The deleterious effects of HIV stigma on HIV+ Black MSM care continuum outcomes have been well-documented. How HIV stigma shapes HIV prevention for HIV− persons in this community is poorly understood. We sought to test the rela- tionship of HIV stigma with HIV− Black MSM on HIV testing, pre-exposure prophylaxis (PrEP) awareness, and PrEP use. We recruited 772 participants at Black Pride events across five US cities in 2016. Multivariable logistic regression models assessed the association of external HIV stigma on prevention outcomes adjusting for sociodemographic variables. Stigma was positively associated with PrEP awareness (AOR = 1.34; 95% CI = 1.09, 1.66; p value = 0.005), and not associated with PrEP use or HIV testing in our sample. These findings highlight the complex nature of HIV stigma among BMSM and include results for PrEP, which can affect uptake other prevention methods. We support anti-HIV stigma efforts and advise further exploration on HIV stigma among BMSM and prevention outcomes. Keywords HIV prevention · HIV stigma · HIV testing · PrEP · Black MSM Introduction among young BMSM and incidence rates for African Amer- icans in general were 7.7 times the rate of white Americans In the US, the HIV epidemic has stabilized in the past
AIDS and Behavior – Springer Journals
Published: Jun 2, 2018
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