Psychosocial factors related to willingness to use pre-exposure prophylaxis for HIV prevention among Black men who have sex with men attending a community event
Lisa A. Eaton A B , Daniel D. Driffin A , Harlan Smith A , Christopher Conway-Washington A , Denise White A and Chauncey Cherry A
+ Author Affiliations
- Author Affiliations
A University of Connecticut, Storrs, CT 06269, USA.
B Corresponding author. Email: lisaanne.eaton@gmail.com
Sexual Health 11(3) 244-251 https://doi.org/10.1071/SH14022
Submitted: 6 August 2013 Accepted: 4 March 2014 Published: 8 July 2014
Abstract
Objectives: In the US, Black men who have sex with men (BMSM) are disproportionately affected by HIV/AIDS. Pre-exposure prophylaxis (PrEP) holds tremendous promise for curbing the HIV/AIDS epidemic among these men. However, many psychosocial components must be addressed in order to implement this prevention tool effectively among BMSM. Methods: We assessed PrEP knowledge and use, health care access experiences, race-based medical mistrust, sexual partners and behaviours, and drug and alcohol use among 699 men attending a community event in the south-eastern United States. We used generalised linear modelling to assess factors associated with their willingness to use PrEP. Results: Three hundred and ninety-eight men reported being BMSM and having HIV-negative status. Among these men, 60% reported being willing to use PrEP. Lack of being comfortable with talking to a health care provider about having sex with men, not having discussed having sex with a man with a health care provider, race-based medical mistrust, and alcohol consumption and substance use were all identified as barriers to willingness to use PrEP. Sexual risk-taking, number of sex partners and STI diagnosis were not associated with willingness to use PrEP. Conclusions: Findings from the current paper demonstrate the importance of acknowledging the role of various psychosocial factors in the uptake of PrEP. It is imperative that we prioritise research into understanding these barriers better, as the failure to do so will impede the tremendous potential of this prevention technology.
Additional keywords: health care, knowledge, medical mistrust, PrEP, substance use.
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