A Medical Care Missed Opportunity: Preexposure Prophylaxis and Young Black Men Who Have Sex With Men

doi:10.1016/j.jadohealth.2016.08.006

. 2016 Dec;59(6):725-728.

doi: 10.1016/j.jadohealth.2016.08.006. Epub 2016 Oct 5.

A Medical Care Missed Opportunity: Preexposure Prophylaxis and Young Black Men Who Have Sex With Men

Renata Arrington-Sanders¹, Anthony Morgan², Jessica Oidtman², Ian Qian³, David Celentano⁴, Chris Beyrer⁴

Affiliations

¹ Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: Rarring3@jhmi.edu.
² Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
³ Department of Biochemistry, University of Maryland, College Park, Maryland.
⁴ Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.

PMID: 27720357
PMCID: PMC5123899
DOI: 10.1016/j.jadohealth.2016.08.006

A Medical Care Missed Opportunity: Preexposure Prophylaxis and Young Black Men Who Have Sex With Men

Renata Arrington-Sanders et al. J Adolesc Health. 2016 Dec.

. 2016 Dec;59(6):725-728.

doi: 10.1016/j.jadohealth.2016.08.006. Epub 2016 Oct 5.

Authors

Renata Arrington-Sanders¹, Anthony Morgan², Jessica Oidtman², Ian Qian³, David Celentano⁴, Chris Beyrer⁴

Affiliations

¹ Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: Rarring3@jhmi.edu.
² Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
³ Department of Biochemistry, University of Maryland, College Park, Maryland.
⁴ Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.

PMID: 27720357
PMCID: PMC5123899
DOI: 10.1016/j.jadohealth.2016.08.006

Abstract

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.

Keywords: PrEP; Preexposure prophylaxis; Young black men who have sex with men (YBMSM).

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References

1. Hess K, Hu X, Lansky A, Mermin J, Hall HI. Estimating the lifetime risk of a diagnosis of HIV infection in the United States. Conference on Retroviruses and Opportunistic Infections (CROI); February 22–25, 2016; Boston. Abstract 52.
1. Centers for Disease Control and Prevention. HIV Infection Risk, Prevention, and Testing Behaviors among Men Who Have Sex With Men—National HIV Behavioral Surveillance, 20 U.S. Cities, 2014. [Accessed [April 7, 2015]];HIV Surveillance Special Report 15. http://www.cdc.gov/hiv/library/reports/surveillance/#panel2. Published January 2016.
1. Koblin BA, Mayer KH, Eshleman SH, et al. Correlates of HIV acquisition in a cohort of Black men who have sex with men in the United States: HIV prevention trials network (HPTN) 061. PloS one. 2013;8(7):e70413. - PMC - PubMed
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[1] Hess K, Hu X, Lansky A, Mermin J, Hall HI. Estimating the lifetime risk of a diagnosis of HIV infection in the United States. Conference on Retroviruses and Opportunistic Infections (CROI); February 22–25, 2016; Boston. Abstract 52.

[2] Hess K, Hu X, Lansky A, Mermin J, Hall HI. Estimating the lifetime risk of a diagnosis of HIV infection in the United States. Conference on Retroviruses and Opportunistic Infections (CROI); February 22–25, 2016; Boston. Abstract 52.

[3] Centers for Disease Control and Prevention. HIV Infection Risk, Prevention, and Testing Behaviors among Men Who Have Sex With Men—National HIV Behavioral Surveillance, 20 U.S. Cities, 2014. [Accessed [April 7, 2015]];HIV Surveillance Special Report 15. http://www.cdc.gov/hiv/library/reports/surveillance/#panel2. Published January 2016.

[4] Centers for Disease Control and Prevention. HIV Infection Risk, Prevention, and Testing Behaviors among Men Who Have Sex With Men—National HIV Behavioral Surveillance, 20 U.S. Cities, 2014. [Accessed [April 7, 2015]];HIV Surveillance Special Report 15. http://www.cdc.gov/hiv/library/reports/surveillance/#panel2. Published January 2016.

[5] Koblin BA, Mayer KH, Eshleman SH, et al. Correlates of HIV acquisition in a cohort of Black men who have sex with men in the United States: HIV prevention trials network (HPTN) 061. PloS one. 2013;8(7):e70413. - PMC - PubMed

[6] Koblin BA, Mayer KH, Eshleman SH, et al. Correlates of HIV acquisition in a cohort of Black men who have sex with men in the United States: HIV prevention trials network (HPTN) 061. PloS one. 2013;8(7):e70413. - PMC - PubMed

[7] Frye V, Nandi V, Egan J, et al. Sexual Orientation-and Race-Based Discrimination and Sexual HIV Risk Behavior Among Urban MSM. AIDS and Behavior. 2015;19(2):257–69. - PMC - PubMed

[8] Frye V, Nandi V, Egan J, et al. Sexual Orientation-and Race-Based Discrimination and Sexual HIV Risk Behavior Among Urban MSM. AIDS and Behavior. 2015;19(2):257–69. - PMC - PubMed

[9] Garofalo R, Mustanski B, Johnson A, Emerson E. Exploring factors that underlie racial/ethnic disparities in HIV risk among young men who have sex with men. Journal of Urban Health. 2010;87(2):318–23. - PMC - PubMed

[10] Garofalo R, Mustanski B, Johnson A, Emerson E. Exploring factors that underlie racial/ethnic disparities in HIV risk among young men who have sex with men. Journal of Urban Health. 2010;87(2):318–23. - PMC - PubMed

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A Medical Care Missed Opportunity: Preexposure Prophylaxis and Young Black Men Who Have Sex With Men

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A Medical Care Missed Opportunity: Preexposure Prophylaxis and Young Black Men Who Have Sex With Men

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