Journal
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
Volume 19, Issue 18, Pages -Publisher
MDPI
DOI: 10.3390/ijerph191811640
Keywords
HIV/AIDS; PrEP; gay and bisexual men; suburban health
Funding
- New York State AIDS Institute Ending the Epidemic Research and Evaluation Grant [T32491GG]
- National Institute of Mental Health [F31MH121112, R25MH083620]
- Einstein-Rockefeller-CUNY Center for AIDS Research [P30-AI-124414]
- Einstein-Rockefeller-CUNY Center for AIDS Research: NIAID
- Einstein-Rockefeller-CUNY Center for AIDS Research: NICHD [P30-AI-124414]
- Einstein-Rockefeller-CUNY Center for AIDS Research: NHLBI [P30-AI-124414]
- Einstein-Rockefeller-CUNY Center for AIDS Research: NIDA [P30-AI-124414]
- Einstein-Rockefeller-CUNY Center for AIDS Research: NIDDK [P30-AI-124414]
- Einstein-Rockefeller-CUNY Center for AIDS Research: NIGMS [P30-AI-124414]
- Einstein-Rockefeller-CUNY Center for AIDS Research: NIMH [P30-AI-124414]
- Einstein-Rockefeller-CUNY Center for AIDS Research: NIMHD [P30-AI-124414]
- Einstein-Rockefeller-CUNY Center for AIDS Research: NIA [P30-AI-124414]
- Einstein-Rockefeller-CUNY Center for AIDS Research: FIC [P30-AI-124414]
- Einstein-Rockefeller-CUNY Center for AIDS Research: OAR [P30-AI-124414]
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This cross-sectional web-based study assessed attitudes and experiences with HIV pre-exposure prophylaxis (PrEP) among a multiracial cohort of gay, bisexual, and other men who have sex with men (MSM) and transgender women in Long Island, New York. The study found barriers and facilitators to using PrEP.
We conducted a cross-sectional web-based study to assess attitudes and experiences with HIV pre-exposure prophylaxis (PrEP) amongst a multiracial cohort of gay, bisexual, and other men who have sex with men (MSM) and transgender women in Long Island, New York. Participants were recruited through clinical providers and community-based organizations. The survey assessed knowledge and attitudes toward PrEP and factors that facilitate willingness to take it. Of the 189 respondents, most participants were Latinx/Hispanic (57.1%; n = 105), gay-identifying (81.2%; n = 151), and cisgender men (88.7%; n = 165). One in five participants completed high school or lower (19.4%; n = 36). Among those who had never used PrEP (53.4%; n = 101), nearly all participants were willing to use it if it were free or covered as part of their insurance (89.4%; n = 84). The most common barriers to not using PrEP was not knowing where to obtain it (68.3%; n = 69), concerns about side effects (42.1%; n = 35), and concerns about affordability (38.5%; n = 25). This study discusses specific nuances to the suburbs, including cultural norms and structural barriers that should be incorporated in health promotion initiatives in addressing these factors.
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