PrEP Stigma and logistical barriers remain significant challenges in curtailing HIV transmission among Black and Hispanic/Latinx cisgender sexual minority men and transgender women in the US
Bibliographic Data
| ID | 19440340 |
|---|---|
| Authors | R J Watson (0000-0001-7824-7714, University of Connecticut, corresponding author), Cindy J Chang (0000-0002-1997-2665, Rutgers, the State University of New Jersey), Brian A Feinstein (0000-0002-1360-9320, Rosalind Franklin University of Medicine and Science), Raymond L Moody (0000-0002-6833-5021, Columbia University), Antonia E Caba (0000-0002-7760-3964, University of Connecticut), Antonia Caba (University of Connecticut), Lisa A Eaton (University of Connecticut) |
| Year | 2022 |
| Volume | 34 |
| Issue | 11 |
| Pages | 1465-1472 |
| Publication date | 2022-11-02 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2022.2098908 |
| PMID | 35848490 |
| OpenAlex | W4285676729 |
| Language | EN |
| Citations received | 10 |
| References cited | 27 |
Despite advancements in HIV prevention, such as pre-exposure prophylaxis (PrEP), there remain inequities in accessing PrEP among Black and Hispanic/Latinx cisgender sexual minority men and transgender women (SMMTW). Researchers have documented multiple barriers to PrEP uptake, yet the relative impacts of PrEP internalized stigma and logistical barriers (e.g., Cost; time) to PrEP use are understudied. It may be meaningful to investigate potential interactions between internalized stigma and logistical barriers to PrEP use. We utilized data from 827 Black and Hispanic/Latinx SMMTW (Mage = 25.09) in the US and found that greater PrEP-related internalized stigma and greater PrEP logistical barriers were independently significantly associated with lower likelihood of current PrEP use, but PrEP-related internalized stigma became a non-significant predictor when included in a multivariable model. We found a significant interaction between PrEP-related internalized stigma and logistical barriers to PrEP use, such that the association between internalized stigma and likelihood of current PrEP use was only significant at lower levels of logistical barriers to PrEP use. Findings highlight the need to reduce logistical barriers to PrEP use, and for clinicians to acknowledge the role of stigma for individuals who otherwise do not report logistical barriers
Family medicine · Men who have sex with men · Pre-exposure prophylaxis · Psychiatry · Sexual minority · Sexual orientation · Transgender · Transgender women · Clinical Psychology · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Social Psychology · Gerontology
Feasibility and Acceptability Pilot Test of Connecting Latinos en Parejas
Barriers and Facilitators to HIV Service Access among Hispanic/Latino Gay, Bisexual, and Other Men Who Have Sex with Men in Metropolitan Atlanta—a Qualitative Analysis
Not the Mobile Van! Antiretroviral Delivery Preferences Among Young Black Sexual Minority Men Along a Status-Neutral HIV Care Continuum
Extreme Community PrEP Stigma Perceptions as a Potential Deterrent to PrEP Use Among Black and Latino Men Who Have Sex with Men in the Deep South
Barriers and Facilitators to PrEP Adherence among Transgender and Non-binary Individuals
Intimate Partner Violence Perpetration and PrEP Use Among Sexual Minority Men
PrEP Disparities Among Transgender Feminine, Transgender Masculine, Nonbinary, and Gender Expansive Youth and Young Adults in the United States
High Uptake of HIV Pre-exposure Prophylaxis Among Men Who Have Sex with Men Recruited via Geosocial Networking Applications and Community Outreach in Paris, France
“I Know They’re Going to Weaponize This
Identity Development, Attraction, and Behavior of Heterosexual-Identified Men Who Have Sex with Men
Barriers to the Wider Use of Pre-exposure Prophylaxis in the United States
Racial/Ethnic Disparities in HIV Preexposure Prophylaxis Among Men Who Have Sex with Men — 23 Urban Areas, 2017
Brief Report
A Multi-US City Assessment of Awareness and Uptake of Pre-exposure Prophylaxis (PrEP) for HIV Prevention Among Black Men and Transgender Women Who Have Sex with Men
Stigma and Shame Experiences by MSM Who Take PrEP for HIV Prevention
Lifetime risk of a diagnosis of HIV infection in the United States
HIV Pre-Exposure Prophylaxis Stigma as a Multidimensional Barrier to Uptake Among Women Who Attend Planned Parenthood
PrEP Stigma
Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models
“Some of us, we don’t know where we’re going to be tomorrow.” Contextual factors affecting PrEP use and adherence among a diverse sample of transgender women in San Francisco
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
Motivators, concerns, and barriers to adoption of preexposure prophylaxis for HIV prevention among gay and bisexual men in HIV-serodiscordant male relationships
Barriers to preexposure prophylaxis use among individuals with recently acquired HIV infection in Northern California
I am not a man’
What’s PrEP
PrEP Awareness, Familiarity, Comfort, and Prescribing Experience among US Primary Care Providers and HIV Specialists
WTF is PrEP?’
The fear of being Black plus the fear of being gay
| Unique citing works | 10 |
|---|---|
| Citations per year | 3,33 |
| Citation span | 2023 - 2026 (4) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 10 |