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AIDS Behav. 2018 Apr;22(4):1139-1149. doi: 10.1007/s10461-017-1964-6.

Sex, PrEP, and Stigma: Experiences with HIV Pre-exposure Prophylaxis Among New York City MSM Participating in the HPTN 067/ADAPT Study.

Author information

1
ICAP at Columbia University, Harlem Prevention Center, 215 W. 125th St., Suite A, New York, NY, 10027, USA. jf642@cumc.columbia.edu.
2
ICAP at Columbia University, Harlem Prevention Center, 215 W. 125th St., Suite A, New York, NY, 10027, USA.
3
Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
4
Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI, USA.
5
Gladstone Institutes, University of California, San Francisco, San Francisco, CA, USA.
6
FHI 360, Durham, NC, USA.
7
Harlem Hospital Center, New York, NY, USA.

Abstract

The HPTN 067/Alternative Dosing to Augment Pre-Exposure Prophylaxis Pill Taking (ADAPT) study evaluated daily and non-daily dosing schedules for oral pre-exposure prophylaxis (PrEP) to prevent HIV. A qualitative sub-study including focus groups and in-depth interviews was conducted among men who have sex with men participating in New York City to understand their experience with PrEP and study dosing schedules. The 37 sub-study participants were 68% black, 11% white, and 8% Asian; 27% were of Hispanic/Latino ethnicity. Mean age was 34 years. Themes resulting from qualitative analysis include: PrEP is a significant advance for HIV prevention; non-daily dosing of PrEP is congruent with HIV risk; and pervasive stigma connected to HIV and risk behavior is a barrier to PrEP adherence, especially for non-daily dosing schedules. The findings underscore how PrEP intersects with other HIV prevention practices and highlight the need to understand and address multidimensional stigma related to PrEP use.

KEYWORDS:

Adherence; MSM; Pre-exposure prophylaxis; Sexual behavior; Stigma

PMID:
29143163
PMCID:
PMC5878834
DOI:
10.1007/s10461-017-1964-6
[Indexed for MEDLINE]
Free PMC Article

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