ArticleAIDS care2022
From declining PrEP to PrEP initiation as "first nature" - what changes PrEP initiation decisions among young, Black MSM.
Article in AIDS care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- A Multicomponent Intervention (POSSIBLE) to Improve Perceived Risk for HIV Among Black Sexual Minority Men: Feasibility and Preliminary Effectiveness Pilot Study.JMIR human factors · 2024Trial
- Navigating Access to Pre-exposure Prophylaxis (PrEP): Black Men Who Have Sex With Men (BMSM) Voices Living in HIV Hotspots.Journal of racial and ethnic health disparities · 2025Article
- Brief Report: Behavioral Readiness for Daily Oral PrEP in a Diverse Sample of Gay, Bisexual, and Other Men Who Have Sex With Men Who Have Not Been Offered PrEP by a Provider.Journal of acquired immune deficiency syndromes (1999) · 2025Article
- Inequities in PrEP annualized pill-day coverage, United States, 2018-2022: a cross-sectional pharmacoequity analysis.Journal of the International AIDS Society · 2025Article
- Preventing Premature Pre-Exposure Prophylaxis Discontinuation and Sexually Transmitted Infections Among Men Who Have Sex With Men (Project PEACH): Protocol for a Prospective Cohort Study.JMIR research protocols · 2025Article
- Social Network Characteristics Associated with More Frequent HIV and STI Prevention Conversations: The N2 Cohort Study in Chicago.AIDS and behavior · 2024Article
- A Scripted, PrEP-Using Peer Change Agent Improves Perceived Risk for HIV and Willingness to Accept Referrals Quickly Among Black Sexual Minority Men: Preliminary Findings from POSSIBLE.AIDS and behavior · 2024Article
- Low Self-Perceived Need for PrEP and Behavioral Indications of MSM Who Recently Refused Daily PrEP: A Mixed Methods Study in Three U.S. Cities.AIDS and behavior · 2024Article
- The importance of developmental assets in HIV prevention behaviors among young black men who have sex with men (MSM).Scientific reports · 2024Article
- "It was unusual but amazing": demand creation for PrEP among adolescents' men who have sex with men (MSM) and transgender women (TGW) in Brazil.Cadernos de saude publica · 2024Article
- Brief Report: Refusal of Daily Oral PrEP: Implementation Considerations and Reported Likelihood of Using Various HIV Prophylaxis Products in a Diverse Sample of MSM.Journal of acquired immune deficiency syndromes (1999) · 2023Article
- Pre-exposure prophylaxis in the era of emerging methods for men who have sex with men in the USA: the HIV Prevention Cycle of Care model.The lancet. HIV · 2023Review
- COVID-19 vaccine attitudes among a majority black sample in the Southern US: public health implications from a qualitative study.BMC public health · 2023Article
- COVID-19 Vaccine Attitudes among a Majority Black Sample in the Southern US: Public Health Implications from a Qualitative Study.Research square · 2022Article
- Beyond HIV prevention: Additional individual and community-level benefits of PrEP among Latino gay and bisexual men.PloS one · 2022Article
- PrEP Acceptance among Eligible Patients Attending the Largest PrEP Clinic in Jackson, Mississippi.Journal of the International Association of Providers of AIDS CareArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
Young Black men who have sex with men (YBMSM) bear a disproportionate burden of HIV, and HIV pre-exposure prophylaxis (PrEP) uptake has been slow. Decisions regarding PrEP initiation change in different life contexts over time. Our YBMSM cohort study found about 1/3 of those who initially declined PrEP subsequently changed and initiated PrEP care. This study explores the process of their PrEP decision changes. The study interviewed participants who initially voiced strong and clear reservations about PrEP, but subsequently started PrEP 1-14 months later. In "review/renew" follow-up interviews, participants reviewed their past statements from a time they declined PrEP, and renew their understanding regarding perspective and behavioral change. Analyzing the data with a positive deviance framework, we found that shifting the decisional balance in favor of PrEP initiation only required change in some areas. There were not consistent factors that prevented or facilitated PrEP uptake. Instead, YBMSM initiated PrEP while maintaining an array of substantial reservations. PrEP initiation discussions should be viewed by health practitioners as a longitudinal process, and routine PrEP offers should be made over time. To optimally facilitate PrEP use among YBMSM, the diverse benefits of PrEP should be emphasized rather than focusing on allaying all concerns.
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