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PO Box 7319, Pittsburgh, PA, USA, 15213. 412-383-3000 (office); 412-383-1513 (FAX). mrf9@pitt.edu

The authors thank the Center for Black Equity and local Black Pride organizations for partnering with us to implement POWER, the community-based organizations who performed onsite HIV testing on the study’s behalf, the thousands of study participants who volunteered their time to contribute to this research, and members of the POWER Study Team who made data collection possible. The local Black Pride organizations are as follows: D.C. Black Pride, Detroit’s Hotter than July, Houston Splash, In the Life Atlanta, Memphis Black Pride, and Philadelphia Black Pride. The community-based organizations that performed onsite HIV testing are as follows: Atlanta: AID Atlanta, AIDS Health Care Foundation, NAESM; Detroit: Community Health Awareness Group, Horizons Project, Unified; Houston: Avenue 360, Houston AIDS Foundation, Positive Efforts; Memphis: Friends for Life; Philadelphia: Access Matters, Philadelphia FIGHT; Washington, D.C.: Us Helping Us. The members of POWER study team are as follows: Center for Black Equity: Earl D. Fowlkes, Jr., Michael S. Hinson, Jr.; Columbia University: Patrick A. Wilson; University of Connecticut: Lisa A. Eaton; Rutgers University: Henry Fisher-Raymond; University of Pittsburgh: Leigh A. Bukowski, Cristian J. Chandler, Derrick D. Matthews, Steven P. Meanley, Jordan M. Sang, and Ronald D. Stall. We are grateful to Luis Archila for his translation of our abstract into Spanish.

Author MRF has received an honorarium and travel expenses reimbursement for serving as a consultant to Gilead Sciences, Inc. in June 2018 for the purposes of providing scientific input for a grant mechanism in development concentrating on HIV and aging. Authors MRF and RDS received travel expenses reimbursements from Gilead Sciences, Inc. for the purposes of speaking at AIDSImpact conference in July 2015, specifically for a symposium on syndemics and the HIV prevention and care continuum. Authors JMS, LAB, DDM, LAE, CJC, JEE, KH, and HRF have no conflicts of interest to declare.

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Research Funding:

This study was funded by the National Institutes of Minority Health and Health Disparities, National Institutes of Health (5R01NR013865).

Keywords:

  • HIV prevention
  • pre-exposure prophylaxis
  • Black/African American
  • men who have sex with men (MSM)
  • bisexuality

Prevalence and Correlates of Prep Awareness and Use Among Balck Men Who Have Sex With Men and Women (MSMW) in the United States

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Journal Title:

AIDS AND BEHAVIOR

Volume:

Volume 23, Number 10

Publisher:

, Pages 2694-2705

Type of Work:

Article | Post-print: After Peer Review

Abstract:

Men who have sex with men and women (MSMW), including those who are Black, experience HIV-related disparities compared to men who have sex with men only (MSMO). Few studies have assessed the prevalence and correlates of pre-exposure prophylaxis (PrEP) awareness and use among Black MSMW. We recruited MSM ≥18 attending Black Gay Pride events between 2014—2017. We conducted multivariable logistic regressions to assess differences in PrEP awareness and use among HIV-negative Black MSM (n=2398) and within Black MSMW (n=419). MSMW were less likely than MSMO to report PrEP awareness (p<.001). Among PrEP-aware MSM, MSMW were more likely than MSMO to report PrEP use (p<.05). MSMW receiving gay community support were more likely to be PrEP-aware (p<.01). MSMW reporting any past-year STI diagnoses were more likely to report PrEP use (p<.01). Findings suggest that PrEP awareness campaigns tailored for Black MSMW, concomitant with STI-to-PrEP interventions, will facilitate greater PrEP uptake in this population.
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