TY - JOUR
T1 - A Medical Care Missed Opportunity
T2 - Preexposure Prophylaxis and Young Black Men Who Have Sex With Men
AU - Arrington-Sanders, Renata
AU - Morgan, Anthony
AU - Oidtman, Jessica
AU - Qian, Ian
AU - Celentano, David
AU - Beyrer, Chris
N1 - Funding Information:
The National Institutes of Child and Health Development provided funding for this work (NICHD K23 HD074470-02 [PI: R.A.S.]).
Publisher Copyright:
© 2016 Society for Adolescent Health and Medicine
PY - 2016/12/1
Y1 - 2016/12/1
N2 - Purpose HIV disproportionately impacts young black men who have sex with men (YBMSM). Preexposure prophylaxis (PrEP) is an effective strategy that can avert new HIV infections in YBMSM. Barriers exist for YBMSM to access PrEP. Methods We sought to determine factors associated with awareness of and willingness to take PrEP in a sample of YBMSM. Results Only 8% were currently on PrEP despite many (66%) reporting condomless anal sex, a recent provider visit (54%), disclosing their sexual orientation to their regular medical provider (62%), or a willingness to take PrEP (62%). In bivariate analysis, increased number of lifetime partners, current PrEP use, and disclosure of sexual orientation to a doctor were associated with awareness of PrEP, while condomless anal sex and higher perceived risk was associated with willingness to take PrEP. Sex with females was associated with lower willingness. Conclusions Providers may be missing key opportunities to educate YBMSM about PrEP and incorporate PrEP into comprehensive sexual health care.
AB - Purpose HIV disproportionately impacts young black men who have sex with men (YBMSM). Preexposure prophylaxis (PrEP) is an effective strategy that can avert new HIV infections in YBMSM. Barriers exist for YBMSM to access PrEP. Methods We sought to determine factors associated with awareness of and willingness to take PrEP in a sample of YBMSM. Results Only 8% were currently on PrEP despite many (66%) reporting condomless anal sex, a recent provider visit (54%), disclosing their sexual orientation to their regular medical provider (62%), or a willingness to take PrEP (62%). In bivariate analysis, increased number of lifetime partners, current PrEP use, and disclosure of sexual orientation to a doctor were associated with awareness of PrEP, while condomless anal sex and higher perceived risk was associated with willingness to take PrEP. Sex with females was associated with lower willingness. Conclusions Providers may be missing key opportunities to educate YBMSM about PrEP and incorporate PrEP into comprehensive sexual health care.
KW - PrEP
KW - Preexposure prophylaxis
KW - Young black men who have sex with men (YBMSM)
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U2 - 10.1016/j.jadohealth.2016.08.006
DO - 10.1016/j.jadohealth.2016.08.006
M3 - Article
C2 - 27720357
AN - SCOPUS:84992065829
SN - 1054-139X
VL - 59
SP - 725
EP - 728
JO - Journal of Adolescent Health
JF - Journal of Adolescent Health
IS - 6
ER -