“Do I want PrEP or do I want a roof?”

Social determinants of health and HIV prevention in the southern United States

Bibliographic Data

ID19440135
AuthorsSayward E Harrison (0000-0002-7316-7640, University of South Carolina, corresponding author), Mariajosé Paton (0000-0002-7849-1394, University of South Carolina), Kathryn E Muessig (0000-0002-8522-3240, Institute of Global Health and Infectious Diseases, University of North Carolina, School of Medicine, Chapel Hill, NC, USA), Alyssa Vecchio (0000-0002-7372-3539, University of North Carolina at Chapel Hill), Alyssa C Vecchio (Department of Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA), Lyd A Hanson (Institute of Global Health and Infectious Diseases, University of North Carolina, School of Medicine, Chapel Hill, NC, USA), Lisa Hightow‐Weidman (0000-0002-2421-923X, Institute of Global Health and Infectious Diseases, University of North Carolina, School of Medicine, Chapel Hill, NC, USA)
Year2022
Volume34
Issue11
Pages1435-1442
Publication date2022-11-02
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2022.2029816
PMID35109734
OpenAlexW4210241918
LanguageEN
Citations received14
References cited41

Scaling up use of Pre-Exposure Prophylaxis (PrEP) among young men who have sex with men and transgender women (YMSM/TGW) is a critical part of the Ending the HIV Epidemic plan. This qualitative study contextualized the social determinants of health (SDOH) that can impede HIV prevention in rural North and South Carolina with 14 key informant interviews with stakeholders and 3 focus groups with YMSM/TGW (N = 23). A deductive-inductive approach with multiple coders was employed to identify themes related to SDOH in rural areas, including economic challenges (e.g., housing and food insecurity), neighborhood characteristics (e.g., lack of transportation), healthcare-related issues (e.g., provider shortages) and educational barriers (e.g., lack of comprehensive and inclusive sexual education). The socio-environmental context of the rural South and prioritization of local, community-based partnerships are necessary to reduce the burden of HIV

Economic growth · Environmental health · Family medicine · Focus group · Geography · Men who have sex with men · Political science · Public health · Qualitative research · Rural area · Social determinants of health · Sociology · Transgender · Gender Studies · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Homelessness and Social Issues · Medicine · Nursing