Evidence map›Paper›PMID 37167318›Full record

ArticlePloS one2023

Targeted social marketing of PrEP and the stigmatization of black sexual minority men.

Sarah K Calabrese, David A Kalwicz, John F Dovidio, Sharanya Rao, Djordje X Modrakovic, Cheriko A Boone, Manya Magnus, Michael Kharfen, Viraj V Patel, Maria Cecilia Zea

Abstract read
In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Sarah K CalabreseDepartment of Psychological and Brain Sciences, George Washington University, Washington, DC, United States of America.ORCID 0000-0003-2640-0208
David A KalwiczDepartment of Psychological and Brain Sciences, George Washington University, Washington, DC, United States of America.
John F DovidioDepartment of Psychology, Yale University, New Haven, CT, United States of America.
Sharanya RaoDepartment of Psychological and Brain Sciences, George Washington University, Washington, DC, United States of America.ORCID 0000-0001-8677-3781
Djordje X ModrakovicDepartment of Psychological and Brain Sciences, George Washington University, Washington, DC, United States of America.
Cheriko A BooneDepartment of Psychological and Brain Sciences, George Washington University, Washington, DC, United States of America.
Manya MagnusDepartment of Epidemiology, George Washington University, Washington, DC, United States of America.
Michael KharfenHIV/AIDS, Hepatitis, STD & TB Administration, DC Department of Health, Washington, DC, United States of America.
Viraj V PatelDepartment of Medicine, Albert Einstein College of Medicine, Montefiore Health System, Bronx, NY, United States of America.ORCID 0000-0002-5603-9823
Maria Cecilia ZeaDepartment of Psychological and Brain Sciences, George Washington University, Washington, DC, United States of America.

Funding

SWG 2: Cure Research Scientific Working GroupP30AI117970 · NIAID · GEORGE WASHINGTON UNIVERSITY · PI SERGEI NEKHAI · 2015 to 2026
$29.6M
Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
Intervention to Promote PrEP Awareness and Equitable Prescription among ProvidersK01MH103080 · NIMH · YALE UNIVERSITY · PI CALABRESE, SARAH K. · 2014 to 2017
$634k
NIAID NIH HHS P30 AI117970NIMH NIH HHS K01 MH103080NIMH NIH HHS R25 MH067127
6 · The paper itself

Abstract

Disparities in HIV incidence and PrEP uptake suggest a need to prioritize Black sexual minority men (SMM) in PrEP social marketing initiatives. However, images linking Black SMM to HIV and PrEP may inadvertently reinforce stigma. We examined HIV-negative/status-unknown Black SMM's responses to targeted PrEP advertisements using mixed methods, including an experiment embedded in a longitudinal online survey (Time 1: n = 96; Time 2 [eight weeks]: n = 73) and four focus groups (n = 18). The full factorial experiment included between-groups and within-subjects comparisons. For between-groups comparisons, each participant was randomly assigned to view one of 12 advertisements, which varied by couple composition (Black SMM couple/Black heterosexual couple/multiple diverse couples/no couples) and campaign (PrEPare for the Possibilities/PlaySure/PrEP4Love). We examined couple composition, campaign, and interaction effects on: advertisement judgments (Time 1), PrEP stigma (Time 1), PrEP motivation (Times 1 and 2), and PrEP behavior (Time 2). For within-subjects comparisons, each participant viewed all 12 advertisements, and we examined couple composition, campaign, and interaction effects on advertisement judgments (Time 2). Focus group participants discussed advertising preferences and responded to the same set of advertisements. For between-groups and within-subjects comparisons, we found significant couple composition effects but no or limited campaign and interaction effects on advertisement judgments. Advertisements featuring Black SMM exclusively were judged as more stigmatizing than advertisements without couples. Advertisements with diverse (vs. no) couples were considered more eye-catching and motivating. There were minimal effects of couple composition and campaign on PrEP stigma, motivation, and behavior. Focus group participants corroborated concerns about the potential for PrEP advertisements to be stigmatizing, suggesting advertisements featuring Black SMM exclusively could be alienating and fuel conspiracy theories. Focus group participants generally favored diverse and less sexualized advertisements, particularly for public spaces. Findings collectively highlight the potential for targeted PrEP advertisements to stigmatize Black SMM and support diverse representation.

Indexed as

HIV InfectionsPre-Exposure ProphylaxisSexual and Gender MinoritiesHomosexuality, MaleHumansMaleSocial MarketingStereotyping

Identifiers

PMID37167318
PMCPMC10174512

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.