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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Minimal Awareness and Stalled Uptake of Pre-Exposure Prophylaxis (PrEP) Among at Risk, HIV-Negative, Black Men Who Have Sex with Men</title>
<author><name sortKey="Eaton, Lisa A" sort="Eaton, Lisa A" uniqKey="Eaton L" first="Lisa A." last="Eaton">Lisa A. Eaton</name>
<affiliation><nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Driffin, Daniel D" sort="Driffin, Daniel D" uniqKey="Driffin D" first="Daniel D." last="Driffin">Daniel D. Driffin</name>
<affiliation><nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bauermeister, Jose" sort="Bauermeister, Jose" uniqKey="Bauermeister J" first="Jose" last="Bauermeister">Jose Bauermeister</name>
<affiliation><nlm:aff id="aff2"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Smith, Harlan" sort="Smith, Harlan" uniqKey="Smith H" first="Harlan" last="Smith">Harlan Smith</name>
<affiliation><nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Conway Washington, Christopher" sort="Conway Washington, Christopher" uniqKey="Conway Washington C" first="Christopher" last="Conway-Washington">Christopher Conway-Washington</name>
<affiliation><nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">26083143</idno>
<idno type="pmc">4601552</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4601552</idno>
<idno type="RBID">PMC:4601552</idno>
<idno type="doi">10.1089/apc.2014.0303</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">000018</idno>
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</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Minimal Awareness and Stalled Uptake of Pre-Exposure Prophylaxis (PrEP) Among at Risk, HIV-Negative, Black Men Who Have Sex with Men</title>
<author><name sortKey="Eaton, Lisa A" sort="Eaton, Lisa A" uniqKey="Eaton L" first="Lisa A." last="Eaton">Lisa A. Eaton</name>
<affiliation><nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Driffin, Daniel D" sort="Driffin, Daniel D" uniqKey="Driffin D" first="Daniel D." last="Driffin">Daniel D. Driffin</name>
<affiliation><nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Bauermeister, Jose" sort="Bauermeister, Jose" uniqKey="Bauermeister J" first="Jose" last="Bauermeister">Jose Bauermeister</name>
<affiliation><nlm:aff id="aff2"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Smith, Harlan" sort="Smith, Harlan" uniqKey="Smith H" first="Harlan" last="Smith">Harlan Smith</name>
<affiliation><nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
<author><name sortKey="Conway Washington, Christopher" sort="Conway Washington, Christopher" uniqKey="Conway Washington C" first="Christopher" last="Conway-Washington">Christopher Conway-Washington</name>
<affiliation><nlm:aff id="aff1"></nlm:aff>
</affiliation>
</author>
</analytic>
<series><title level="j">AIDS Patient Care and STDs</title>
<idno type="ISSN">1087-2914</idno>
<idno type="eISSN">1557-7449</idno>
<imprint><date when="2015">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass></textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><title>Abstract</title>
<p>In the United States, rates of HIV infection are highest among black men who have sex with men (BMSM). Pre-exposure prophylaxis (PrEP) is a highly effective form of HIV prevention, but the uptake of this strategy has been slow since FDA approval in 2012, and it is unknown whether information about PrEP is reaching BMSM. Four hundred and thirty-six BMSM in Atlanta, GA were surveyed from January 2012 (6 months prior to PrEP approval) to March 2014 (20 months after approval). Analyses revealed no association between date of survey assessment and awareness of PrEP (20.5% were aware of PrEP before approval and 23.4% were aware after approval; OR=0.99 [0.98–1.02], <italic>p</italic>
=0.952). In a multivariate model, BMSM unaware of PrEP reported lower rates of HIV testing knowledge, fewer experiences with HIV testing, and higher rates of transactional sex than BMSM who were aware of PrEP. Our findings suggest that there is limited understanding of PrEP and that there is considerable groundwork that needs to be achieved in order to reap the full benefits of PrEP. The current findings call attention to the need to both prioritize and better understand how to strengthen the bridge between medical advances and community uptake.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">AIDS Patient Care STDS</journal-id>
<journal-id journal-id-type="iso-abbrev">AIDS Patient Care STDS</journal-id>
<journal-id journal-id-type="publisher-id">apc</journal-id>
<journal-title-group><journal-title>AIDS Patient Care and STDs</journal-title>
</journal-title-group>
<issn pub-type="ppub">1087-2914</issn>
<issn pub-type="epub">1557-7449</issn>
<publisher><publisher-name>Mary Ann Liebert, Inc.</publisher-name>
<publisher-loc>140 Huguenot Street, 3rd FloorNew Rochelle, NY 10801USA</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">26083143</article-id>
<article-id pub-id-type="pmc">4601552</article-id>
<article-id pub-id-type="publisher-id">10.1089/apc.2014.0303</article-id>
<article-id pub-id-type="doi">10.1089/apc.2014.0303</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Clinical and Epidemiologic Research</subject>
</subj-group>
</article-categories>
<title-group><article-title>Minimal Awareness and Stalled Uptake of Pre-Exposure Prophylaxis (PrEP) Among at Risk, HIV-Negative, Black Men Who Have Sex with Men</article-title>
</title-group>
<contrib-group><contrib contrib-type="author" corresp="yes"><name><surname>Eaton</surname>
<given-names>Lisa A.</given-names>
</name>
<degrees>PhD</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Driffin</surname>
<given-names>Daniel D.</given-names>
</name>
<degrees>BS</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Bauermeister</surname>
<given-names>Jose</given-names>
</name>
<degrees>MPH, PhD</degrees>
<xref ref-type="aff" rid="aff2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Smith</surname>
<given-names>Harlan</given-names>
</name>
<degrees>BA</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Conway-Washington</surname>
<given-names>Christopher</given-names>
</name>
<degrees>BA</degrees>
<xref ref-type="aff" rid="aff1"><sup>1</sup>
</xref>
</contrib>
<aff id="aff1"><label><sup>1</sup>
</label>
<institution>University of Connecticut</institution>
, Storrs, Connecticut.</aff>
<aff id="aff2"><label><sup>2</sup>
</label>
<institution>University of Michigan</institution>
, Ann Arbor, Michigan.</aff>
</contrib-group>
<author-notes><corresp><addr-line>Address correspondence to:</addr-line>
<addr-line><italic>Lisa A. Eaton, PhD</italic>
</addr-line>
<addr-line><italic>Center for Health, Intervention and Prevention</italic>
</addr-line>
<institution><italic>University of Connecticut</italic>
</institution>
<addr-line><italic>2006 Hillside Road</italic>
</addr-line>
<addr-line><italic>Storrs, CT 06269-1020</italic>
</addr-line>
<italic>E-mail:</italic>
<email xlink:href="mailto:lisaanne.eaton@gmail.com">lisaanne.eaton@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><day>01</day>
<month>8</month>
<year>2015</year>
<pmc-comment>string-date: August 2015</pmc-comment>
</pub-date>
<volume>29</volume>
<issue>8</issue>
<fpage>423</fpage>
<lpage>430</lpage>
<permissions><copyright-statement>Copyright 2015, Mary Ann Liebert, Inc.</copyright-statement>
<copyright-year>2015</copyright-year>
</permissions>
<self-uri content-type="pdf" xlink:type="simple" xlink:href="apc.2014.0303.pdf"></self-uri>
<abstract><title>Abstract</title>
<p>In the United States, rates of HIV infection are highest among black men who have sex with men (BMSM). Pre-exposure prophylaxis (PrEP) is a highly effective form of HIV prevention, but the uptake of this strategy has been slow since FDA approval in 2012, and it is unknown whether information about PrEP is reaching BMSM. Four hundred and thirty-six BMSM in Atlanta, GA were surveyed from January 2012 (6 months prior to PrEP approval) to March 2014 (20 months after approval). Analyses revealed no association between date of survey assessment and awareness of PrEP (20.5% were aware of PrEP before approval and 23.4% were aware after approval; OR=0.99 [0.98–1.02], <italic>p</italic>
=0.952). In a multivariate model, BMSM unaware of PrEP reported lower rates of HIV testing knowledge, fewer experiences with HIV testing, and higher rates of transactional sex than BMSM who were aware of PrEP. Our findings suggest that there is limited understanding of PrEP and that there is considerable groundwork that needs to be achieved in order to reap the full benefits of PrEP. The current findings call attention to the need to both prioritize and better understand how to strengthen the bridge between medical advances and community uptake.</p>
</abstract>
<counts><fig-count count="1"></fig-count>
<table-count count="4"></table-count>
<ref-count count="56"></ref-count>
<page-count count="8"></page-count>
</counts>
</article-meta>
</front>
</pmc>
</record>
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