Intersecting Communities and PrEP Uptake among US-based Latinx Sexual Minority Men.
Community-based intervention
Latinx
PrEP
Pre-exposure prophylaxis
Sexual minority men
Journal
Journal of racial and ethnic health disparities
ISSN: 2196-8837
Titre abrégé: J Racial Ethn Health Disparities
Pays: Switzerland
ID NLM: 101628476
Informations de publication
Date de publication:
12 2022
12 2022
Historique:
received:
26
05
2021
accepted:
14
09
2021
revised:
28
05
2021
pubmed:
24
9
2021
medline:
8
11
2022
entrez:
23
9
2021
Statut:
ppublish
Résumé
The Latinx community in the USA 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 43.3% reported partner approval for PrEP (i.e., my partner is in favor of PrEP generally), while only 7.2% were opposed to PrEP. Insurance status and income levels were significantly associated with PrEP uptake. There was a significant interaction term (gay community connectedness and Latinx group membership), 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 culturally relevant 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.
Identifiants
pubmed: 34554441
doi: 10.1007/s40615-021-01154-w
pii: 10.1007/s40615-021-01154-w
pmc: PMC9034471
mid: NIHMS1795819
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
2157-2163Subventions
Organisme : NIDA NIH HHS
ID : R01 DA045613
Pays : United States
Organisme : NIDA NIH HHS
ID : R01DA045613-01S1
Pays : United States
Informations de copyright
© 2021. W. Montague Cobb-NMA Health Institute.
Références
Latinos | Race/Ethnicity | HIV by Group | HIV/AIDS | CDC. Published March 18, 2021. https://www.cdc.gov/hiv/group/racialethnic/hispaniclatinos/index.html.Accessed 24 May 2021.
Goodreau SM, Carnegie NB, Vittinghoff E, et al. What drives the US and Peruvian HIV epidemics in men who have sex with men (MSM)? Sullivan PS, ed. PLoS ONE. 2012;7(11):e50522. https://doi.org/10.1371/journal.pone.0050522 .
doi: 10.1371/journal.pone.0050522
pubmed: 23209768
pmcid: 3510067
Goodreau SM, Carnegie NB, Vittinghoff E, Lama JR, Sanchez J, Grinsztejn B, et al. What drives the US and Peruvian HIV epidemics in men who have sex with men (MSM)? PloS One. 2012;7(11). https://doi.org/10.1371/journal.pone.0050522 .
Sullivan PS, Salazar L, Buchbinder S, Sanchez TH. Estimating the proportion of HIV transmissions from main sex partners among men who have sex with men in five US cities. AIDS. 2009;23(9):1153–62. https://doi.org/10.1097/QAD.0b013e32832baa34 .
doi: 10.1097/QAD.0b013e32832baa34
pubmed: 19417579
Starks TJ, Robles G, Bosco SC, Dellucci TV, Grov C, Parsons JT. The prevalence and correlates of sexual arrangements in a national cohort of HIV-negative gay and bisexual men in the United States. Arch Sex Behav. 2019;48(1):369–82. https://doi.org/10.1007/s10508-018-1282-8 .
doi: 10.1007/s10508-018-1282-8
pubmed: 30465312
Starks TJ, Jones SS, Kyre K, et al. Testing the drug use and condomless anal sex link among sexual minority men: the predictive utility of marijuana and interactions with relationship status. Drug Alcohol Depend. 2020;216: 108318. https://doi.org/10.1016/j.drugalcdep.2020.108318 .
doi: 10.1016/j.drugalcdep.2020.108318
pubmed: 33022531
pmcid: 7959658
Wagenaar BH, Christiansen-Lindquist L, Khosropour C, Salazar LF, Benbow N, Prachand N, et al. Willingness of US men who have sex with men (MSM) to participate in Couples HIV Voluntary Counseling and Testing (CVCT). PLoS One. 2012;7(8):e42953. https://doi.org/10.1371/journal.pone.0042953 .
John SA, Starks TJ, Rendina HJ, Grov C, Parsons JT. Should I convince my partner to go on pre-exposure prophylaxis (PrEP)? The role of personal and relationship factors on PrEP-related social control among gay and bisexual men. AIDS Behav. 2018;22(4):1239–52. https://doi.org/10.1007/s10461-017-1835-1 .
doi: 10.1007/s10461-017-1835-1
pubmed: 28634660
pmcid: 5738299
Hart TA, Noor SW, Skakoon-Sparling S, et al. GPS: A randomized controlled trial of sexual health counseling for gay and bisexual men living with HIV. Behav Ther. 2021;52(1):1–14. https://doi.org/10.1016/j.beth.2020.04.005 .
doi: 10.1016/j.beth.2020.04.005
pubmed: 33483108
Rhodes SD, Alonzo J, Mann-Jackson L, et al. A peer navigation intervention to prevent HIV among mixed immigrant status Latinx GBMSM and transgender women in the United States: outcomes, perspectives and implications for PrEP uptake. Health Educ Res. 2020;35(3):165–78. https://doi.org/10.1093/her/cyaa010 .
doi: 10.1093/her/cyaa010
pubmed: 32441760
pmcid: 7243724
Sutton MY, Martinez O, Brawner BM, et al. Vital voices: HIV prevention and care interventions developed for disproportionately affected communities by historically underrepresented, early-career scientists. J Racial Ethn Health Disparities. 2020. https://doi.org/10.1007/s40615-020-00908-2 .
doi: 10.1007/s40615-020-00908-2
pubmed: 33128188
pmcid: 7598237
Sutton MY, Parks CP. HIV/AIDS Prevention, faith, and spirituality among Black/African American and Latino communities in the United States: strengthening scientific faith-based efforts to shift the course of the epidemic and reduce HIV-related health disparities. J Relig Health. 2013;52(2):514–30. https://doi.org/10.1007/s10943-011-9499-z .
doi: 10.1007/s10943-011-9499-z
pubmed: 21626244
Brooks RA, Etzel MA, Hinojos E, Henry CL, Perez M. Preventing HIV among Latino and African American gay and bisexual men in a context of HIV-related stigma, discrimination, and homophobia: perspectives of providers. AIDS Patient Care STDs. 2005;19(11):737–44. https://doi.org/10.1089/apc.2005.19.737 .
doi: 10.1089/apc.2005.19.737
pubmed: 16283834
Martinez O, Isabel Fernandez M, Wu E, et al. A couple-based HIV prevention intervention for Latino men who have sex with men: study protocol for a randomized controlled trial. Trials. 2018;19(1):218. https://doi.org/10.1186/s13063-018-2582-y .
doi: 10.1186/s13063-018-2582-y
pubmed: 29622045
pmcid: 5887179
Gersh JK, Fiorillo SP, Burghardt L, Nichol AC, Thrun M, Campbell TB. Attitudes and barriers towards pre-exposure prophylaxis (Prep) among high-risk HIV-seronegative men who have sex with men. J AIDS Clin Res. 2014;5(335):2. https://doi.org/10.4172/2155-6113.1000335 .
doi: 10.4172/2155-6113.1000335
Salvo JJ, Powers MG, Cooney RS. Contraceptive use and sterilization among Puerto Rican women. Fam Plann Perspect. 1992;24(5):219–23. https://doi.org/10.2307/2135873 .
doi: 10.2307/2135873
pubmed: 1426184
Anderson-Carpenter KD, Sauter HM, Luiggi-Hernández JG, Haight PE. Associations between perceived homophobia, community connectedness, and having a primary care provider among gay and bisexual men. Sex Res Soc Policy. 2019;16(3):309–16. https://doi.org/10.1007/s13178-018-0347-8 .
doi: 10.1007/s13178-018-0347-8
Kaniuka A, Pugh KC, Jordan M, et al. Stigma and suicide risk among the LGBTQ population: are anxiety and depression to blame and can connectedness to the LGBTQ community help? J Gay Lesbian Ment Health. 2019;23(2):205–20. https://doi.org/10.1080/19359705.2018.1560385 .
doi: 10.1080/19359705.2018.1560385
Han C. They don’t want to cruise your type: gay men of color and the racial politics of exclusion. Soc Identities. 2007;13(1):51–67. https://doi.org/10.1080/13504630601163379 .
doi: 10.1080/13504630601163379
Patel VV, Ginsburg Z, Golub SA, et al. Empowering With PrEP (E-PrEP), a Peer-led social media–based intervention to facilitate HIV preexposure prophylaxis adoption among young Black and Latinx gay and bisexual men: protocol for a cluster randomized controlled trial. JMIR Res Protoc. 2018;7(8):e11375. https://doi.org/10.2196/11375 .
doi: 10.2196/11375
pubmed: 30154071
pmcid: 6134229
Truman BI, Moonesinghe R, Brown YT, Chang M-H, Mermin JH, Dean HD. Differential association of HIV funding with HIV mortality by race/ethnicity, United States, 1999–2017. Public Health Rep. 2020;135(1_suppl):149S-157S. https://doi.org/10.1177/0033354920912716 .
doi: 10.1177/0033354920912716
pubmed: 32735185
pmcid: 7804047
Jr DGM. Poor Black and Hispanic men are the face of H.I.V. The New York Times. 2013. https://www.nytimes.com/2013/12/05/us/poor-black-and-hispanic-men-are-face-of-hiv.html . Accessed 30 Mar 2021.
Robles G, Bosco SC, Sauermilch D, Starks TJ. Population-specific correlates of sexual arrangements and communication in a national sample of Latinx sexual minority men. Arch Sex Behav. 2021;50(4):1449–60. https://doi.org/10.1007/s10508-021-02009-5 .
Grov C. HIV Risk and Substance use in men who have sex with men surveyed in bathhouses, bars/clubs, and on Craigslist.org: venue of recruitment matters. AIDS Behav. 2012;16(4):807–17. https://doi.org/10.1007/s10461-011-9999-6 .
doi: 10.1007/s10461-011-9999-6
pubmed: 21748276
pmcid: 5826651
Contrada RJ, Ashmore RD, Gary ML, et al. Measures of ethnicity-related stress: psychometric properties, ethnic group differences, and associations with well-being1. J Appl Soc Psychol. 2001;31(9):1775–820. https://doi.org/10.1111/j.1559-1816.2001.tb00205.x .
doi: 10.1111/j.1559-1816.2001.tb00205.x
Meyer MC, Torres S, Cermeño N, MacLean L, Monzón R. Immigrant women implementing participatory research in health promotion. West J Nurs Res. 2003;25(7):815–34.
doi: 10.1177/0193945903256707
pubmed: 14596181
Kimball D, Rivera D, Gonzales M, Blashill AJ. Medical mistrust and the PrEP cascade among Latino sexual minority men. AIDS Behav. 2020;24(12):3456–61. https://doi.org/10.1007/s10461-020-02916-z .
doi: 10.1007/s10461-020-02916-z
pubmed: 32405726
pmcid: 7665998
Rhodes SD, Alonzo J, Mann L, et al. Enhancement of a locally developed HIV prevention intervention for Hispanic/Latino MSM: a partnership of community-based organizations, a university, and the Centers for Disease Control and Prevention. AIDS Educ Prev. 2015;27(4):312–32. https://doi.org/10.1521/aeap.2015.27.4.312 .
doi: 10.1521/aeap.2015.27.4.312
pubmed: 26241382
pmcid: 4537171
Rhodes SD, Alonzo J, Mann L, et al. Small-Group randomized controlled trial to increase condom use and HIV testing among Hispanic/Latino gay, bisexual, and other men who have sex with men. Am J Public Health. 2017;107(6):969–76. https://doi.org/10.2105/AJPH.2017.303814 .
doi: 10.2105/AJPH.2017.303814
pubmed: 28426301
pmcid: 5425903
Brooks RA, Landrian A, Nieto O, Fehrenbacher A. Experiences of Anticipated and Enacted Pre-exposure Prophylaxis (PrEP) Stigma Among Latino MSM in Los Angeles. AIDS Behav. 2019;23(7):1964–73. https://doi.org/10.1007/s10461-019-02397-9 .
doi: 10.1007/s10461-019-02397-9
pubmed: 30649635
pmcid: 6571053