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The Association Between Disclosure of Same Sex Behavior to Healthcare Providers and PrEP Awareness Among BMSM in Baltimore

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Abstract

The goal of this study was to explore the association between disclosure of same sex behavior to a healthcare provider and PrEP awareness in a sample of 192 Black MSM in Baltimore. After adjusting for age, education, sexual identity and employment status, we observed a trend of greater PrEP awareness among Black MSM who disclosed same sex behaviors to healthcare providers (adjusted odds ratio = 2.24, p = 0.08). This study provides new evidence of potential benefit of disclosure of same sex behavior to healthcare providers for awareness of new HIV biomedical interventions. Findings highlight the need to support patient–provider communication on sexual behaviors and PrEP with key populations at risk of HIV.

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References

  1. Crosby R, Holtgrave DR, Stall R, Peterson JL, Shouse L. Differences in HIV risk behaviors among black and white men who have sex with men. Sex Transm Dis. 2007;34:744–8.

    PubMed  Google Scholar 

  2. Siegler AJ, Mouhanna F, Giler RM, Weiss K, Pembleton E, Guest J, et al. The prevalence of pre-exposure prophylaxis use and the pre-exposure prophylaxis-to-need ratio in the fourth quarter of 2017, United States. Ann Epidemiol. 2018;28(12):841–9.

    Article  PubMed  Google Scholar 

  3. Bernstein KT, Liu KL, Begier EM, Koblin B, Karpati A, Murrill C. Same-sex attraction disclosure to health care providers among New York City men who have sex with men: implications for HIV testing approaches. Arch Intern Med. 2008;168:1458–64.

    Article  PubMed  Google Scholar 

  4. Wall KM, Khosropour CM, Sullivan PS. Offering of HIV screening to men who have sex with men by their health care providers and associated factors. J Int Assoc Physicians AIDS Care (Chic). 2010;9:284–8.

    Article  Google Scholar 

  5. Raifman JR, Flynn C, German D. Healthcare provider contact and pre-exposure prophylaxis in baltimore men who have sex with men. Am J Prev Med. 2017;52:55–63.

    Article  PubMed  Google Scholar 

  6. Maloney KM, Krakower DS, Ziobro D, Rosenberger JG, Novak D, Mayer KH. Culturally competent sexual healthcare as a prerequisite for obtaining preexposure prophylaxis: findings from a qualitative study. LGBT Health. 2017;4:310–4.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Petroll AE, Mosack KE. Physician awareness of sexual orientation and preventive health recommendations to men who have sex with men. Sex Transm Dis. 2011;38:63–7.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Lanier Y, Castellanos T, Barrow RY, Jordan WC, Caine V, Sutton MY. Brief sexual histories and routine HIV/STD testing by medical providers. AIDS Patient Care STDS. 2014;28:113–20.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Jones J, Stephenson R, Smith DK, Toledo L, La Pointe A, Taussig J, et al. Acceptability and willingness among men who have sex with men (MSM) to use a tablet-based HIV risk assessment in a clinical setting. Springerplus. 2014;3:708.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Millett GA, Ding H, Marks G, Jeffries WL IV, Bingham T, Lauby J, et al. Mistaken assumptions and missed opportunities: correlates of undiagnosed HIV infection among black and Latino men who have sex with men. J Acquir Immune Defic Syndr. 2011;58:64–71.

    Article  PubMed  Google Scholar 

  11. Calabrese SK, Krakower DS, Mayer KH. Integrating HIV preexposure prophylaxis (PrEP) into routine preventive health care to avoid exacerbating disparities. Am J Public Health. 2017;107:1883–9.

    Article  PubMed  PubMed Central  Google Scholar 

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Funding

This study was funded by R01DA031030 and R01DA040488 from the National Institute of Drug Abuse, R00AA020782 from the National Institute on Alcohol Abuse and Alcoholism, R34MH116725 from the National Institute of Mental Health, Johns Hopkins Center for AIDS Research (P30AI094189).

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Authors and Affiliations

  1. Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 2213 McElderry St., 2nd FL, Baltimore, MD, 21205, USA

    Cui Yang & Carl Latkin

  2. Department of Prevention and Community Health, Milken Institute School of Public Health, Washington, DC, USA

    Nandita Krishnan

  3. Fairfax County Health Department, Fairfax, VA, USA

    Julia E. Painter

Authors
  1. Cui Yang
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  2. Nandita Krishnan
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  3. Julia E. Painter
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  4. Carl Latkin
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Corresponding author

Correspondence to Cui Yang.

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All authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. All applicable international, national, and/or institutional guidelines for the care and use of animals were followed.

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Informed consent was obtained from all individual participants included in the study.

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Yang, C., Krishnan, N., Painter, J.E. et al. The Association Between Disclosure of Same Sex Behavior to Healthcare Providers and PrEP Awareness Among BMSM in Baltimore. AIDS Behav 23, 1888–1892 (2019). https://doi.org/10.1007/s10461-019-02401-2

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  • DOI: https://doi.org/10.1007/s10461-019-02401-2

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