HIV Prevention, Care, and Treatment Among Black Men Who Have Sex with Men (MSM)

Wilton, Leo

doi:10.1007/978-3-030-48744-7_4

Cited by 2 publications

(5 citation statements)

References 70 publications

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“…Healthcare systems’ strengthening, such as healthcare providers’ training, awareness of systemic racism, and sensitization about sexual identity, must be prioritized. In agreement with some scholars [ 37 , 38 ], we recommend that any tailored programs or interventions that seek to address health disparities and contextual and structural factors inhibiting BMSM uptake of PrEP should adopt intersectional and interdisciplinary approaches for better understanding of the problems in order to develop culturally acceptable multilevel interventions. To achieve optimal improved health outcomes among BMSM, the community must be well represented in scientific research or programs on the issues that affect them.…”

Section: Conclusion and Key Recommendationssupporting

confidence: 65%

“…Although there is often a lag between data collection and dissemination, this shows the need for more recent data to adequately inform PrEP efforts among BMSM in the South. Since the declaration of EHE initiative in 2019 to eradicate the HIV epidemic within 10 years, few HIV studies have been conducted that focus specifically on BMSM [ 37 ]. While COVID-19 disruptions exacerbate the existing health disparities and barriers that inhibit access to PrEP, there is generally a dearth of data on PrEP uptake, retention, and adherence among BMSM in the U.S. [ 34 , 35 , 37 , 38 ].…”

Section: Impact Of Covid-19 On Uptake and Prep-related Research Among Bmsmmentioning

confidence: 99%

“…In addition, some scholars have noted that the production of knowledge in the field of public health has mostly been rooted in biomedical research and theories, and it is yet to adopt intersectional and interdisciplinary approaches especially for HIV-related research among BMSM to address health disparities in U.S. [ 2 , 37 , 39 , 40 , 41 ]. The advancement of studies and interventions that adopt intersectional and interdisciplinary approaches to investigate health disparities, PrEP use, and adherence among BMSM is critical to ending the HIV epidemic in U.S. [ 34 , 38 , 42 , 43 ].…”

Section: Impact Of Covid-19 On Uptake and Prep-related Research Among Bmsmmentioning

confidence: 99%

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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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Section: Conclusion and Key Recommendationssupporting

confidence: 65%

Section: Impact Of Covid-19 On Uptake and Prep-related Research Among Bmsmmentioning

confidence: 99%

Section: Impact Of Covid-19 On Uptake and Prep-related Research Among Bmsmmentioning

confidence: 99%

See 1 more Smart Citation

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

View full text Add to dashboard Cite

show abstract

“…This can create a compounding effect on bodily responses such as stress, particularly among bisexual or older homosexual individuals, ethnic or racial minorities, and transgender men 13 . Yet, psychosocial support and mental health needs remain understudied 14 , 15 . Support services are underutilized within MSM populations due to physical and financial barriers 14 , 15 and dissatisfaction with care often resulting from structural barriers (i.e., homophobia, heterosexism, etc.)…”

Section: Introductionmentioning

confidence: 99%

“…Yet, psychosocial support and mental health needs remain understudied 14 , 15 . Support services are underutilized within MSM populations due to physical and financial barriers 14 , 15 and dissatisfaction with care often resulting from structural barriers (i.e., homophobia, heterosexism, etc.) due to sociocultural prejudicial norms and attitudes which are often compounded for racial/ethnic minorities 14 , 16 .…”

Section: Introductionmentioning

confidence: 99%

Predicting salivary cortisol and sexual behavior stigma among MSM in the American Men’s Internet Survey 2019

Dibble,

Murray,

Baral

et al. 2023

Sci Rep

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Physiological stress levels in response to sexual behavior stigma among men who have sex with men (MSM) in the United States (US) are understudied. The current study aims to explore the relationship between sexual behavior stigma and salivary cortisol both overall and stratified by race/ethnicity. If such an association exists, it may suggest that sexual behavior stigma can be physiologically measured or indicated by the presence of heightened salivary cortisol. A subsample of 667 MSM participants from the 2019 American Men’s Internet Survey (AMIS; N = 10,129) submitted morning (AM) and evening (PM) saliva cortisol samples using at-home mail-in collection kits. Average daily cortisol and daily cortisol change were calculated; simple linear regressions estimated associations between cortisol measures and sexual behavior stigma characterized in four different ways (ever and recent experience of individual stigma items; average ever and recent experience of three stigma scales: stigma from family and friends, anticipated healthcare stigma, general social stigma). Participants reported a mean age of 36.0 years (SD = 14.9), with most being non-Hispanic white (n = 480, 72.0%), Hispanic (n = 164, 12.3%), or Black/African American (n = 146, 10.9%), and identified as homosexual/gay (n = 562, 84.3%). Reporting ever experiencing healthcare providers gossiping was significantly associated with higher PM cortisol (β = 0.12, p = 0.001) and higher average daily cortisol (β = 0.11, p = 0.004), while reporting ever experiencing police refusing to protect was associated with higher AM cortisol (β = 0.08, p = 0.03) and higher average daily cortisol (β = 0.09, p = 0.02). Recent experiences of stigma were not significant predictors of any measure of cortisol. Measures of salivary cortisol may be used to characterize sexual behavior stigma among MSM populations, however more insight is needed to determine its exact relationship and strength.

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HIV Prevention, Care, and Treatment Among Black Men Who Have Sex with Men (MSM)

Cited by 2 publications

References 70 publications

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

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

Predicting salivary cortisol and sexual behavior stigma among MSM in the American Men’s Internet Survey 2019

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