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Racial and Ethnic Disparities in HIV Pre-exposure Prophylaxis Awareness Among Men Who have Sex with Men

  • Julia Raifman
  • Lorraine T. Dean
  • Madeline C. Montgomery
  • Alexi Almonte
  • Renata Arrington-Sanders
  • Michael D. Stein
  • Amy S. Nunn
  • Collette D. Sosnowy
  • Philip A. ChanEmail author
Original Paper
  • 18 Downloads

Abstract

Racial and ethnic disparities exist in HIV pre-exposure prophylaxis (PrEP) awareness and care. We evaluated how racial and ethnic disparities in PrEP awareness among MSM presenting to a sexually transmitted disease clinic changed from 2013 to 2016. Among 1243 MSM (68% non-Hispanic White, 22% Hispanic, and 10% non-Hispanic Black), PrEP awareness increased overall, but awareness was lower among Hispanic and non-Hispanic Black MSM relative to non-Hispanic White MSM. Awareness converged among non-Hispanic Black and White MSM by 2016, but remained consistently lower among Hispanic MSM. Improved efforts are needed to address disparities in PrEP awareness.

Keywords

HIV Pre-exposure prophylaxis (PrEP) Men who have sex with men (MSM) Disparities Black Hispanic 

Notes

Funding

Dr. Raifman received support from NIH Grants T32AI102623, R25MH083620, R21MH113431, and K01MH116817. Dr. Dean was supported by NIH Grants R25MH083620, K01CA184288, P30CA006973, and P30AI094189. Dr. Chan was supported by NIH Grants R34DA042648, R34MH110369, R34MH109371, R21MH113431, and R21MH109360.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

The study was approved by the presiding institutional review board (IRB), which granted a waiver of consent for the use of de-identified, secondary data from patient intake forms (The Miriam Hospital IRB Project Number 216513).

Supplementary material

10461_2019_2462_MOESM1_ESM.docx (17 kb)
Electronic supplementary material 1 (DOCX 17 kb)
10461_2019_2462_MOESM2_ESM.docx (13 kb)
Electronic supplementary material 2 (DOCX 13 kb)

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Julia Raifman
    • 1
  • Lorraine T. Dean
    • 2
  • Madeline C. Montgomery
    • 3
    • 4
  • Alexi Almonte
    • 3
  • Renata Arrington-Sanders
    • 5
  • Michael D. Stein
    • 1
  • Amy S. Nunn
    • 4
  • Collette D. Sosnowy
    • 3
  • Philip A. Chan
    • 3
    Email author
  1. 1.Health Law Policy & ManagementBoston University School of Public HealthBostonUSA
  2. 2.EpidemiologyJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  3. 3.MedicineBrown UniversityProvidenceUSA
  4. 4.Behavioral and Social SciencesBrown University School of Public HealthProvidenceUSA
  5. 5.Adolescent MedicineJohns Hopkins Medical InstitutionsBaltimoreUSA

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