Pre‐exposure prophylaxis initiation and adherence among Black men who have sex with men (<scp>MSM</scp>) in three US cities: results from the <scp>HPTN</scp> 073 study

Wheeler, Darrell P.; Fields, Sheldon D.; Beauchamp, Geetha; Chen, Ying Qing; Emel, Lynda; Hightow-Weidman, Lisa; Hucks-Ortiz, Christopher; Kuo, Irene; Lucas, Jonathan; Magnus, Manya; Mayer, Kenneth H.; Nelson, LaRon E.; Hendrix, Craig W.; Piwowar‐Manning, Estelle; Shoptaw, Steven; Watkins, Phaedrea; Watson, Christopher Chauncey; Wilton, Leo

doi:10.1002/jia2.25223

Cited by 88 publications

(93 citation statements)

References 65 publications

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“…In What's PrEP?, higher monthly income was associated with lower peer navigator acceptability. Interestingly, the HPTN 073 study of PrEP uptake and adherence among Black MSM found that men with higher incomes had higher rates of PrEP adherence, suggesting that men with means may need limited or no help engaging with HIV prevention services [47]. In our study, having a regular medical provider was associated with lower peer navigator acceptability, although this factor was not significant in multivariable analysis.…”

Section: Discussioncontrasting

confidence: 68%

What’s PrEP?: peer navigator acceptability among minority MSM in Washington

Pagkas-Bather

Jaramillo²,

Henry

et al. 2020

BMC Public Health

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Background: Peer navigation is a promising strategy to link at-risk minority men who have sex with men (MSM) to HIV prevention services including pre-exposure prophylaxis (PrEP). Methods: Thirty-two Black and 63 Latinx HIV-negative MSM living in western Washington completed a survey examining attitudes towards peer navigation and PrEP. Factor analysis derived a score for peer navigator acceptability, and linear regression identified associations with this outcome. Results: Forty-eight percent were interested in peer navigation. Being insured, higher sexual stigma, and higher PHQ-9 score were associated with higher acceptability, while higher income and having a regular medical provider were associated with lower acceptability. In multivariable analysis, higher sexual stigma predicted higher acceptability, while higher income predicted lower acceptability. Men preferred that peers be matched on sexual orientation, race, age and culture. Conclusion: Peer navigation interventions to reach minority men should address stigma, focus on lower-income men, and try to match peers to clients to the extent possible.

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Section: Discussioncontrasting

confidence: 68%

What’s PrEP?: peer navigator acceptability among minority MSM in Washington

Pagkas-Bather

Jaramillo²,

Henry

et al. 2020

BMC Public Health

View full text Add to dashboard Cite

show abstract

“…Interestingly, the HPTN 073 study of PrEP uptake and adherence among Black MSM found that men with higher incomes had higher rates of PrEP adherence, suggesting that men with means may need limited or no help engaging with HIV prevention services [46]. In our study, having a regular medical provider was associated with lower peer navigator acceptability, although this factor was not significant in multivariable analysis.…”

Section: Discussioncontrasting

confidence: 68%

What's PrEP?: Peer Navigator Acceptability among Minority MSM in Washington

Pagkas-Bather

Jaramillo²,

Henry

et al. 2019

Preprint

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Background: Peer navigation is a promising strategy to link at-risk minority men who have sex with men (MSM) to HIV prevention services including pre-exposure prophylaxis (PrEP). Methods: Thirty-two Black and 63 Latinx HIV-negative MSM living in western Washington completed a survey examining attitudes towards peer navigation and PrEP. Factor analysis derived a score for peer navigator acceptability, and linear regression identified associations with this outcome . Results: Forty-eight percent were interested in peer navigation. Being insured, higher sexual stigma, and higher PHQ-9 score were associated with higher acceptability, while higher income and having a regular medical provider were associated with lower acceptability. In multivariable analysis, higher sexual stigma predicted higher acceptability, while higher income predicted lower acceptability. Conclusion: Men preferred that peers be matched on sexual orientation, race, age and culture. Peer navigation interventions to reach minority men should address stigma, focus on lower-income men, and try to match peers to clients to the extent possible. Key words: HIV prevention, pre-exposure prophylaxis, Black, Latinx, men who have sex with men

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“…Socio-economic factors and poor governmental policy remain major barriers to widespread implementation of pre-exposure prophylaxis in Africa. Although, other probable factors hindering the implementation of PrEP men (MSM) (7). According to a cross sectional study, preexposure prophylaxis (PrEP) can reduce HIV transmission risk for many gay, bisexual and other men who have sex with men (8).…”

Section: Barriers To the Implementation Of Prep For The Prevention Ofmentioning

confidence: 99%

The urgent need for the use of pre-exposure prophylaxis (PrEP) in the prevention of HIV/AIDS in Sub-Saharan Africa

Ayenigbara

2019

J. appl. health sci. (Online)

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Human immunodeficiency virus (HIV) is an infection that came into existence decades back; it spread across the African countries in the late 1970s, and is currently endemic across the world. HIV is a major public health problem all over the world, as it has claimed more than 35million lives. There were around 36.9 million individuals living with HIV at the end of 2017, and Sub-Saharan Africa remains the most affected by HIV infection with 1 in 25 adults (4.1%) living with the virus, accounting for 70% of the people living with HIV worldwide. Unfortunately, Sub-Saharan Africa continues to be the continent with the highest cases of infections and deaths from HIV/AIDS even after the implementation of various HIV/AIDS prevention methods. Fortunately, pre-exposure prophylaxis (PrEP) offers the world a novel way of curtailing the HIV/AIDS epidemic, as PrEP is highly effective for preventing HIV if it is used as prescribed. This paper discusses the urgent need for the use of PrEP in the prevention of HIV/AIDS in Sub-Saharan Africa. It is a review paper in which the meaning of PrEP was discussed, people who need PrEP were identified, the rationale for the use of PrEP for the prevention of HIV/AIDS in Sub-Saharan Africa were highlighted, and probable obstacles to the successful implementation of PrEP for the prevention of HIV/AIDS in Sub-Saharan Africa were also identified. It was concluded that to achieve the 90-90-90 goals set by UNAIDS to help end the AIDS epidemic in the world, PrEP offers a new and novel way for HIV prevention, and its implementation across all African countries is urgently needed for the prevention of HIV/AIDS in Sub-Saharan Africa.

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Pre‐exposure prophylaxis initiation and adherence among Black men who have sex with men (MSM) in three US cities: results from the HPTN 073 study

Cited by 88 publications

References 65 publications

What’s PrEP?: peer navigator acceptability among minority MSM in Washington

What’s PrEP?: peer navigator acceptability among minority MSM in Washington

What's PrEP?: Peer Navigator Acceptability among Minority MSM in Washington

The urgent need for the use of pre-exposure prophylaxis (PrEP) in the prevention of HIV/AIDS in Sub-Saharan Africa

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