Social network intervention to increase pre-exposure prophylaxis (PrEP) awareness, interest, and use among African American men who have sex with men

Autor:	Broderick Pearson, Jennifer L. Walsh, Rosado An, Ertl T, Andrew E. Petroll, Kevin D Brown, Jeffrey A. Kelly, Yuri A. Amirkhanian, Katherine Quinn
Rok vydání:	2020
Předmět:	Adult Male Safe Sex Health Knowledge Attitudes Practice Health (social science) Social Psychology Anti-HIV Agents media_common.quotation_subject HIV Infections Peer Group Article Social Networking Men who have sex with men 03 medical and health sciences Pre-exposure prophylaxis Wisconsin 0302 clinical medicine Intervention (counseling) Humans African american men Medicine 030212 general & internal medicine Homosexuality Homosexuality Male media_common 030505 public health Social network business.industry Public Health Environmental and Occupational Health virus diseases Peer group Patient Acceptance of Health Care Black or African American Normative Pre-Exposure Prophylaxis 0305 other medical science business Demography
Zdroj:	AIDS Care
ISSN:	1360-0451 0954-0121
DOI:	10.1080/09540121.2020.1739207
Popis:	In the United States, HIV incidence is highest among Black men who have sex with men (MSM), but their PrEP uptake is low, especially outside the country’s largest cities and in part due to lack of normative support for using PrEP. This research pilot tested a social network-level intervention designed to increase PrEP awareness, benefit perception, and norms among Black MSM in Milwaukee, a Midwestern U.S. city with large racial disparities and low PrEP uptake. Five social networks (n=40 participants) of racial minority MSM were recruited in the community and assessed at baseline with measures of PrEP knowledge, interest, attitudes, and action taking. Persons most socially interconnected with others in each network were identified as leaders, and they attended a 7-session intervention that provided training to increase knowledge about PrEP and its benefits, address misconceptions and concerns about PrEP, endorse PrEP use as a symbol of pride and health, and deliver these messages to others in their social networks between sessions. At 3-month followup, all network members were re-administered assessment measures, and changes between baseline and followup were statistically analyzed. Significant increases over time were found in network members’ knowledge about PrEP together with improved PrEP attitudes, descriptive and subjective peer norms for PrEP, PrEP use self-efficacy, and willingness to use PrEP. Participants increased in frequency of conversations with friends about HIV and reported more discussions with health care providers about PrEP. The percentage of participants who reported using PrEP increased from 3% at baseline to 11% at followup. Larger-scale evaluations of this intervention are needed in populations with high HIV incidence but low PrEP use.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::cfc5dd5b3de1f911cca531ac6fe2e409 https://doi.org/10.1080/09540121.2020.1739207 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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