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AIDS Behav. 2018 Dec;22(12):3879-3886. doi: 10.1007/s10461-018-2181-7.

Assessing HIV Stigma on Prevention Strategies for Black Men Who Have Sex with Men in the United States.

Author information

1
Center for LGBT Health Research, Graduate School of Public Health, University of Pittsburgh, 130 DeSoto Street, Pittsburgh, PA, 15261, USA. jms567@pitt.edu.
2
Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA. jms567@pitt.edu.
3
Center for LGBT Health Research, Graduate School of Public Health, University of Pittsburgh, 130 DeSoto Street, Pittsburgh, PA, 15261, USA.
4
Department of Infectious Diseases and Microbiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA.
5
Program on Sexuality, Technology & Action Research, University of Pennsylvania, Philadelphia, PA, USA.
6
Human Development and Family Studies, University of Connecticut, Storrs, CT, USA.
7
Department of Behavioral and Community Health Sciences, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA.

Abstract

The deleterious effects of HIV stigma on HIV+ Black MSM care continuum outcomes have been well-documented. How HIV stigma shapes HIV prevention for HIV- persons in this community is poorly understood. We sought to test the relationship of HIV stigma with HIV- Black MSM on HIV testing, pre-exposure prophylaxis (PrEP) awareness, and PrEP use. We recruited 772 participants at Black Pride events across five US cities in 2016. Multivariable logistic regression models assessed the association of external HIV stigma on prevention outcomes adjusting for sociodemographic variables. Stigma was positively associated with PrEP awareness (AOR = 1.34; 95% CI = 1.09, 1.66; p value = 0.005), and not associated with PrEP use or HIV testing in our sample. These findings highlight the complex nature of HIV stigma among BMSM and include results for PrEP, which can affect uptake other prevention methods. We support anti-HIV stigma efforts and advise further exploration on HIV stigma among BMSM and prevention outcomes.

KEYWORDS:

Black MSM; HIV prevention; HIV stigma; HIV testing; PrEP

PMID:
29860555
DOI:
10.1007/s10461-018-2181-7
[Indexed for MEDLINE]

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