title: Perceptions of and intentions to adopt HIV pre-exposure prophylaxis among black men who have sex with men in Los Angeles.
abstract: This study assessed perceptions of pre-exposure prophylaxis (PrEP) and their association with PrEP adoption intention among a convenience sample of 224 low socioeconomic status black men who have sex with men (BMSM) residing in Los Angeles. Participants received educational information about PrEP and completed an in-person interview. More than half (60%) of the participants indicated a high intention to adopt PrEP. Younger BMSM (18-29 years) were twice as likely to report a high intention to adopt PrEP compared to older BMSM (30+ years). Only 33% of participants were aware of PrEP and no participant had ever used PrEP. Negative perceptions were associated with a lower PrEP adoption intention and included being uncomfortable taking an HIV medicine when HIV-negative and not knowing if there are long-term side effects of taking an HIV medication. These findings suggest that BMSM may adopt PrEP but that negative perceptions may limit its uptake among this population. In order to facilitate PrEP adoption among BMSM targeted educational and community awareness programmes are needed to provide accurate information on the benefits of PrEP and to address the negative perceptions of PrEP held by local BMSM populations.
authors: Department of Family Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA rbrooks1@ucla.edu.
authors: Ronald A
authors: RA
authors: Brooks
authors: Division of Infectious Diseases, Center for Clinical AIDS Research & Education, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
authors: Raphael J
authors: RJ
authors: Landovitz
authors: Department of Family Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
authors: Rotrease
authors: R
authors: Regan
authors: Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
authors: Sung-Jae
authors: SJ
authors: Lee
authors: Department of Psychology, University of California, Los Angeles, CA, USA.
authors: Vincent C
authors: VC
authors: Allen
mesh_terms: D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use; D001727:Bisexuality / Q000208:ethnology / Q000523:psychology; D044383:Black People / Q000523:psychology* / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000188:drug therapy / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male / Q000208:ethnology / Q000523:psychology*; D006801:Humans; D033182:Intention; D016015:Logistic Models; D015141:Los Angeles; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D010465:Perception; D065129:Pre-Exposure Prophylaxis; D012309:Risk-Taking; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D055815:Young Adult; D001741:Black or African American
chemical_list: D019380:Anti-HIV Agents
keywords: AIDS; African-American; HIV; HIV prevention; adoption intention; biomedical; bisexual; gay; men who have sex with men; pre-exposure prophylaxis PrEP
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