PrEP Stigma, HIV Stigma, and Intention to Use PrEP among Women in New York City and Philadelphia.

Szczegóły
Abstrakt

Tytuł:: PrEP Stigma, HIV Stigma, and Intention to Use PrEP among Women in New York City and Philadelphia.
Autorzy:: Chittamuru D; Department of Public Health, School of Social Sciences, Humanities and Arts, University of California Merced, Merced, CA.
Frye V; Department of Community Health and Social Medicine, City University of New York School of Medicine, New York, NY.
Koblin BA; School of Nursing, University of Pennsylvania, Philadelphia, PA.
Brawner B; School of Nursing, University of Pennsylvania, Philadelphia, PA.
Tieu HV; Laboratory of Infectious Disease Prevention, Lindsley F. Kimball Research Institute, New York Blood Center, New York, NY.
Davis A; School of Nursing, University of Pennsylvania, Philadelphia, PA.
Teitelman A; School of Nursing, University of Pennsylvania, Philadelphia, PA.
Źródło:: Stigma and health [Stigma Health] 2020 May; Vol. 5 (2), pp. 240-246. Date of Electronic Publication: 2019 Oct 31.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: Washington, DC : American Psychological Association
References:: AIDS Behav. 2018 Aug;22(8):2718-2732. (PMID: 29858737)
Curr HIV/AIDS Rep. 2018 Apr;15(2):190-197. (PMID: 29460223)
Ann Epidemiol. 2018 Dec;28(12):850-857.e9. (PMID: 29941379)
AIDS Behav. 2017 May;21(5):1247-1255. (PMID: 27177903)
AIDS Patient Care STDS. 2013 Apr;27(4):248-54. (PMID: 23565928)
AIDS Care. 2009 Jun;21(6):742-53. (PMID: 19806490)
Am J Public Health. 2017 Jun;107(6):863-869. (PMID: 28426316)
Health Psychol. 2015 Dec;34(12):1175-84. (PMID: 26214076)
AIDS Patient Care STDS. 2015 Feb;29(2):102-10. (PMID: 25513954)
J Int AIDS Soc. 2013 Nov 13;16(3 Suppl 2):18640. (PMID: 24242258)
Am J Public Health. 2015 Oct;105(10):1960-4. (PMID: 26270298)
AIDS. 2008 Aug;22 Suppl 2:S67-79. (PMID: 18641472)
AIDS Care. 2000 Jun;12(3):273-8. (PMID: 10928203)
Health Educ Res. 2014 Feb;29(1):166-81. (PMID: 23962491)
Health Psychol. 2015 Jun;34(6):610-21. (PMID: 25110841)
J Acquir Immune Defic Syndr. 2014 Dec 1;67(4):438-45. (PMID: 25197830)
HIV AIDS (Auckl). 2015 Oct 13;7:241-9. (PMID: 26508889)
AIDS. 2015 Apr 24;29(7):837-45. (PMID: 25730508)
J Acquir Immune Defic Syndr. 2018 Sep 1;79(1):46-53. (PMID: 29847480)
J AIDS Clin Res. 2017 Sep;8(9):. (PMID: 29201531)
AIDS Behav. 2017 Jan;21(1):300-306. (PMID: 27351194)
JAMA. 1984 Oct 12;252(14):1905-7. (PMID: 6471323)
AIDS Behav. 2018 Sep;22(9):3044-3056. (PMID: 29789985)
AIDS Behav. 2019 Jul;23(7):1964-1973. (PMID: 30649635)
Am J Public Health. 2015 Feb;105(2):e75-82. (PMID: 25521875)
AIDS Behav. 2015 Jul;19(7):1247-62. (PMID: 25449552)
AIDS Behav. 2008 Sep;12(5):759-71. (PMID: 18266101)
MMWR Morb Mortal Wkly Rep. 2018 Oct 19;67(41):1147-1150. (PMID: 30335734)
AIDS Patient Care STDS. 2013 Nov;27(11):621-7. (PMID: 24138486)
Grant Information:: P30 AI045008 United States AI NIAID NIH HHS; R21 AI122996 United States AI NIAID NIH HHS; R34 MH108437 United States MH NIMH NIH HHS
Contributed Indexing:: Keywords: HIV prevention; HIV stigma; PrEP stigma
Entry Date(s):: Date Created: 20201113 Latest Revision: 20220418
Update Code:: 20240105
PubMed Central ID:: PMC7654828
DOI:: 10.1037/sah0000194
PMID:: 33184608
: Czasopismo naukowe

Background: Stigma is an important contributor to the continued HIV epidemic in the United States (US). In 2016, women made up nearly one in five of all new infections. Pre-exposure HIV Prophylaxis or PrEP is a medication that can be taken to prevent HIV acquisition; however, PrEP is significantly underutilized by women at risk for infection. How PrEP stigma relates to PrEP initiation among women is not well understood.
Methods: Surveys were completed by 160 PrEP-eligible women aged 18-55 in Philadelphia, PA and New York City, NY. Associations between PrEP stigma, HIV stigma, and PrEP initiation intention were modeled using multinomial logistic regression, controlling for sociodemographic and theoretically-relevant variables.
Results: Participants ranged in age from 18 to 55 years (M = 40.2; SD = 11.78). Most (79%) identified as Black or African-American and/or Latina and 36% had completed high-school or less. Higher PrEP stigma was significantly associated with lower PrEP initiation intention, while controlling for other theoretically-relevant and sociodemographic variables. HIV stigma was not related to PrEP initiation intention.
Conclusions: HIV prevention interventions seeking to increase PrEP initiation among PrEP-eligible, urban women need to address the role that PrEP stigma plays in PrEP uptake.
Competing Interests: Conflict of Interest: All authors declare that they have no conflicts of interest.

Informacja