Impact of Homophobia and Racism on Comfort Receiving Pre-exposure Prophylaxis at Various Locations Among Black MSM in Mississippi.

Bibliographic Details
Title: Impact of Homophobia and Racism on Comfort Receiving Pre-exposure Prophylaxis at Various Locations Among Black MSM in Mississippi.
Authors: Haubrick, Kayla K., Whiteley, Laura, Arnold, Trisha, Leigland, Avery, Ward, Lori M., Brock, James B., Brown, Larry K.
Source: AIDS & Behavior; Jun2023, Vol. 27 Issue 6, p1870-1878, 9p, 4 Charts
Subject Terms: HIV prevention, RACISM, BLACK people, HOMOPHOBIA, MEDICAL care, PRE-exposure prophylaxis, T-test (Statistics), RESEARCH funding, CHI-squared test, DESCRIPTIVE statistics, POSTAL service, MEN who have sex with men, SOCIODEMOGRAPHIC factors
Geographic Terms: UNITED States, MISSISSIPPI
Abstract: Pre-exposure prophylaxis (PrEP) is underutilized among Black men who have sex with men (BMSM) in the Southern United States. We assessed comfort receiving PrEP at various locations among 65 BMSM. Chi-square and t-tests explored associations between demographics, experienced homophobia and racism, and comfort receiving PrEP. BMSM with greater experienced homophobia were less comfortable at academically affiliated clinics [X2(2, N = 59) = 10.61, p = 0.01], CBOs [X2(3, N = 59) = 10.02, p = 0.02], and STI/HIV clinics [X2(3, N = 59) = 8.63, p = 0.04]. Those with greater experienced racism were more comfortable receiving PrEP by mail [X2(3, N = 61) = 9.40, p = 0.02]. Homophobia and racism influence preferences of BMSM for where and how they receive PREP care. Private modes of PrEP delivery and interventions targeting provider and organizational bias should be explored. [ABSTRACT FROM AUTHOR]
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Database: Complementary Index
More Details
ISSN:10907165
DOI:10.1007/s10461-022-03918-9
Published in:AIDS & Behavior
Language:English