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Beliefs About the End of AIDS, Concerns About PrEP Functionality, and Perceptions of HIV Risk as Drivers of PrEP Use in Urban Sexual Minority Men: The P18 Cohort Study

Abstract

Using cross-sectional data from an ongoing cohort study of young gay, bisexual, and other men who have sex with men (N = 492), we examined the extent to which cognitive factors such as beliefs about the end of AIDS, concerns about the manner in which PrEP works, and perceptions about risk of contracting HIV, are related to PrEP uptake and use. While almost all participants indicted awareness of PrEP, a mere 14% had ever used PrEP. Those with lower concerns about the side effects of PrEP and greater belief that treatment and PrEP would eliminate AIDS were also more likely to have ever used PrEP. Our findings support the ongoing challenges of PrEP uptake as means of curtailing HIV in young sexual minority men, and suggest that beyond the structural factors, consideration must be given to further educating the population as a means of adjusting potentially faulty beliefs, concerns, and perceptions which may influence PrEP utilization.

Resumen

Utilizando datos transversales de un estudio de cohorte en curso de jóvenes homosexuales, bisexuales y otros hombres que tienen relaciones sexuales con hombres (N = 492), examinamos la medida en que los factores cognitivos en forma de creencias sobre el fin del SIDA, las preocupaciones sobre la forma en que funciona la PrEP y las percepciones sobre el riesgo de contraer el VIH, están relacionados con la consumo y el uso de PrEP. Mientras que casi todos los participantes indicaron la toma de conciencia sobre la PrEP, sólo un 14% había usado PrEP. Aquellos con una menor preocupación por los efectos secundarios de la PrEP y una mayor creencia de que el tratamiento y la PrEP eliminaría el SIDA también fueron más propensos a haber usado PrEP. Nuestros hallazgos apoyan los desafíos actuales de la adopción de PrEP como medios para reducir el VIH en hombres jóvenes de minorías sexuales, y sugieren que más allá de los factores estructurales, se debe considerar la posibilidad de educar a la población como un medio para ajustar creencias potencialmente erróneas, que pueden influir en la utilización de la PrEP.

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Funding

This work is funded by the National Institute on Drug Abuse, Grant # 1R01DA025537 and 2R01DA025537.

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Correspondence to Perry N. Halkitis.

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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. Written consent was obtained from all participants. The study possesses a federal Certificate of Confidentiality.

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Research reported in this publication was supported by the National Institute on Drug Abuse of the National Institutes of Health under Award Numbers 1R01DA025537 and 2R01DA025537. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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Halkitis, P.N., Jaiswal, J., Griffin-Tomas, M. et al. Beliefs About the End of AIDS, Concerns About PrEP Functionality, and Perceptions of HIV Risk as Drivers of PrEP Use in Urban Sexual Minority Men: The P18 Cohort Study. AIDS Behav 22, 3705–3717 (2018). https://doi.org/10.1007/s10461-018-2218-y

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Keywords

  • PrEP
  • Cognition
  • Gay and bisexual
  • Sexual minority
  • HIV
  • Belief
  • Concern
  • Risk perception
  • End of AIDS