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AIDS and Behavior
Published in: AIDS and Behavior 9/2018

01-09-2018 | Original Paper

Geographic and Individual Associations with PrEP Stigma: Results from the RADAR Cohort of Diverse Young Men Who have Sex with Men and Transgender Women

Authors: Brian Mustanski, Daniel T. Ryan, Christina Hayford, Gregory Phillips II, Michael E. Newcomb, Justin D. Smith

Published in: AIDS and Behavior | Issue 9/2018

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Abstract

Increasing the uptake of pre-exposure prophylaxis (PrEP) to prevent HIV acquisition among at-risk populations, such as young men who have sex with men (YMSM), is of vital importance to slowing the HIV epidemic. Stigma and negative injunctive norms, such as the so called “Truvada Whore” phenomenon, hamper this effort. We examined the prevalence and types of PrEP stigma and injunctive norm beliefs among YMSM and transgender women and associated individual and geospatial factors. A newly created measure of PrEP Stigma and Positive Attitudes was administered to 620 participants in an ongoing longitudinal cohort study. Results indicated lower stigma among White, compared to Black and Latino participants, and among participants not identifying as male. Prior knowledge about PrEP was associated with lower stigma and higher positive attitudes. PrEP stigma had significant geospatial clustering and hotspots were identified in neighborhoods with high HIV incidence and concentration of racial minorities, whereas coldspots were identified in areas with high HIV incidence and low LGBT stigma. These results provide important information about PrEP attitudes and how PrEP stigma differs between individuals and across communities.
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Metadata
Title
Geographic and Individual Associations with PrEP Stigma: Results from the RADAR Cohort of Diverse Young Men Who have Sex with Men and Transgender Women
Authors
Brian Mustanski
Daniel T. Ryan
Christina Hayford
Gregory Phillips II
Michael E. Newcomb
Justin D. Smith
Publication date
01-09-2018
Publisher
Springer US
Published in
AIDS and Behavior / Issue 9/2018
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-018-2159-5

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