Interpersonal and Community-Level Influences Across the PrEP Cascade Among Young Adult Latinx Men who Have Sex with Men Living in a US-Mexico Border Region: A Qualitative Study

Latinx men who have sex with men (MSM) are an at-risk population for new HIV diagnoses. Pre-exposure prophylaxis (PrEP) is a suite of biomedical approaches to prevent HIV infection. Latinx MSM are less likely to take PrEP compared to non-Latinx White MSM. This qualitative study identified interperso...

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Bibliographic Details
Published in:AIDS and behavior 2024-03, Vol.28 (3), p.759-773
Main Authors: Wells, Kristen J., Gordon, Janna R., Carrizosa, Claudia M., Mozo, Eduardo Hernandez, Lucido, Nicholas C., Cobian Aguilar, Rosa A., Brady, John P., Rojas, Sarah A., Ramers, Christian B., Nogg, Kelsey A., Fahey, Kalina M. L., Jones, Isaiah J., Rivera, David B., Blashill, Aaron J.
Format: Article
Language:English
Subjects:
Adult
Anti-HIV Agents - therapeutic use
At risk populations
Biomedicine
Bisexuality
Content analysis
Gays & lesbians
Health care industry
Health Psychology
Health services
Hispanic or Latino
HIV
HIV Infections - drug therapy
HIV Infections - epidemiology
HIV Infections - prevention & control
Homosexuality, Male
Human immunodeficiency virus
Humans
Infectious Diseases
International boundaries
Intersectionality
Lesbianism
LGBTQ people
Male
Medicine
Medicine & Public Health
Men who have sex with men
Mens health
Mexico - epidemiology
Original Paper
Pre-Exposure Prophylaxis
Prophylaxis
Public Health
Qualitative Research
Regions
Sexual and Gender Minorities
Sexuality
Sexually transmitted diseases
STD
Transgender persons
United States
Young Adult
Young adults
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Summary:Latinx men who have sex with men (MSM) are an at-risk population for new HIV diagnoses. Pre-exposure prophylaxis (PrEP) is a suite of biomedical approaches to prevent HIV infection. Latinx MSM are less likely to take PrEP compared to non-Latinx White MSM. This qualitative study identified interpersonal- and community-level barriers and facilitators of PrEP among young adult Latinx MSM. Using stratified purposeful sampling, 27 Latinx men, ages 19–29 years and living in a US-Mexico border region, completed self-report demographic surveys and participated in semi-structured in-depth interviews assessing barriers and facilitators to PrEP. Directed content analysis was used to identify both a priori and emerging themes. Most participants reported that other people, including peers, friends, partners, and health care providers were both supportive and discouraging of PrEP use. Participants’ intersectional identities as members of both Latinx and LGBTQ+ (Lesbian, Gay, Bisexual, Transgender, Queer) communities both hindered and facilitated PrEP use. Resumen Los hombres latinx que tienen sexo con hombres (latinx HSH) son una población en riesgo para nuevos diagnósticos de VIH. La profilaxis preexposición (PrEP) es un conjunto de propuestas biomédicas para prevenir la infección por VIH. Los latinx HSH son menos propensos a tomar PrEP en comparación con hombres blancos no latinx, que tiene sexo con hombres. Este estudio cualitativo identificó barreras interpersonales y comunitarias, así como facilitadores de la PrEP entre jóvenes latinx HSH. Usando un muestreo intencional estratificado, 27 hombres latinx, de 19 a 29 años y que viven en una región fronteriza de EE. UU. y México, completaron encuestas demográficas de autoinforme y participaron en entrevistas en profundidad, semiestructuradas, para evaluar las barreras y los facilitadores de PrEP. Se utilizó el análisis de contenido dirigido para identificar temas a priori y emergentes. La mayoría de los participantes informaron que otras personas, incluyendo compañeros, amigos, parejas y proveedores de atención médica, tanto apoyaban como desalentaban el uso de la PrEP. Las identidades interseccionales de los participantes como miembros de comunidades latinx y LGBTQ+ (lesbianas, gays, bisexuales, transgénero, queer) obstaculizaron y facilitaron el uso de PrEP.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-023-04185-y