title: The Importance of Sexual History Taking for PrEP Comprehension Among Young People of Color.
abstract: Despite demonstrated efficacy, uptake of pre-exposure prophylaxis (PrEP) remains low, especially among highest priority populations. This study examined four PrEP messaging factors hypothesized to impact comprehension of PrEP educational information: (1) modality (video versus in-person message delivery); (2) frame (risk versus health focus); (3) specificity (gist versus verbatim efficacy information); and (4) sexual history (administered either before or after PrEP education). We examined message comprehension among 157 young people of color (YPoC) eligible for PrEP, using a series of multiple choice questions. Overall, 65.6 % (n = 103) got all message comprehension questions correct. In multivariate analyses, engaging in a sexual history before receiving PrEP education was associated with increased odds of message comprehension (aOR 2.23; 95 % CI 1.06-4.72). This effect was even stronger among those who received PrEP education via video (aOR 3.53; 95 % CI 1.16-10.81) compared to via health educator. This research underscores the importance of sexual history-taking as part of PrEP education and clinical practice for YPoC, and suggests that engaging patients in a sexual history prior to providing them with PrEP education may be key to increasing comprehension.
authors.affiliation: Department of Psychology, Hunter College of CUNY, New York, NY, USA. sgolub@hunter.cuny.edu.|Department of Psychology, Graduate Center of CUNY, New York, NY, USA. sgolub@hunter.cuny.edu.|Hunter HIV/AIDS Research Team (HART), New York, NY, USA. sgolub@hunter.cuny.edu.
authors.forename: Sarit A
authors.initials: SA
authors.lastname: Golub
authors.affiliation: Hunter HIV/AIDS Research Team (HART), New York, NY, USA.|Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
authors.forename: Kristi E
authors.initials: KE
authors.lastname: Gamarel
authors.affiliation: Hunter HIV/AIDS Research Team (HART), New York, NY, USA.
authors.forename: Corina
authors.initials: C
authors.lastname: Lelutiu-Weinberger
mesh_terms: D000293:Adolescent; D000328:Adult; D005006:Ethnicity / Q000193:education* / Q000523:psychology; D005260:Female; D015658:HIV Infections / Q000208:ethnology* / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008487:Medical History Taking; D008875:Middle Aged; D009519:New York City; D065129:Pre-Exposure Prophylaxis; D012725:Sexual Behavior / Q000208:ethnology; D000074384:Sexual Health / Q000193:education*; D047568:Unsafe Sex / Q000208:ethnology / Q000517:prevention & control; D014505:Urban Population; D055815:Young Adult
keywords: Messaging; PrEP; Pre-exposure prophylaxis; Young people of color