HIV PREP CLINICIAN COMMUNICATION PREFERENCES AMONG BLACK SEXUAL MINORITY MEN

Derek T. Dangerfield, Alexander Lipson, Janeane N. Anderson

Research output: Contribution to journalArticlepeer-review

Abstract

Black sexual minority men (BSMM) are substantially less likely than White SMM to accept a clinician’s recommendation to initiate HIV pre-exposure prophylaxis (PrEP). The purpose of this study is to identify PrEP messaging preferences among BSMM. Data were obtained from 12 focus groups and one in-depth interview among BSMM in Baltimore, MD (N = 39). Focus groups were stratified (18–24, 25–34, and 35 and older), and facilitators probed on ways clinicians could discuss PrEP with BSMM. An adapted pile sorting approach was used to identify themes. Most identified as homo-sexual, gay, or same-gender-loving (68%), were employed (69%), and single (66%). Thematic analysis revealed that BSMM wanted clinicians to explain PrEP efficacy and side effects, tailor messaging, provide prevention messaging with care, and disclose PrEP use. Clinicians could increase uptake and adherence among BSMM by implementing PrEP communication preferences. Discussing PrEP efficacy and safety is also necessary. When possible, clinicians should disclose PrEP use history to build trust.

Original languageEnglish (US)
Pages (from-to)168-181
Number of pages14
JournalAIDS Education and Prevention
Volume34
Issue number2
DOIs
StatePublished - Apr 2022

Keywords

  • counseling
  • education
  • prevention

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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