Facilitators and Barriers to Pre-Exposure Prophylaxis (PrEP) Use Among Black Individuals in the United States: Results from the National Survey on HIV in the Black Community (NSHBC)
- 21 February 2018
- journal article
- research article
- Published by Springer Science and Business Media LLC in AIDS and Behavior
- Vol. 22 (11), 3576-3587
- https://doi.org/10.1007/s10461-018-2067-8
Abstract
This study explores willingness to use PrEP among Black individuals in the US. From February to April 2016, an online survey was administered to a nationally representative sample of Black individuals. 855 individuals who were HIV negative by self-report participated [mean age: 33.6 (SD 9.2); 45.5% male]. Among all respondents, 14.5% were aware of, and 26.0% would be willing to use PrEP. Among high-risk individuals (N = 327), 19.8% knew about and 35.1% would be willing to use PrEP. The most common reason for lack of willingness among high-risk individuals was low self-perceived risk (65.1%). In multivariate analysis, individuals reporting single marital status [OR 1.8 (1.2, 2.5), p = 0.002], depressive symptoms [OR 1.6 (1.2, 2.2), p = 0.0054], arrest history [OR 1.7(1.2, 2.4), p = 0.0003], PrEP knowledge [OR 1.5 (1.0, 2.3), p = 0.0247] and belief in HIV conspiracies [OR 1.3 (1.1, 1.5), p = 0.0075] were more willing to use PrEP. Participants who saw a health care provider less frequently were less willing to use PrEP [OR 0.5 (0.4, 0.8), p = 0.0044]. Among a nationally representative sample of Black individuals, few high risk individuals were willing to use PrEP. Interventions to increase risk awareness, PrEP knowledge and access to care are necessary to improve PrEP uptake.Keywords
Funding Information
- Harvard University Center for AIDS Research (P30 AI060354)
- National Institutes of Mental Health (K23 MH107316)
- Harvard University Centers for AIDS Research (P30 AI060354, P30 AI060354)
- Centers for AIDS Research Perelman School of Medicine, University of Pennsylvania (P30 AI 045008)
- UCLA Center for HIV Identification, Prevention, and Treatment Services (P30MH058107)
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