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Factors associated with awareness and use of pre-exposure prophylaxis (PrEP) among Black men who have sex with men with a recent STI diagnosis

Bibliographic Data

ID15251159
AuthorsJessica L Maksut (0000-0001-8551-8930, Department of Human Development and Family Studies, University of Connecticut, corresponding author), Lisa A Eaton (Department of Human Development and Family Studies, University of Connecticut), Redd Driver (0000-0002-7699-6321, University of Connecticut), Cristina M Knowles (Department of Human Development and Family Studies, University of Connecticut), Ryan J Watson (0000-0003-3261-1095, University of Connecticut)
Year2020
Volume47
Issue2
Pages161-169
Publication date2020-06-17
Open AccessNo
TypeARTICLE
VenueBehavioral Medicine (JOURNAL)
Journal identifiersISSN: 0896-4289 • E-ISSN: 1940-4026
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/08964289.2019.1692776
PMID34048328
OpenAlexW3036556658
LanguageEN
Citations received6
References cited32

Black men who have sex with men (BMSM) with a recent STI diagnosis are at particularly high risk for HIV infection and, as such, are a population for whom we must focus our antiretroviral pre-exposure prophylaxis (PrEP) implementation efforts. Understanding the factors that are associated with awareness and use of PrEP among BMSM with a recent STI diagnosis is a critical component of meeting our HIV prevention goals. For the current study, BMSM ( N = 209) diagnosed with a STI in the past year residing in the Atlanta, Georgia metropolitan and surrounding areas were assessed on PrEP awareness and use, HIV risk behaviors ( e.g., condomless anal intercourse) HIV risk perceptions, HIV treatment optimism, and HIV status communication self-efficacy. BMSM aware of PrEP ( n = 152, 72.7%) were younger in age (OR = 0.96, 95% CI: 0.93-0.98, p = 0.030) and had significantly higher educational attainment (OR = 1.96, 95% CI: 1.28-3.02, p = 0.027) than PrEP unaware participants. In addition, participants who were aware of PrEP had significantly higher levels of HIV risk perceptions (OR = 1.27, 95% CI: 1.04-1.56, p = 0.019) than PrEP unaware participants. Finally, participants who had ever used PrEP ( n = 15, 7.1%) had significantly higher HIV treatment optimism (OR = 1.55, 95% CI: 1.05-2.96, p = 0.034) than PrEP non-users. The present study showed that, while nearly three-fourths of the sample were PrEP aware, PrEP use among BMSM with STI diagnoses was limited and that PrEP is utilized less often by individuals who have less HIV treatment optimism. These findings call attention to the need to better understand how to effectively target PrEP uptake strategies for key populations

Educational attainment · Environmental health · Family medicine · Human immunodeficiency virus (HIV · Men who have sex with men · Perception · Population · Pre-exposure prophylaxis · Risk perception · Syphilis · Young adult · Adolescent Sexual and Reproductive Health · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Gerontology

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    Open Access•Susan Tross, Tanja C Laschober et al.•AIDS and Behavior•2025

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    Open Access•Ikenna Obasi Odii, David E Vance et al.•Health Equity•2024

  • Factors associated with PrEP awareness and use among men who have sex with men who use drugs in the Southern United States

    Margaret M Paschen-Wolff, Susan Tross et al.•AIDS Care•2025

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    Open Access•Alexis Sims-Haynes, Christine Markham et al.•Journal of Racial and Ethnic…•2025

  • Pre-Exposure Prophylaxis (PrEP) Dissemination

    Open Access•Ashley C Schuyler, Zainab Alidina et al.•AIDS and Behavior•2021

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  • From Efficacy to Effectiveness

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    Sybil Hosek, Sybil G Hosek et al.•JAIDS Journal of Acquired Immune…•2017

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    Open Access•Risha Irvin, Leo Wilton et al.•AIDS and Behavior•2014

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    Open Access•Sarit A Golub, Kristi E Gamarel et al.•AIDS and Behavior•2016

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    Gregorio A Millett, John L Peterson et al.•American Journal of Public Health•2006

  • Modeling the Impact of Social Discrimination and Financial Hardship on the Sexual Risk of HIV Among Latino and Black Men Who Have Sex With Men

    George Ayala, Trista Bingham et al.•American Journal of Public Health•2012

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  • Factors Associated With Emotional Satisfaction During First Anal Intercourse in a Sample of YMSM

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Citations per year1.2
Citation span2021 - 2025 (5)
Highly citedNo

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