A Principal Investigator as a PrEP-Using Peer Change Agent for HIV Prevention among Black Gay and Bisexual Men
An Autoethnography
Bibliographic Data
| ID | 15472425 |
|---|---|
| Authors | Derek T Dangerfield (0000-0002-2473-3183, Milken Institute, corresponding author) |
| Year | 2023 |
| Volume | 20 |
| Issue | 7 |
| Pages | 5309-5309 |
| Publication date | 2023-03-29 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph20075309 |
| PMID | 37047925 |
| OpenAlex | W4361275464 |
| Language | EN |
| Citations received | 2 |
| References cited | 41 |
HIV pre-exposure prophylaxis (PrEP) use remains suboptimal among Black gay and bisexual men (GBM). Multilevel factors such as medication costs, intersectional stigma, patient-clinician communication, medical mistrust, side effect concerns, and low perceived HIV risk (PHR) are well-established PrEP initiation barriers for this group. Peer change agents (PCAs) are culturally congruent interventionists who can circumvent multilevel PrEP barriers among Black GBM. I led an intervention as a PrEP-using PCA to improve PHR and PrEP willingness among 69 Black GBM from 2019-2022 and conducted an autoethnography to better understand multilevel barriers and identify the personal/professional challenges of being an in-group HIV interventionist serving Black SMM. Findings provide novel perspectives regarding PrEP barriers, the role of cultural homophily in behavior change interventions, and how interpersonal dynamics can impact staff fatigue, protocol fidelity, and research participation. Recommendations to prepare and support culturally congruent research staff are also provided
Autoethnography · Computer security · Family medicine · Homosexuality · Human immunodeficiency virus (HIV · Men who have sex with men · Pre-exposure prophylaxis · Principal (computer security · Sociology · Computer Science · Gender Studies · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Sex work and related issues
Adverse childhood experiences and trauma informed care
Antiretroviral Prophylaxis for HIV Prevention in Heterosexual Men and Women
Willingness to Take, Use of, and Indications for Pre-exposure Prophylaxis Among Men Who Have Sex With Men—20 US Cities, 2014
Lifetime risk of a diagnosis of HIV infection in the United States
Emtricitabine-Tenofovir Concentrations and Pre-Exposure Prophylaxis Efficacy in Men Who Have Sex with Men
On-Demand Preexposure Prophylaxis in Men at High Risk for HIV-1 Infection
Historical Origins of the Health Belief Model
The Health Belief Model and Preventive Health Behavior
Consolidated criteria for reporting qualitative research (Coreq)
Souls of Black Folk
Stigma, medical mistrust, and perceived racism may affect PrEP awareness and uptake in black compared to white gay and bisexual men in Jackson, Mississippi and Boston, Massachusetts
Possible selves
Triple Consciousness
Adjuvant chemotherapy
Possible Selves
Patient–Provider Communication Differs for Black Compared to White HIV-Infected Patients
Using a “Positive Deviance” Framework to Discover Adaptive Risk Reduction Behaviors Among High-Risk HIV Negative Black Men Who Have Sex with Men
Missed Prevention Opportunities
A Gay Man and a Doctor are Just like, a Recipe for Destruction”
That Guy is Gay and Black. That’s a Red Flag.” How HIV Stigma and Racism Affect Perception of Risk Among Young Black Men Who Have Sex with Men
Development of the Perceived Risk of HIV Scale
Using Social Networks to Reach Black MSM for HIV Testing and Linkage to Care
Emotional Communication in HIV Care
Sexual Positioning Practices and Sexual Risk Among Black Gay and Bisexual Men
Infectious Sex? An Autoethnographic Exploration of HIV Prevention
Statement of Ownership
Once You’ve Blended the Cake, You Can’t Take the Parts Back to the Main Ingredients”
Changing Drug Users' Risk Environments
Life Course Approaches to the Causes of Health Disparities
Panic at the Disco-Urse
The Life Course as Developmental Theory
Come take a walk with me
Time, Human Agency, and Social Change
A new HIV prevention network approach
The fear of being Black plus the fear of being gay
Shouting it Out
PrEP Whores and HIV Prevention
Techniques to Identify Themes
Multiple Reflections of Child Sex Abuse
Ruptures and sutures
Some Advice for Physicians and Other Clinicians Treating Minorities, Women, and Other Patients at Risk of Receiving Health Care Disparities
| Unique citing works | 2 |
|---|---|
| Citations per year | 1 |
| Citation span | 2024 - 2025 (2) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 2 |