title: Attitudes and program preferences of African-American urban young adults about pre-exposure prophylaxis (PrEP).
abstract: We elicited attitudes about, and service access preferences for, daily oral antiretroviral pre-exposure prophylaxis (PrEP) from urban, African-American young men and women, ages 18-24 years, at risk for HIV transmission through their sexual and drug-related behaviors participating in eight mixed-gender and two MSM-only focus groups in Atlanta, Georgia. Participants reported substantial interest in PrEP associated with its perceived cost, effectiveness, and ease of accessing services and medication near to their homes or by public transportation. Frequent HIV testing was a perceived benefit. Participants differed about whether risk-reduction behaviors would change, and in which direction; and whether PrEP use would be associated with HIV stigma or would enhance the reputation for PrEP users. This provides the first information about the interests, concerns, and preferences of young adult African Americans that can be used to inform the introduction of PrEP services into HIV prevention efforts for this critical population group.
authors.affiliation: Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, USA. dsmith1@cdc.gov
authors.forename: Dawn K
authors.initials: DK
authors.lastname: Smith
authors.forename: Lauren
authors.initials: L
authors.lastname: Toledo
authors.forename: Donna Jo
authors.initials: DJ
authors.lastname: Smith
authors.forename: Mary Anne
authors.initials: MA
authors.lastname: Adams
authors.forename: Richard
authors.initials: R
authors.lastname: Rothenberg
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000523:psychology*; D044966:Anti-Retroviral Agents / Q000008:administration & dosage* / Q000627:therapeutic use; D003258:Consumer Behavior; D005260:Female; D017144:Focus Groups; D005845:Georgia; D015658:HIV Infections / Q000517:prevention & control* / Q000635:transmission; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D020010:Heterosexuality; D018451:Homosexuality, Male; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D010342:Patient Acceptance of Health Care; D011292:Premedication / Q000523:psychology*; D036301:Qualitative Research; D012307:Risk Factors; D012309:Risk-Taking; D011795:Surveys and Questionnaires; D014505:Urban Population; D055815:Young Adult
chemical_list: D044966:Anti-Retroviral Agents