Facilitators and Barriers to Pre-Exposure Prophylaxis (PrEP) Use Among Black Individuals in the United States: Results from the National Survey on HIV in the Black Community (NSHBC).

This study explores willingness to use PrEP among Black individuals in the US. From February to April 2016, an online survey was administered to a nationally representative sample of Black individuals. 855 individuals who were HIV negative by self-report participated [mean age: 33.6 (SD 9.2); 45.5%...

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Publicado en:AIDS & Behavior Vol. 22; no. 11; pp. 3576 - 3588
Autores principales: Ojikutu, Bisola O., Dale, Sannisha K., Bogart, Laura M., Higgins-Biddle, Molly, Allen, Wanda, Dominique, Tiffany, Mayer, Kenneth H.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Nov2018
Acceso en línea:Ver este registro en EBSCOhost
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        10.1007/s10461-018-2067-8
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        atl: Facilitators and Barriers to Pre-Exposure Prophylaxis (PrEP) Use Among Black Individuals in the United States: Results from the National Survey on HIV in the Black Community (NSHBC).
      aug:
        au:
          Ojikutu, Bisola O.
          Dale, Sannisha K.
          Bogart, Laura M.
          Higgins-Biddle, Molly
          Allen, Wanda
          Dominique, Tiffany
          Mayer, Kenneth H.
        affil: Brigham and Women's Hospital, 75 Francis Street, 02115, Boston, MA, USA
      sug:
        subj:
          HIV Infections Prevention and Control
          Pre-Exposure Prophylaxis Psychosocial Factors
          Black Persons
          Human
          United States
          Surveys
          Descriptive Statistics
          Adult
          Male
          Female
          Special Populations
          Attitude to Risk
          Multivariate Analysis
          Odds Ratio
          Health Knowledge
          Depression
          Prisoners
          Health Beliefs
          Health Services Accessibility
          Adult: 19-44 years
          Male
          Female
      ab: This study explores willingness to use PrEP among Black individuals in the US. From February to April 2016, an online survey was administered to a nationally representative sample of Black individuals. 855 individuals who were HIV negative by self-report participated [mean age: 33.6 (SD 9.2); 45.5% male]. Among all respondents, 14.5% were aware of, and 26.0% would be willing to use PrEP. Among high-risk individuals (N = 327), 19.8% knew about and 35.1% would be willing to use PrEP. The most common reason for lack of willingness among high-risk individuals was low self-perceived risk (65.1%). In multivariate analysis, individuals reporting single marital status [OR 1.8 (1.2, 2.5), p = 0.002], depressive symptoms [OR 1.6 (1.2, 2.2), p = 0.0054], arrest history [OR 1.7(1.2, 2.4), p = 0.0003], PrEP knowledge [OR 1.5 (1.0, 2.3), p = 0.0247] and belief in HIV conspiracies [OR 1.3 (1.1, 1.5), p = 0.0075] were more willing to use PrEP. Participants who saw a health care provider less frequently were less willing to use PrEP [OR 0.5 (0.4, 0.8), p = 0.0044]. Among a nationally representative sample of Black individuals, few high risk individuals were willing to use PrEP. Interventions to increase risk awareness, PrEP knowledge and access to care are necessary to improve PrEP uptake.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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