title: A Medical Care Missed Opportunity: Preexposure Prophylaxis and Young Black Men Who Have Sex With Men.
abstract: HIV disproportionately impacts young black men who have sex with men (YBMSM). Preexposure prophylaxis (PrEP) is an effective strategy that can avert new HIV infections in YBMSM. Barriers exist for YBMSM to access PrEP.
  
  
  
  We sought to determine factors associated with awareness of and willingness to take PrEP in a sample of YBMSM.
  
  
  
  Only 8% were currently on PrEP despite many (66%) reporting condomless anal sex, a recent provider visit (54%), disclosing their sexual orientation to their regular medical provider (62%), or a willingness to take PrEP (62%). In bivariate analysis, increased number of lifetime partners, current PrEP use, and disclosure of sexual orientation to a doctor were associated with awareness of PrEP, while condomless anal sex and higher perceived risk was associated with willingness to take PrEP. Sex with females was associated with lower willingness.
  
  
  
  Providers may be missing key opportunities to educate YBMSM about PrEP and incorporate PrEP into comprehensive sexual health care.
authors.affiliation: Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: Rarring3@jhmi.edu.
authors.forename: Renata
authors.initials: R
authors.lastname: Arrington-Sanders
authors.affiliation: Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors.forename: Anthony
authors.initials: A
authors.lastname: Morgan
authors.affiliation: Department of Pediatrics, Division of General Pediatrics and Adolescent Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.
authors.forename: Jessica
authors.initials: J
authors.lastname: Oidtman
authors.affiliation: Department of Biochemistry, University of Maryland, College Park, Maryland.
authors.forename: Ian
authors.initials: I
authors.lastname: Qian
authors.affiliation: Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
authors.forename: David
authors.initials: D
authors.lastname: Celentano
authors.affiliation: Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
authors.forename: Chris
authors.initials: C
authors.lastname: Beyrer
mesh_terms: D000293:Adolescent; D001741:Black or African American; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care; D065129:Pre-Exposure Prophylaxis / Q000706:statistics & numerical data*; D012725:Sexual Behavior / Q000706:statistics & numerical data*; D012747:Sexual Partners; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: PrEP; Preexposure prophylaxis; Young black men who have sex with men (YBMSM)