The “Safe Sex” Conundrum: Anticipated Stigma From Sexual Partners as a Barrier to PrEP Use Among Substance Using MSM Engaging in Transactional Sex

Katie B. Biello; Catherine E. Oldenburg; Jennifer A. Mitty; Elizabeth F. Closson; Kenneth H. Mayer; Steven A. Safren; Matthew J. Mimiaga

doi:10.1007/s10461-016-1466-y

The “Safe Sex” Conundrum: Anticipated Stigma From Sexual Partners as a Barrier to PrEP Use Among Substance Using MSM Engaging in Transactional Sex

Katie B. Biello, Catherine E. Oldenburg, Jennifer A. Mitty, Elizabeth F. Closson, Kenneth H. Mayer, Steven A. Safren, Matthew J. Mimiaga

Psychology

Research output: Contribution to journal › Article › peer-review

27 Scopus citations

Abstract

Pre-exposure prophylaxis (PrEP) is efficacious for HIV prevention when taken consistently; however, barriers to PrEP use are poorly understood among individuals who could benefit from PrEP, including men who have sex with men (MSM) who engage in transactional sex (i.e., sex exchanged for money or drugs). Two hundred and thirty-seven HIV-uninfected, PrEP-naive MSM reporting concurrent substance dependence and sexual risk completed a questionnaire on PrEP use barriers. Barriers to PrEP use for MSM who engaged in recent transactional sex (22 %) versus those who had not were compared using an ecological framework. Individual (e.g., HIV stigma, substance use) and structural (e.g., economic, healthcare) barriers did not differ (p > 0.05). MSM who recently engaged in transactional sex were more likely to report that anticipated stigma from primary and casual partners would be barriers to PrEP use. Assessing recent transactional sex may help identify men who may need additional counseling to avoid anticipated stigma so they can integrate PrEP into their lives.

Original language	English (US)
Pages (from-to)	300-306
Number of pages	7
Journal	AIDS and Behavior
Volume	21
Issue number	1
DOIs	https://doi.org/10.1007/s10461-016-1466-y
State	Published - Jan 1 2017

Keywords

HIV
Men who have sex with men
Pre-exposure prophylaxis
Prevention

ASJC Scopus subject areas

Social Psychology
Public Health, Environmental and Occupational Health
Infectious Diseases

Access to Document

10.1007/s10461-016-1466-y

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The “Safe Sex” Conundrum : Anticipated Stigma From Sexual Partners as a Barrier to PrEP Use Among Substance Using MSM Engaging in Transactional Sex. / Biello, Katie B.; Oldenburg, Catherine E.; Mitty, Jennifer A.; Closson, Elizabeth F.; Mayer, Kenneth H.; Safren, Steven A.; Mimiaga, Matthew J.

In: AIDS and Behavior, Vol. 21, No. 1, 01.01.2017, p. 300-306.

Research output: Contribution to journal › Article › peer-review

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abstract = "Pre-exposure prophylaxis (PrEP) is efficacious for HIV prevention when taken consistently; however, barriers to PrEP use are poorly understood among individuals who could benefit from PrEP, including men who have sex with men (MSM) who engage in transactional sex (i.e., sex exchanged for money or drugs). Two hundred and thirty-seven HIV-uninfected, PrEP-naive MSM reporting concurrent substance dependence and sexual risk completed a questionnaire on PrEP use barriers. Barriers to PrEP use for MSM who engaged in recent transactional sex (22 %) versus those who had not were compared using an ecological framework. Individual (e.g., HIV stigma, substance use) and structural (e.g., economic, healthcare) barriers did not differ (p > 0.05). MSM who recently engaged in transactional sex were more likely to report that anticipated stigma from primary and casual partners would be barriers to PrEP use. Assessing recent transactional sex may help identify men who may need additional counseling to avoid anticipated stigma so they can integrate PrEP into their lives.",

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