TY - JOUR
T1 - Pre-exposure Prophylaxis Knowledge and Use among Men Who Have Sex with Men in a Small Metropolitan Region of the Southeastern United States
AU - Griffin, James A.
AU - Eldridge-Smith, Elizabeth D.
AU - Yohannan, Jiby
AU - Stepleman, Lara M.
N1 - Publisher Copyright:
Copyright © 2019 Association of Nurses in AIDS Care. Unauthorized reproduction of this article is prohibited.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Men who have sex with men (MSM) in the southeastern United States continue to be at high risk for HIV. Pre-exposure prophylaxis (PrEP) provides effective prevention, but PrEP awareness varies across communities. We assessed sexual risk, HIV/sexually transmitted infection (STI) testing history, health care experiences associated with PrEP awareness, provider discussions, and PrEP use in a sample of 164 MSM in the Central Savannah River Area of the South. Results revealed that 80.5% of participants were aware of PrEP, 16.4% had discussed PrEP with a provider, and 9.2% had used PrEP. Education, gay identity, HIV status, recent HIV testing, and lack of provider awareness about sexual minorities independently predicted PrEP awareness. Recent STI testing independently predicted increased odds of PrEP discussion. Recent HIV and STI testing and non-White identity were associated with PrEP use. Effective, tailored marketing, provider competence, and open communication can increase PrEP adoption by southern MSM.
AB - Men who have sex with men (MSM) in the southeastern United States continue to be at high risk for HIV. Pre-exposure prophylaxis (PrEP) provides effective prevention, but PrEP awareness varies across communities. We assessed sexual risk, HIV/sexually transmitted infection (STI) testing history, health care experiences associated with PrEP awareness, provider discussions, and PrEP use in a sample of 164 MSM in the Central Savannah River Area of the South. Results revealed that 80.5% of participants were aware of PrEP, 16.4% had discussed PrEP with a provider, and 9.2% had used PrEP. Education, gay identity, HIV status, recent HIV testing, and lack of provider awareness about sexual minorities independently predicted PrEP awareness. Recent STI testing independently predicted increased odds of PrEP discussion. Recent HIV and STI testing and non-White identity were associated with PrEP use. Effective, tailored marketing, provider competence, and open communication can increase PrEP adoption by southern MSM.
KW - HIV prevention
KW - HIV risk
KW - Men who have sex with men
KW - Pre-exposure prophylaxis
UR - http://www.scopus.com/inward/record.url?scp=85077017017&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85077017017&partnerID=8YFLogxK
U2 - 10.1097/JNC.0000000000000115
DO - 10.1097/JNC.0000000000000115
M3 - Article
C2 - 31433361
AN - SCOPUS:85077017017
SN - 1055-3290
VL - 31
SP - 80
EP - 91
JO - Journal of the Association of Nurses in AIDS Care
JF - Journal of the Association of Nurses in AIDS Care
IS - 1
ER -