Intersecting Communities and PrEP Uptake among US-based Latinx Sexual Minority Men.
Intersecting Communities and PrEP Uptake among US-based Latinx Sexual Minority Men.
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DOI:
10.1007/s40615-021-01154-w
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发表时间:
2022-12
影响因子:
3.9
通讯作者:
Starks, Tyrel J
中科院分区:
文献类型:
--
作者:
Robles, Gabriel;Hong, Chenglin;Yu, Melanie;Starks, Tyrel J
The Latinx community in the U.S. continues to be disproportionately burdened by the HIV epidemic, especially among Latinx sexual minority men (LSMM). Research indicates that up to two-thirds of new HIV infections occur among men who have sex with men (MSM) within primary partnerships. One promising biomedical approach for HIV prevention includes community scale-up of pre-exposure prophylaxis (PrEP) among LSMM. We examine the relationship between community connectedness (with the Latinx and gay communities) and PrEP uptake among 307 partnered LSMM who reported casual partner sex (i.e., non-monogamous relationships). Within the sample, approximately thirty percent (29.7%) of participants were on PrEP, and nearly forty-four percent (43.3%) reported partner approval for PrEP, while only 7.2% were opposed to PrEP. Insurance status and income levels were significantly associated with PrEP uptake. There was a significant interaction between gay community connectedness and Latinx community connectedness, which was positively associated with PrEP uptake (OR = 2.18; p = .007). Findings suggest that there may be structural barriers preventing this population from seeking and initiating PrEP care. Results point to the utility of integrating content related to intersecting identities and their corresponding communities when conceptualizing community-based and culturally informed interventions to improve the PrEP care cascade among LSMM.
影响因子:
3.7
作者:
Wagenaar BH;Christiansen-Lindquist L;Khosropour C;Salazar LF;Benbow N;Prachand N;Sineath RC;Stephenson R;Sullivan PS
通讯作者:
Sullivan PS