Interpersonal and Community-Level Influences Across the PrEP Cascade Among Young Adult Latinx Men who Have Sex with Men Living in a US-Mexico Border Region: A Qualitative Study.

Autor: Wells KJ; Department of Psychology, San Diego State University, San Diego, CA, 92120, USA. kwells@sdsu.edu.; SDSU/UC San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, 92120, USA. kwells@sdsu.edu., Gordon JR; SDSU/UC San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, 92120, USA., Carrizosa CM; San Diego State University Research Foundation, San Diego, CA, 92120, USA., Mozo EH; Department of Psychology, San Diego State University, San Diego, CA, 92120, USA., Lucido NC; Department of Psychology, San Diego State University, San Diego, CA, 92120, USA., Cobian Aguilar RA; Department of Psychology, San Diego State University, San Diego, CA, 92120, USA.; SDSU/UC San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, 92120, USA., Brady JP; SDSU/UC San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, 92120, USA., Rojas SA; Laura Rodriguez Research Institute-Family Health Centers of San Diego, San Diego, CA, 92102, USA., Ramers CB; Laura Rodriguez Research Institute-Family Health Centers of San Diego, San Diego, CA, 92102, USA., Nogg KA; San Diego State University Research Foundation, San Diego, CA, 92120, USA., Fahey KML; Department of Psychology, San Diego State University, San Diego, CA, 92120, USA., Jones IJ; Department of Psychology, San Diego State University, San Diego, CA, 92120, USA., Rivera DB; Department of Psychology, San Diego State University, San Diego, CA, 92120, USA., Blashill AJ; Department of Psychology, San Diego State University, San Diego, CA, 92120, USA.; SDSU/UC San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, 92120, USA.
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2024 Mar; Vol. 28 (3), pp. 759-773. Date of Electronic Publication: 2023 Sep 29.
DOI: 10.1007/s10461-023-04185-y
Abstrakt: Latinx men who have sex with men (MSM) are an at-risk population for new HIV diagnoses. Pre-exposure prophylaxis (PrEP) is a suite of biomedical approaches to prevent HIV infection. Latinx MSM are less likely to take PrEP compared to non-Latinx White MSM. This qualitative study identified interpersonal- and community-level barriers and facilitators of PrEP among young adult Latinx MSM. Using stratified purposeful sampling, 27 Latinx men, ages 19-29 years and living in a US-Mexico border region, completed self-report demographic surveys and participated in semi-structured in-depth interviews assessing barriers and facilitators to PrEP. Directed content analysis was used to identify both a priori and emerging themes. Most participants reported that other people, including peers, friends, partners, and health care providers were both supportive and discouraging of PrEP use. Participants' intersectional identities as members of both Latinx and LGBTQ+ (Lesbian, Gay, Bisexual, Transgender, Queer) communities both hindered and facilitated PrEP use.
(© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE