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Optimizing PrEP Continuance: A Secondary Analysis Examining Perceived Autonomy Support and Care Coordination Quality among Black MSM in HPTN 073.
Ramos, S Raquel; Beauchamp, Geetha; Wheeler, Darrell P; Wilton, Leo; Whitfield, Darren L; Boyd, Donte T; Hightow-Weidman, Lisa; Fields, Sheldon D; Nelson, LaRon E.
Afiliación
  • Ramos SR; School of Nursing, Yale University, Orange, CT 06477, USA.
  • Beauchamp G; Department of Social and Behavioral Sciences, School of Public Health, Yale University, New Haven, CT 06520, USA.
  • Wheeler DP; Center for Interdisciplinary Research on AIDS, School of Public Health, Yale University, New Haven, CT 06520, USA.
  • Wilton L; SCHARP, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA.
  • Whitfield DL; Office of the Provost, Iona College, New Rochelle, NY 10801, USA.
  • Boyd DT; Department of Human Development, State University of New York at Binghamton, Binghamton, NY 13901, USA.
  • Hightow-Weidman L; School of Social Work, University of Maryland, Baltimore, MD 21201, USA.
  • Fields SD; College of Social Work, The Ohio State University, Columbus, OH 43210, USA.
  • Nelson LE; Department of Medicine, University of North Carolina, Chapel Hill, NC 27599, USA.
  • On Behalf Of The Hptn Team; College of Nursing, Pennsylvania State University, University Park, PA 16803, USA.
Int J Environ Res Public Health ; 19(8)2022 04 08.
Article en En | MEDLINE | ID: mdl-35457367
At the end of year 2018, it was estimated that in the United States over 1 million people were living with HIV. Although Black/African American individuals comprise an estimated 13.4% of the US population, as of 2019, they represented an estimated 42% of all new HIV diagnoses in 2018. PrEP use among Black men who have sex with men has not reached levels sufficient to have a population impact on HIV incidence. The purpose of this study was to examine whether high perceived autonomy support and care coordination quality were associated with PrEP continuation. Secondary analyses were conducted on data with 226 Black MSM in three US cities. Participants who were PrEP users and scored higher on autonomy support at week 8 were significantly more likely to continue PrEP (OR 1.48; 95% CI 1.04-2.11). Perception of coordination quality did not differ between PrEP users and non-users at any of the visits. Although coordination quality was not statistically significant, greater than half of PrEP users and non-PrEP users utilized the C4 services. Addressing social, individual, and structural barriers to PrEP may benefit Black MSM irrespective of their PrEP use.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Fármacos Anti-VIH / Profilaxis Pre-Exposición / Minorías Sexuales y de Género Tipo de estudio: Prognostic_studies Límite: Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Int J Environ Res Public Health Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Fármacos Anti-VIH / Profilaxis Pre-Exposición / Minorías Sexuales y de Género Tipo de estudio: Prognostic_studies Límite: Humans / Male País/Región como asunto: America do norte Idioma: En Revista: Int J Environ Res Public Health Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Suiza