Acceptability of Condoms, Circumcision and PrEP among Young Black Men Who Have Sex with Men: A Descriptive Study Based on Effectiveness and Cost.
The current study examined and compared the willingness of young Black men who have sex with men (YBMSM) to accept pre-exposure prophylaxis (PrEP), adult male circumcision, and condoms for reducing their risk of HIV acquisition. The majority (67%) reported unprotected receptive anal sex in the last six months. About three-quarters (71%) would accept using PrEP if it was 100% effective. Cost influenced PrEP acceptance with 19% indicating acceptance at $100 per month co-pay. Of those not circumcised, 50% indicated willingness if circumcision was 100% effective. Acceptance of circumcision decreased markedly to 17% with co-pays of $100. About 73% of men were willing to use condoms if they were 100% effective and 50% indicated a willingness at the cost of $10 per month. The findings suggest that condom use promotion strategies should remain at the forefront of public health efforts to control HIV incidence among YBMSM.
Department of Health Behavior, College of Public Health, University of Kentucky, 121 Washington Ave, Lexington, KY 40506, USA. crosby@uky.edu.
Richard A
RA
Crosby
Department of Health Behavior, College of Public Health, University of Kentucky, 121 Washington Ave, Lexington, KY 40506, USA. angelica.geter@uky.edu.
Angelica
A
Geter
Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA. rdiclem@emory.edu.
Ralph J
RJ
DiClemente
School of Public Health, Georgia State University, One Park Place, Suite 714, Atlanta, GA 30303, USA. lsalazar1@gsu.edu.
Laura F
LF
Salazar
African American men who have sex with men; HIV/AIDS; PrEP; circumcision; condoms