Awareness and Acceptability of Pre-exposure HIV Prophylaxis Among Men Who have Sex with Men in Baltimore

Susan A. Fallon; Ju Nyeong Park; Christine Powell Ogbue; Colin Flynn; Danielle German

doi:10.1007/s10461-016-1619-z

Awareness and Acceptability of Pre-exposure HIV Prophylaxis Among Men Who have Sex with Men in Baltimore

Susan A. Fallon, Ju Nyeong Park, Christine Powell Ogbue, Colin Flynn, Danielle German

Bloomberg School of Public Health

Research output: Contribution to journal › Article › peer-review

28 Scopus citations

Abstract

This paper assessed characteristics associated with awareness of and willingness to take pre-exposure prophylaxis (PrEP) among Baltimore men who have sex with men (MSM). We used data from BESURE-MSM3, a venue-based cross-sectional HIV surveillance study conducted among MSM in 2011. Multivariate regression was used to identify characteristics associated with PrEP knowledge and acceptability among 399 participants. Eleven percent had heard of PrEP, 48% would be willing to use PrEP, and none had previously used it. In multivariable analysis, black race and perceived discrimination against those with HIV were significantly associated with decreased awareness, and those who perceived higher HIV discrimination reported higher acceptability of PrEP. Our findings indicate a need for further education about the potential utility of PrEP in addition to other prevention methods among MSM. HIV prevention efforts should address the link between discrimination and potential PrEP use, especially among men of color.

Original language	English (US)
Pages (from-to)	1268-1277
Number of pages	10
Journal	AIDS and behavior
Volume	21
Issue number	5
DOIs	https://doi.org/10.1007/s10461-016-1619-z
State	Published - May 1 2017

Keywords

Baltimore
HIV
MSM
PrEP
Stigma

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

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10.1007/s10461-016-1619-z

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title = "Awareness and Acceptability of Pre-exposure HIV Prophylaxis Among Men Who have Sex with Men in Baltimore",

abstract = "This paper assessed characteristics associated with awareness of and willingness to take pre-exposure prophylaxis (PrEP) among Baltimore men who have sex with men (MSM). We used data from BESURE-MSM3, a venue-based cross-sectional HIV surveillance study conducted among MSM in 2011. Multivariate regression was used to identify characteristics associated with PrEP knowledge and acceptability among 399 participants. Eleven percent had heard of PrEP, 48% would be willing to use PrEP, and none had previously used it. In multivariable analysis, black race and perceived discrimination against those with HIV were significantly associated with decreased awareness, and those who perceived higher HIV discrimination reported higher acceptability of PrEP. Our findings indicate a need for further education about the potential utility of PrEP in addition to other prevention methods among MSM. HIV prevention efforts should address the link between discrimination and potential PrEP use, especially among men of color.",

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author = "Fallon, {Susan A.} and Park, {Ju Nyeong} and Ogbue, {Christine Powell} and Colin Flynn and Danielle German",

note = "Funding Information: Susan Fallon and Dr. Colin Flynn do not receive any external funding and have no conflicts of interest to report. Dr. Danielle German receives funding from Johns Hopkins CFAR, the National Institutes of Health, PCORI, and from CDC via the Maryland Department of Health and Mental Hygiene to implement National HIV Behavioral Surveillance for this study. The CFAR, NIH, and PCORI played no role in the current study. The CDC provided the study protocol and technical support for project implementation. CDC played no role in analysis, interpretation of data, report writing, or the decision to submit the report for publication. Funding Information: This study was funded by contracts to the Johns Hopkins University from the Maryland Department of Health and Mental Hygiene and by cooperative agreements between the Maryland Department of Health and Mental Hygiene and the Centers for Disease Control and Prevention (CDC). Publisher Copyright: {\textcopyright} 2016, Springer Science+Business Media New York.",

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N2 - This paper assessed characteristics associated with awareness of and willingness to take pre-exposure prophylaxis (PrEP) among Baltimore men who have sex with men (MSM). We used data from BESURE-MSM3, a venue-based cross-sectional HIV surveillance study conducted among MSM in 2011. Multivariate regression was used to identify characteristics associated with PrEP knowledge and acceptability among 399 participants. Eleven percent had heard of PrEP, 48% would be willing to use PrEP, and none had previously used it. In multivariable analysis, black race and perceived discrimination against those with HIV were significantly associated with decreased awareness, and those who perceived higher HIV discrimination reported higher acceptability of PrEP. Our findings indicate a need for further education about the potential utility of PrEP in addition to other prevention methods among MSM. HIV prevention efforts should address the link between discrimination and potential PrEP use, especially among men of color.

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Awareness and Acceptability of Pre-exposure HIV Prophylaxis Among Men Who have Sex with Men in Baltimore

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