Optimizing PrEP Continuance: A Secondary Analysis Examining Perceived Autonomy Support and Care Coordination Quality among Black MSM in HPTN 073

S. Raquel Ramos, Geetha Beauchamp, Darrell P. Wheeler, Leo Wilton, Darren L. Whitfield, Donte T. Boyd, Lisa Hightow-Weidman, Sheldon D. Fields, LaRon E. Nelson and on behalf of the HPTN 073 Team
Additional contact information
S. Raquel Ramos: School of Nursing, Yale University, Orange, CT 06477, USA
Geetha Beauchamp: SCHARP, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA
Darrell P. Wheeler: Office of the Provost, Iona College, New Rochelle, NY 10801, USA
Leo Wilton: Department of Human Development, State University of New York at Binghamton, Binghamton, NY 13901, USA
Darren L. Whitfield: School of Social Work, University of Maryland, Baltimore, MD 21201, USA
Donte T. Boyd: College of Social Work, The Ohio State University, Columbus, OH 43210, USA
Lisa Hightow-Weidman: Department of Medicine, University of North Carolina, Chapel Hill, NC 27599, USA
Sheldon D. Fields: College of Nursing, Pennsylvania State University, University Park, PA 16803, USA
LaRon E. Nelson: School of Nursing, Yale University, Orange, CT 06477, USA
on behalf of the HPTN 073 Team: Complete authors of the HPTN 073 Study Team are listed in the Supplementary Materials.

IJERPH, 2022, vol. 19, issue 8, 1-10

Abstract: At the end of year 2018, it was estimated that in the United States over 1 million people were living with HIV. Although Black/African American individuals comprise an estimated 13.4% of the US population, as of 2019, they represented an estimated 42% of all new HIV diagnoses in 2018. PrEP use among Black men who have sex with men has not reached levels sufficient to have a population impact on HIV incidence. The purpose of this study was to examine whether high perceived autonomy support and care coordination quality were associated with PrEP continuation. Secondary analyses were conducted on data with 226 Black MSM in three US cities. Participants who were PrEP users and scored higher on autonomy support at week 8 were significantly more likely to continue PrEP (OR 1.48; 95% CI 1.04–2.11). Perception of coordination quality did not differ between PrEP users and non-users at any of the visits. Although coordination quality was not statistically significant, greater than half of PrEP users and non-PrEP users utilized the C4 services. Addressing social, individual, and structural barriers to PrEP may benefit Black MSM irrespective of their PrEP use.

Keywords: HIV; PrEP; Black MSM; patient care management; decision making; autonomy support; care coordination; healthcare quality (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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