Discomfort discussing HIV/AIDS and lack of awareness are barriers to partner-to-partner pre-exposure prophylaxis education

Heather Farthing, Anamaria Rodriguez, Misha Armstrong, Siddharth Iyengar, Evan Nigh, Jo Nell Potter, Susanne Doblecki-Lewis

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

We suggest that people living with HIV (PLWH) may serve as pre-exposure prophylaxis (PrEP) educators for partners when informed about PrEP. Participants in this study were a convenience sample of PLWH at a public hospital in Miami. A cross-sectional survey assessed the frequency of serostatus disclosure, PrEP awareness, and willingness to recommend PrEP to intimate partners. To evaluate stigma surrounding human immunodeficiency virus (HIV), comfort discussing HIV with family, friends and intimate partners was interrogated. Surveys were completed by 137 participants; 39.5% had potentially sero-discordant sexual partners. Among respondents, 29.2% reported that they ‘occasionally’ or ‘never’ disclose HIV status to sexual partners. In all, 66.4% of patients reported that they had never heard of PrEP. After being educated about PrEP, 86.0% of respondents reported that they would encourage partners to use it. Participants were asked how often the subject of HIV comes up in conversations. Most indicated that ‘rarely’ or ‘never’ does it come up with friends and family; 46.1% indicated that ‘never’ or ‘rarely’ does it come up with partners. In bivariate analyses, participants with prior awareness of PrEP were more likely to indicate higher frequency of conversations regarding HIV with intimate partners. It is concluded that interventions which utilize partner education to increase PrEP uptake should address stigma and knowledge among other barriers.

Original languageEnglish (US)
JournalInternational Journal of STD and AIDS
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Acquired Immunodeficiency Syndrome
HIV
Education
Sexual Partners
Pre-Exposure Prophylaxis
Public Hospitals
Disclosure
Cross-Sectional Studies
Surveys and Questionnaires

Keywords

  • Human immunodeficiency virus
  • prevention
  • sexual practice

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Pharmacology (medical)
  • Infectious Diseases

Cite this

Discomfort discussing HIV/AIDS and lack of awareness are barriers to partner-to-partner pre-exposure prophylaxis education. / Farthing, Heather; Rodriguez, Anamaria; Armstrong, Misha; Iyengar, Siddharth; Nigh, Evan; Potter, Jo Nell; Doblecki-Lewis, Susanne.

In: International Journal of STD and AIDS, 01.01.2018.

Research output: Contribution to journalArticle

Farthing, Heather ; Rodriguez, Anamaria ; Armstrong, Misha ; Iyengar, Siddharth ; Nigh, Evan ; Potter, Jo Nell ; Doblecki-Lewis, Susanne. / Discomfort discussing HIV/AIDS and lack of awareness are barriers to partner-to-partner pre-exposure prophylaxis education. In: International Journal of STD and AIDS. 2018.
@article{678cc33b26e94ff4b3aa6fe98bb6ee11,
title = "Discomfort discussing HIV/AIDS and lack of awareness are barriers to partner-to-partner pre-exposure prophylaxis education",
abstract = "We suggest that people living with HIV (PLWH) may serve as pre-exposure prophylaxis (PrEP) educators for partners when informed about PrEP. Participants in this study were a convenience sample of PLWH at a public hospital in Miami. A cross-sectional survey assessed the frequency of serostatus disclosure, PrEP awareness, and willingness to recommend PrEP to intimate partners. To evaluate stigma surrounding human immunodeficiency virus (HIV), comfort discussing HIV with family, friends and intimate partners was interrogated. Surveys were completed by 137 participants; 39.5{\%} had potentially sero-discordant sexual partners. Among respondents, 29.2{\%} reported that they ‘occasionally’ or ‘never’ disclose HIV status to sexual partners. In all, 66.4{\%} of patients reported that they had never heard of PrEP. After being educated about PrEP, 86.0{\%} of respondents reported that they would encourage partners to use it. Participants were asked how often the subject of HIV comes up in conversations. Most indicated that ‘rarely’ or ‘never’ does it come up with friends and family; 46.1{\%} indicated that ‘never’ or ‘rarely’ does it come up with partners. In bivariate analyses, participants with prior awareness of PrEP were more likely to indicate higher frequency of conversations regarding HIV with intimate partners. It is concluded that interventions which utilize partner education to increase PrEP uptake should address stigma and knowledge among other barriers.",
keywords = "Human immunodeficiency virus, prevention, sexual practice",
author = "Heather Farthing and Anamaria Rodriguez and Misha Armstrong and Siddharth Iyengar and Evan Nigh and Potter, {Jo Nell} and Susanne Doblecki-Lewis",
year = "2018",
month = "1",
day = "1",
doi = "10.1177/0956462418799174",
language = "English (US)",
journal = "International Journal of STD and AIDS",
issn = "0956-4624",
publisher = "SAGE Publications Ltd",

}

TY - JOUR

T1 - Discomfort discussing HIV/AIDS and lack of awareness are barriers to partner-to-partner pre-exposure prophylaxis education

AU - Farthing, Heather

AU - Rodriguez, Anamaria

AU - Armstrong, Misha

AU - Iyengar, Siddharth

AU - Nigh, Evan

AU - Potter, Jo Nell

AU - Doblecki-Lewis, Susanne

PY - 2018/1/1

Y1 - 2018/1/1

N2 - We suggest that people living with HIV (PLWH) may serve as pre-exposure prophylaxis (PrEP) educators for partners when informed about PrEP. Participants in this study were a convenience sample of PLWH at a public hospital in Miami. A cross-sectional survey assessed the frequency of serostatus disclosure, PrEP awareness, and willingness to recommend PrEP to intimate partners. To evaluate stigma surrounding human immunodeficiency virus (HIV), comfort discussing HIV with family, friends and intimate partners was interrogated. Surveys were completed by 137 participants; 39.5% had potentially sero-discordant sexual partners. Among respondents, 29.2% reported that they ‘occasionally’ or ‘never’ disclose HIV status to sexual partners. In all, 66.4% of patients reported that they had never heard of PrEP. After being educated about PrEP, 86.0% of respondents reported that they would encourage partners to use it. Participants were asked how often the subject of HIV comes up in conversations. Most indicated that ‘rarely’ or ‘never’ does it come up with friends and family; 46.1% indicated that ‘never’ or ‘rarely’ does it come up with partners. In bivariate analyses, participants with prior awareness of PrEP were more likely to indicate higher frequency of conversations regarding HIV with intimate partners. It is concluded that interventions which utilize partner education to increase PrEP uptake should address stigma and knowledge among other barriers.

AB - We suggest that people living with HIV (PLWH) may serve as pre-exposure prophylaxis (PrEP) educators for partners when informed about PrEP. Participants in this study were a convenience sample of PLWH at a public hospital in Miami. A cross-sectional survey assessed the frequency of serostatus disclosure, PrEP awareness, and willingness to recommend PrEP to intimate partners. To evaluate stigma surrounding human immunodeficiency virus (HIV), comfort discussing HIV with family, friends and intimate partners was interrogated. Surveys were completed by 137 participants; 39.5% had potentially sero-discordant sexual partners. Among respondents, 29.2% reported that they ‘occasionally’ or ‘never’ disclose HIV status to sexual partners. In all, 66.4% of patients reported that they had never heard of PrEP. After being educated about PrEP, 86.0% of respondents reported that they would encourage partners to use it. Participants were asked how often the subject of HIV comes up in conversations. Most indicated that ‘rarely’ or ‘never’ does it come up with friends and family; 46.1% indicated that ‘never’ or ‘rarely’ does it come up with partners. In bivariate analyses, participants with prior awareness of PrEP were more likely to indicate higher frequency of conversations regarding HIV with intimate partners. It is concluded that interventions which utilize partner education to increase PrEP uptake should address stigma and knowledge among other barriers.

KW - Human immunodeficiency virus

KW - prevention

KW - sexual practice

UR - http://www.scopus.com/inward/record.url?scp=85060147967&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85060147967&partnerID=8YFLogxK

U2 - 10.1177/0956462418799174

DO - 10.1177/0956462418799174

M3 - Article

C2 - 30301426

AN - SCOPUS:85060147967

JO - International Journal of STD and AIDS

JF - International Journal of STD and AIDS

SN - 0956-4624

ER -