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

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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]
Copyright of AIDS & Behavior is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Impact of Homophobia and Racism on Comfort Receiving Pre-exposure Prophylaxis at Various Locations Among Black MSM in Mississippi.
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  Data: <searchLink fieldCode="AR" term="%22Haubrick%2C+Kayla+K%2E%22">Haubrick, Kayla K.</searchLink><br /><searchLink fieldCode="AR" term="%22Whiteley%2C+Laura%22">Whiteley, Laura</searchLink><br /><searchLink fieldCode="AR" term="%22Arnold%2C+Trisha%22">Arnold, Trisha</searchLink><br /><searchLink fieldCode="AR" term="%22Leigland%2C+Avery%22">Leigland, Avery</searchLink><br /><searchLink fieldCode="AR" term="%22Ward%2C+Lori+M%2E%22">Ward, Lori M.</searchLink><br /><searchLink fieldCode="AR" term="%22Brock%2C+James+B%2E%22">Brock, James B.</searchLink><br /><searchLink fieldCode="AR" term="%22Brown%2C+Larry+K%2E%22">Brown, Larry K.</searchLink>
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  Data: AIDS & Behavior; Jun2023, Vol. 27 Issue 6, p1870-1878, 9p, 4 Charts
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  Data: <searchLink fieldCode="DE" term="%22HIV+prevention%22">HIV prevention</searchLink><br /><searchLink fieldCode="DE" term="%22RACISM%22">RACISM</searchLink><br /><searchLink fieldCode="DE" term="%22BLACK+people%22">BLACK people</searchLink><br /><searchLink fieldCode="DE" term="%22HOMOPHOBIA%22">HOMOPHOBIA</searchLink><br /><searchLink fieldCode="DE" term="%22MEDICAL+care%22">MEDICAL care</searchLink><br /><searchLink fieldCode="DE" term="%22PRE-exposure+prophylaxis%22">PRE-exposure prophylaxis</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22RESEARCH+funding%22">RESEARCH funding</searchLink><br /><searchLink fieldCode="DE" term="%22CHI-squared+test%22">CHI-squared test</searchLink><br /><searchLink fieldCode="DE" term="%22DESCRIPTIVE+statistics%22">DESCRIPTIVE statistics</searchLink><br /><searchLink fieldCode="DE" term="%22POSTAL+service%22">POSTAL service</searchLink><br /><searchLink fieldCode="DE" term="%22MEN+who+have+sex+with+men%22">MEN who have sex with men</searchLink><br /><searchLink fieldCode="DE" term="%22SOCIODEMOGRAPHIC+factors%22">SOCIODEMOGRAPHIC factors</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22UNITED+States%22">UNITED States</searchLink><br /><searchLink fieldCode="DE" term="%22MISSISSIPPI%22">MISSISSIPPI</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: 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 [X<superscript>2</superscript>(2, N = 59) = 10.61, p = 0.01], CBOs [X<superscript>2</superscript>(3, N = 59) = 10.02, p = 0.02], and STI/HIV clinics [X<superscript>2</superscript>(3, N = 59) = 8.63, p = 0.04]. Those with greater experienced racism were more comfortable receiving PrEP by mail [X<superscript>2</superscript>(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]
– Name: Abstract
  Label:
  Group: Ab
  Data: <i>Copyright of AIDS & Behavior is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1007/s10461-022-03918-9
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      – Code: eng
        Text: English
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        PageCount: 9
        StartPage: 1870
    Subjects:
      – SubjectFull: UNITED States
        Type: general
      – SubjectFull: MISSISSIPPI
        Type: general
      – SubjectFull: HIV prevention
        Type: general
      – SubjectFull: RACISM
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      – SubjectFull: BLACK people
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      – SubjectFull: HOMOPHOBIA
        Type: general
      – SubjectFull: MEDICAL care
        Type: general
      – SubjectFull: PRE-exposure prophylaxis
        Type: general
      – SubjectFull: T-test (Statistics)
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      – SubjectFull: RESEARCH funding
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      – SubjectFull: CHI-squared test
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      – SubjectFull: DESCRIPTIVE statistics
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      – SubjectFull: POSTAL service
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      – SubjectFull: SOCIODEMOGRAPHIC factors
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      – TitleFull: Impact of Homophobia and Racism on Comfort Receiving Pre-exposure Prophylaxis at Various Locations Among Black MSM in Mississippi.
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              M: 06
              Text: Jun2023
              Type: published
              Y: 2023
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