Knowledge, Attitudes, and Practices towards PrEP from Cisgender Men and Transgender Women Who Have Sex with Men in the Largest Suburban HIV Epidemic

Andrew Spieldenner, Anthony J. Santella (), Spring C. Cooper, Kathleen Rosales, William C. Goedel and Heidi E. Jones
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Andrew Spieldenner: Department of Communication and Media Studies, California State University, San Marcos, CA 92096, USA
Anthony J. Santella: Marion Peckham Egan School of Nursing and Health Studies, Fairfield University, Fairfield, CT 06824, USA
Spring C. Cooper: Department of Community and Social Sciences, City University of New York School of Public Health, New York, NY 10027, USA
Kathleen Rosales: Department of Epidemiology and Biostatistics, City University of New York School of Public Health, New York, NY 10027, USA
William C. Goedel: Department of Epidemiology, Brown University School of Public Health, Providence, RI 02903, USA
Heidi E. Jones: Department of Epidemiology and Biostatistics, City University of New York School of Public Health, New York, NY 10027, USA

IJERPH, 2022, vol. 19, issue 18, 1-10

Abstract: We conducted a cross-sectional web-based study to assess attitudes and experiences with HIV pre-exposure prophylaxis (PrEP) amongst a multiracial cohort of gay, bisexual, and other men who have sex with men (MSM) and transgender women in Long Island, New York. Participants were recruited through clinical providers and community-based organizations. The survey assessed knowledge and attitudes toward PrEP and factors that facilitate willingness to take it. Of the 189 respondents, most participants were Latinx/Hispanic (57.1%; n = 105), gay-identifying (81.2%; n = 151), and cisgender men (88.7%; n = 165). One in five participants completed high school or lower (19.4%; n = 36). Among those who had never used PrEP (53.4%; n = 101), nearly all participants were willing to use it if it were free or covered as part of their insurance (89.4%; n = 84). The most common barriers to not using PrEP was not knowing where to obtain it (68.3%; n = 69), concerns about side effects (42.1%; n = 35), and concerns about affordability (38.5%; n = 25) . This study discusses specific nuances to the suburbs, including cultural norms and structural barriers that should be incorporated in health promotion initiatives in addressing these factors.

Keywords: HIV/AIDS; PrEP; gay and bisexual men; suburban health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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