TY - JOUR
T1 - Facilitators and Barriers to Pre-Exposure Prophylaxis (PrEP) Use Among Black Individuals in the United States
T2 - Results from the National Survey on HIV in the Black Community (NSHBC)
AU - Ojikutu, Bisola O.
AU - Bogart, Laura M.
AU - Higgins-Biddle, Molly
AU - Dale, Sannisha K.
AU - Allen, Wanda
AU - Dominique, Tiffany
AU - Mayer, Kenneth H.
N1 - Funding Information:
Funding This study was funded by the National Institutes of Mental Health (K23 MH107316—Ojikutu), the Harvard University Center for AIDS Research (P30 AI060354-Mayer, Bogart and Ojikutu), the UCLA Center for HIV Identification, Prevention, and Treatment Services (P30MH058107—Bogart), and the Center for AIDS Research Perelman School of Medicine, University of Pennsylvania (P30 AI045008—Dominique).
Funding Information:
We would like to thank Felton Earls MD, Professor Emeritus at Harvard T. H. Chan School of Public Health and Harvard Medical School, for providing leadership for this study. We would also like to thank the members of the national advisory committee whose input in survey development was instrumental. None of the authors report conflict of interest.
Publisher Copyright:
© 2018, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2018/11/1
Y1 - 2018/11/1
N2 - 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.
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.
KW - Black individuals in the US
KW - HIV
KW - HIV risk behavior
KW - Pre-exposure prophylaxis
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U2 - 10.1007/s10461-018-2067-8
DO - 10.1007/s10461-018-2067-8
M3 - Article
C2 - 29468493
AN - SCOPUS:85042215482
VL - 22
SP - 3576
EP - 3587
JO - AIDS and Behavior
JF - AIDS and Behavior
SN - 1090-7165
IS - 11
ER -