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The Impact of Stigma and Sexual Identity on PrEP Awareness and Use Among At-Risk Men Who Have Sex With Men in Four U.S. Cities (HPTN 078).
Farley, Jason E; Beuchamp, Geetha; Bergman, Alanna; Hughes, James P; Batey, D Scott; Del Rio, Carlos; Raifman, Julia; Lowensen, Kelly; Gamble, Theresa; Remien, Robert H; Beyrer, Chris.
Afiliação
  • Farley JE; The Center for Infectious Disease and Nursing Innovation Johns Hopkins University School of Nursing, Baltimore, MD.
  • Beuchamp G; Statistical Center for HIV/AIDS Research and Prevention, Seattle, WA.
  • Bergman A; The Center for Infectious Disease and Nursing Innovation Johns Hopkins University School of Nursing, Baltimore, MD.
  • Hughes JP; Statistical Center for HIV/AIDS Research and Prevention, Seattle, WA.
  • Batey DS; University of Washington, Seattle, WA, USA.
  • Del Rio C; University of Alabama at Birmingham, Birmingham, AL.
  • Raifman J; Boston University, Boston, MA.
  • Lowensen K; HPTN Leadership and Operations Center, FHI 360, Durham, NC.
  • Gamble T; The Center for Infectious Disease and Nursing Innovation Johns Hopkins University School of Nursing, Baltimore, MD.
  • Remien RH; Columbia University, New York, NY.
  • Beyrer C; Columbia University, New York, NY.
Stigma Health ; 9(3): 400-410, 2024 Aug.
Article em En | MEDLINE | ID: mdl-39148912
ABSTRACT
Persistent pre-exposure prophylaxis (PrEP) use reduces the risk of HIV infection, yet uptake lags among those with the greatest need. Sexual identity stigma may be a significant barrier to PrEP awareness and use among high-risk communities. The primary aim of this study was to determine whether sexual identity was related to PrEP awareness and use. This multi-site HIV Prevention Trials Network (HPTN) study (HPTN 078) focuses on men who have sex with men (MSM) (n=335) who were HIV-negative at screening. The majority of participants were non-white (62.1%), younger than 35 (57.9%), single (79.1%), and aware of PrEP, yet had never taken PrEP (52.5%). Participants completed questionnaires including sexual history and identity; lesbian, gay, bisexual, transgender, queer (LGBTQ) community engagement; PrEP awareness and use; and several measures of sexual identity stigma including family and friend stigma, general societal stigma, and anticipated healthcare stigma. Univariate and multinomial logistic regression models helped to determine factors associated with PrEP awareness and use. There were stark disparities in PrEP awareness comparing Black and White participants; 50% of Black participants reported being PrEP unaware vs 11.8% of White participants. In this sample, gay sexual identity (compared to bisexual identity) was associated with increased PrEP awareness (AOR 6.66) and use (AOR 16.9). Additionally, 29% of the association between sexual orientation and PrEP use was mediated through internalized stigma. Given low PrEP uptake among MSM, interventions that address sexual identity stigma may motivate greater PrEP uptake.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Stigma Health Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Stigma Health Ano de publicação: 2024 Tipo de documento: Article