Harrison

Qiao

et al. 2021

IJERPH

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Black men who have sex with men (BMSM) living in the United States (U.S.) South are disproportionately affected by HIV and experience significant disparities in HIV incidence, access to HIV care, and prevention across ages and socio-economic statuses. The aim of this commentary is to critically review current literature on the state of PrEP use among BMSM in the U.S. South, including identifying barriers and facilitators to PrEP use in order to inform intervention development. Extant literature shows that despite the documented benefits of PrEP as an effective HIV-prevention method, its uptake among BMSM is limited across the U.S. South. Common barriers to PrEP uptake included stigma, homophobia, mistrust of healthcare systems, negative attitudes from healthcare providers, access and transportation issues, poverty, and misinformation about PrEP. These barriers are likely to have been further exacerbated by the COVID-19 pandemic. Limited access to PrEP and other HIV-prevention programs, such as HIV testing, post-exposure prophylaxis (PEP), and condoms for BMSM are likely increase HIV incidence in this community. Moreover, the rapid expansion of telehealth services during the COVID-19 period may offer increased opportunity to scale-up PrEP through telehealth interventions, especially if in-person services remain limited due to pandemic precautions. Given the intersectional barriers that limit the access and uptake of PrEP among BMSM, we suggest that tailored programs or interventions that seek to address PrEP disparities among Southern BMSM should adopt intersectional and interdisciplinary approaches to better understand the complex challenges of scaling up PrEP. More studies are needed to investigate the impact of COVID-19 on HIV-prevention services among BMSM and to understand how to co-develop—with the BMSM community and healthcare providers—culturally acceptable interventions to reduce the identified challenges using intersectional and interdisciplinary approaches.

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“It’s Very Inconvenient for Me”: A Mixed-Method Study Assessing Barriers and Facilitators of Adolescent Sexual Minority Males Attending PrEP Follow-Up Appointments

et al. 2021

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Awareness and Willingness to Use Biomedical Prevention Strategies for HIV Among Sexual and Gender Minority Youth: Results From a National Survey

Cited by 20 publications

References 22 publications

Optimizing Uptake of Long-Acting Injectable Pre-exposure Prophylaxis for HIV Prevention for Men Who Have Sex with Men

Optimizing Uptake of Long-Acting Injectable Pre-exposure Prophylaxis for HIV Prevention for Men Who Have Sex with Men

Pre-Exposure Prophylaxis (PrEP) Uptake among Black Men Who Have Sex with Men (BMSM) in the Southern U.S.

“It’s Very Inconvenient for Me”: A Mixed-Method Study Assessing Barriers and Facilitators of Adolescent Sexual Minority Males Attending PrEP Follow-Up Appointments

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