Racial/Ethnic Disparities in HIV Preexposure Prophylaxis Among Men Who Have Sex with Men — 23 Urban Areas, 2017

Kanny, Dafna

doi:10.15585/mmwr.mm6837a2

Cited by 235 publications

(156 citation statements)

References 8 publications

Supporting

Mentioning

147

Contrasting

Order By: Relevance

“…52 Prior qualitative literature has noted low ability to assess HIV risk as a barrier to PrEP provision, 37,53 and deficits in provider sexual history taking may contribute to disparities in PrEP awareness and use among high risk populations. 44,54,55 Selection bias is one study limitation. TN does not have a readily-accessible database of provider contact information, resulting in our use of multiple avenues for survey dissemination.…”

Section: Discussionmentioning

confidence: 99%

Tennessee Healthcare Provider Practices, Attitudes, and Knowledge Around HIV Pre-Exposure Prophylaxis

Moore

Kelly

Alexander

et al. 2020

J Prim Care Community Health

View full text Add to dashboard Cite

Introduction/Objectives: Pre-exposure prophylaxis (PrEP) use in the southern United States is low despite its effectiveness in preventing HIV acquisition and high regional HIV prevalence. Our objectives were to assess PrEP knowledge, attitudes, and prescribing practices among Tennessee primary care providers. Methods: We developed an anonymous cross-sectional electronic survey from March to November 2019. Survey development was guided by the Capability, Opportunity, Motivation, and Behavior framework and refined through piloting and interviews. Participants included members of professional society and health center listservs licensed to practice in Tennessee. Respondents were excluded if they did not complete the question regarding PrEP prescription in the previous year or were not in a position to prescribe PrEP (e.g., hospital medicine). Metrics included PrEP prescription in the preceding year, PrEP knowledge scores (range 0-8), provider attitudes about PrEP, and provider and practice characteristics. Knowledge scores and categorical variables were compared across PrEP prescriber status with Wilcoxon rank-sum and Fisher’s exact tests, respectively. Results: Of 147 survey responses, 99 were included and 43 (43%) reported PrEP prescription in the preceding year. Compared with non-prescribers: prescribers had higher median PrEP knowledge scores (7.3 vs 5.6, P < .01), a higher proportion had self-reported patient PrEP inquiries (95% vs 21%, P < .01), and a higher proportion had self-reported good or excellent ability to take a sexual history (83% vs 58%, P = .01) and comfort taking a sexual history (92% vs 63%, P < .01) from men who have sex with men, a subgroup with high HIV risk. Most respondents felt obligated to provide PrEP (65%), and felt all primary care providers should provide PrEP (63%). Conclusion: PrEP provision is significantly associated with PrEP knowledge, patient PrEP inquiries, and provider sexual history taking ability and comfort. Future research should evaluate temporal relationships between these associations and PrEP prescription as potential routes to increase PrEP provision.

show abstract

Section: Discussionmentioning

confidence: 99%

Tennessee Healthcare Provider Practices, Attitudes, and Knowledge Around HIV Pre-Exposure Prophylaxis

Moore

Kelly

Alexander

et al. 2020

J Prim Care Community Health

View full text Add to dashboard Cite

show abstract

“…Hispanic/Latino MSM in the U.S. who prefer to use educational materials in Spanish language might be at a disadvantage for learning about PrEP and how to access it because such materials might be sparse ( 7 ). In addition to addressing typical barriers to PrEP use among all MSM (e.g., cost of care and stigma), HIV prevention programs and services that support Hispanic/Latino MSM, who are all facing disparities in PrEP use ( 8 ), might benefit from offering culturally and linguistically appropriate linkage to PrEP. CDC’s Let’s Stop HIV Together †† initiative has developed multiple prevention campaigns that reach MSM (e.g., Start Talking.…”

Section: Discussionmentioning

confidence: 99%

Trends in Sexual Risk Behaviors Among Hispanic/Latino Men Who Have Sex with Men — 19 Urban Areas, 2011–2017

Trujillo¹,

Chapin-Bardales²,

German³

et al. 2019

MMWR Morb. Mortal. Wkly. Rep.

Self Cite

View full text Add to dashboard Cite

“…The study is being conducted in the following US cities: Baltimore, MD (Johns Hopkins University); Philadelphia, PA (CHOP); and Washington, DC (Children’s National Hospital and Whitman-Walker Health). Each city experiences high rates of HIV among YBLMSM and YBLTW (aged 15-24 years) [ 3 ].…”

Section: Methodsmentioning

confidence: 99%

“…Both YBLMSM and YBLTW are less likely than White young men who have sex with men (MSM) or their White cisgender peers to receive, adhere, and obtain HIV viral suppression with antiretroviral therapy (ART) [ 10 , 11 ]. Moreover, YBLMSM and YBLTW at risk for HIV have had disproportionately lower rates of PrEP uptake and adherence [ 3 , 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Providing Unique Support for Health Study Among Young Black and Latinx Men Who Have Sex With Men and Young Black and Latinx Transgender Women Living in 3 Urban Cities in the United States: Protocol for a Coach-Based Mobile-Enhanced Randomized Control Trial

Arrington‐Sanders¹,

Hailey-Fair²,

Wirtz³

et al. 2020

JMIR Res Protoc

View full text Add to dashboard Cite

Background The US National HIV/AIDS Strategy 2020 calls for increasing access to care, improving outcomes of people living with HIV, and targeting biomedical prevention efforts, including access to pre-exposure prophylaxis (PrEP) in communities where HIV is most heavily concentrated. The cities of Baltimore, Maryland (MD); Washington, DC; and Philadelphia, Pennsylvania (PA) are disproportionately burdened by high rates of new cases of HIV infection, with high prevalence among young Black and Latinx men who have sex with men (YBLMSM) and young Black and Latinx transgender women (YBLTW) aged 15-24 years. Objective This study aims (1) to identify and recruit YBLMSM and YBLTW who are at risk or living with HIV in Baltimore, MD; Philadelphia, PA; and Washington, DC, using respondent-driven sampling (RDS) with targeted seed selection, and (2) to assess the efficacy of a coach-based mobile-enhanced intervention (MEI) compared with standard of care (SOC) to increase successful engagement and retention into HIV, PrEP, and substance use treatment care across the HIV care and prevention continua in 3 Mid-Atlantic cities. This paper describes the protocol and progress as of October 20, 2019. Methods This study uses a multiphase mixed methods design. The first phase is a formative, qualitative research with focus group discussions and key informant interviews. The second phase consists of evaluating the ability of RDS with targeted seed selection. The third phase includes 2 embedded randomized controlled trials (RCTs), where participants complete a baseline sociobehavioral survey, rapid HIV testing, and eligible youth enroll in parallel status-dependent RCTs that randomize the participant to 1 of 2 study arms: MEI with coach or SOC. Participants are asked to complete a web-based survey and provide biologic specimens—HIV-1 RNA (viral load) or HIV-1 antibody test and urine drug screen—at baseline and at 3, 6, and 12 months, and an exit interview at 18 months. Results A formative qualitative research was conducted in February 2017 and May 2018, and this led to further refinement of recruitment and study methods. Aim 1 recruitment began in September 2017 with subsequent enrollment into the RCTs. Recruitment is ongoing with 520 participants screened and 402 (77.3%) enrolled in aim 1 by October 2020. Of these, 159 are enrolled in the 2 randomized trials: 36 (22.6%) HIV-positive not virally suppressed (aim 2) and 123 (77.4%) high-risk HIV-negative (aim 3). Conclusions This study has the potential to significantly impact the medical and substance use services provided to YBLMSM and YBLTW in the United States by providing rigorous scientific evidence outlining approaches and strategies that improve the uptake and engagement of YBLMSM and YBLTW in the HIV treatment and prevention continuum. Trial Registration ClinicalTrials.gov NCT03194477; https://clinicaltrials.gov/ct2/show/NCT03194477 International Registered Report Identifier (IRRID) DERR1-10.2196/17269

show abstract

Racial/Ethnic Disparities in HIV Preexposure Prophylaxis Among Men Who Have Sex with Men — 23 Urban Areas, 2017

Cited by 235 publications

References 8 publications

Tennessee Healthcare Provider Practices, Attitudes, and Knowledge Around HIV Pre-Exposure Prophylaxis

Tennessee Healthcare Provider Practices, Attitudes, and Knowledge Around HIV Pre-Exposure Prophylaxis

Trends in Sexual Risk Behaviors Among Hispanic/Latino Men Who Have Sex with Men — 19 Urban Areas, 2011–2017

Providing Unique Support for Health Study Among Young Black and Latinx Men Who Have Sex With Men and Young Black and Latinx Transgender Women Living in 3 Urban Cities in the United States: Protocol for a Coach-Based Mobile-Enhanced Randomized Control Trial

Contact Info

Product

Resources

About