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Published in: AIDS and Behavior 1/2019

01-01-2019 | Original Paper

A Randomized Controlled Pilot Study of a Culturally-Tailored Counseling Intervention to Increase Uptake of HIV Pre-exposure Prophylaxis Among Young Black Men Who Have Sex with Men in Washington, DC

Authors: Aimee Desrosiers, Matthew Levy, Aurnell Dright, Maria Zumer, Nikardi Jallah, Irene Kuo, Manya Magnus, Marc Siegel

Published in: AIDS and Behavior | Issue 1/2019

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Abstract

Daily emtricitabine/tenofovor is effective at preventing HIV acquisition and is approved for HIV pre-exposure prophylaxis (PrEP). Blacks in the United States have a disproportionately high rate of HIV, and uptake of PrEP has been very low in this population. We conducted a pilot study in a high-prevalence city to test whether a culturally-tailored counseling center for young Black men who have sex with men (BMSM) positively impacted their access and uptake of PrEP. 50 young BMSM were randomized to either a PrEP counseling center group or a control group, and were then encouraged to obtain PrEP from a PrEP provider. At the end of 3 month study, six participants in the intervention group compared with none in the control group had initiated PrEP (p = 0.02). This pilot study demonstrates that a culturally-tailored counseling center might be an effective at increasing the uptake of PrEP in young BMSM.
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Literature
3.
go back to reference Jenness S, Goodreau S, Rosenberg E, et al. Impact of the centers for disease control’s HIV preexposure prophylaxis guidelines for men who have sex with men in the United States. J Infect Dis. 2016;214(12):1800–7.CrossRefPubMedPubMedCentral Jenness S, Goodreau S, Rosenberg E, et al. Impact of the centers for disease control’s HIV preexposure prophylaxis guidelines for men who have sex with men in the United States. J Infect Dis. 2016;214(12):1800–7.CrossRefPubMedPubMedCentral
4.
go back to reference Kasaie P, Pennington J, Shah M, et al. The impact of preexposure prophylaxis among men who have sex with men: an individual-based model. J Acquir Immune Defic Syndr. 2017;75(2):175–83.CrossRefPubMedPubMedCentral Kasaie P, Pennington J, Shah M, et al. The impact of preexposure prophylaxis among men who have sex with men: an individual-based model. J Acquir Immune Defic Syndr. 2017;75(2):175–83.CrossRefPubMedPubMedCentral
6.
go back to reference Grant R, Lama J, Anderson P, et al. Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N Engl J Med. 2010;363(27):2587–99.CrossRefPubMedPubMedCentral Grant R, Lama J, Anderson P, et al. Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N Engl J Med. 2010;363(27):2587–99.CrossRefPubMedPubMedCentral
7.
go back to reference Molina J, Capitant C, Spire B, et al. On-demand preexposure prophylaxis in men at high risk for HIV-1 infection. N Engl J Med. 2015;373(23):2237–46.CrossRefPubMed Molina J, Capitant C, Spire B, et al. On-demand preexposure prophylaxis in men at high risk for HIV-1 infection. N Engl J Med. 2015;373(23):2237–46.CrossRefPubMed
8.
go back to reference Wheeler D, Fields S, Nelson L, et al. HPTN 073: PrEP uptake and use by black men who have sex with men in 3 US cities (abstract: 883LB). Presented at: The Conference on Retroviruses and Opportunistic Infections. Boston, MA; 2016. Wheeler D, Fields S, Nelson L, et al. HPTN 073: PrEP uptake and use by black men who have sex with men in 3 US cities (abstract: 883LB). Presented at: The Conference on Retroviruses and Opportunistic Infections. Boston, MA; 2016.
9.
go back to reference Mera R, McCallister S, Palmer R, et al. Truvada (TVD) for HIV pre-exposure prophylaxis (PrEP) utilization in the United States (2013–2015). Presented at: 21st International AIDS Conference. Durban, South Africa; 2016. Mera R, McCallister S, Palmer R, et al. Truvada (TVD) for HIV pre-exposure prophylaxis (PrEP) utilization in the United States (2013–2015). Presented at: 21st International AIDS Conference. Durban, South Africa; 2016.
10.
go back to reference Mera R, Magnuson D., Trevor H, Bush S, Rawlings K, McCallister S. Changes in Truvada (TVD) for HIV pre-exposure prophylaxis (PrEP) utilization in the United States: (2012–2016). Presented at: 9th IAS Conference on HIV Science. Paris, France; 2017. Mera R, Magnuson D., Trevor H, Bush S, Rawlings K, McCallister S. Changes in Truvada (TVD) for HIV pre-exposure prophylaxis (PrEP) utilization in the United States: (2012–2016). Presented at: 9th IAS Conference on HIV Science. Paris, France; 2017.
11.
go back to reference Bush S, Magnuson D, Rawlings K, et al. Racial characteristics of FTC/TDF for pre-exposure prophylaxis (PrEP) users in the US. Presented at: American Society for Microbiology Microbe. Boston, MA; 2016. Bush S, Magnuson D, Rawlings K, et al. Racial characteristics of FTC/TDF for pre-exposure prophylaxis (PrEP) users in the US. Presented at: American Society for Microbiology Microbe. Boston, MA; 2016.
12.
go back to reference Patrick R, Forrest D, Cardenas G, et al. Awareness, willingness, and use of pre-exposure prophylaxis among men who have sex with men in Washington, DC and Miami-Dade County, FL: National HIV Behavioral Surveillance, 2011 and 2014. J Acquir Immune Defic Syndr. 2017;75(Suppl 3):S375–82.CrossRefPubMedPubMedCentral Patrick R, Forrest D, Cardenas G, et al. Awareness, willingness, and use of pre-exposure prophylaxis among men who have sex with men in Washington, DC and Miami-Dade County, FL: National HIV Behavioral Surveillance, 2011 and 2014. J Acquir Immune Defic Syndr. 2017;75(Suppl 3):S375–82.CrossRefPubMedPubMedCentral
13.
go back to reference Levy M, Magnus M, Kuo I, et al. An evaluation of the PrEP care continuum among men who have sex with men aged 16-25 in Washington, DC. Presented at: HIV Research for Prevention. Chicago, IL; 2016. Levy M, Magnus M, Kuo I, et al. An evaluation of the PrEP care continuum among men who have sex with men aged 16-25 in Washington, DC. Presented at: HIV Research for Prevention. Chicago, IL; 2016.
14.
go back to reference Irvin R, Wilton L, Scott H, et al. A study of perceived racial discrimination in Black men who have sex with men (MSM) and its association with healthcare utilization and HIV testing. AIDS Behav. 2014;18(7):1272–8.CrossRefPubMedPubMedCentral Irvin R, Wilton L, Scott H, et al. A study of perceived racial discrimination in Black men who have sex with men (MSM) and its association with healthcare utilization and HIV testing. AIDS Behav. 2014;18(7):1272–8.CrossRefPubMedPubMedCentral
15.
go back to reference Eaton L, Driffin DD, Kegler C, Smith H, Conway-Washington C, White D, Cherry C. The role of stigma and medical mistrust in the routine health care engagement of black men who have sex with men. Am J Public Health. 2015;105(2):e75–82.CrossRefPubMedPubMedCentral Eaton L, Driffin DD, Kegler C, Smith H, Conway-Washington C, White D, Cherry C. The role of stigma and medical mistrust in the routine health care engagement of black men who have sex with men. Am J Public Health. 2015;105(2):e75–82.CrossRefPubMedPubMedCentral
16.
go back to reference Eaton L, Driffin D, Smith H, et al. Psychosocial factors related to willingness to use pre-exposure prophylaxis for HIV prevention among black men who have sex with men attending a community event. Sex Health. 2014; 11(3):244–51CrossRefPubMedPubMedCentral Eaton L, Driffin D, Smith H, et al. Psychosocial factors related to willingness to use pre-exposure prophylaxis for HIV prevention among black men who have sex with men attending a community event. Sex Health. 2014; 11(3):244–51CrossRefPubMedPubMedCentral
18.
go back to reference Harris P, Taylor R, Thielke R, et al. Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377–81.CrossRef Harris P, Taylor R, Thielke R, et al. Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42(2):377–81.CrossRef
19.
go back to reference Taylor S, Psaros C, Pantalone D, et al. “Life-Steps” for PrEP adherence: demonstration of a CBT-based intervention to increase adherence to preexposure prophylaxis (PrEP) medication among sexual-minority men at high risk for HIV acquisition. Cogn Behav Pract. 2017;24(1):38–49.CrossRefPubMedPubMedCentral Taylor S, Psaros C, Pantalone D, et al. “Life-Steps” for PrEP adherence: demonstration of a CBT-based intervention to increase adherence to preexposure prophylaxis (PrEP) medication among sexual-minority men at high risk for HIV acquisition. Cogn Behav Pract. 2017;24(1):38–49.CrossRefPubMedPubMedCentral
20.
go back to reference Smith D, Van Handel M, Wolitski R, et al. Vital signs: estimated percentages and numbers of adults with indications for preexposure prophylaxis to prevent hiv acquisition-United States, 2015. J Miss State Med Assoc. 2015;56(12):364–71.PubMed Smith D, Van Handel M, Wolitski R, et al. Vital signs: estimated percentages and numbers of adults with indications for preexposure prophylaxis to prevent hiv acquisition-United States, 2015. J Miss State Med Assoc. 2015;56(12):364–71.PubMed
21.
go back to reference Krakower D, Ware N, Mitty J, et al. HIV providers’ perceived barriers and facilitators to implementing pre-exposure prophylaxis in care settings: a qualitative study. AIDS Behav. 2014;18(9):1712–21.CrossRefPubMedPubMedCentral Krakower D, Ware N, Mitty J, et al. HIV providers’ perceived barriers and facilitators to implementing pre-exposure prophylaxis in care settings: a qualitative study. AIDS Behav. 2014;18(9):1712–21.CrossRefPubMedPubMedCentral
22.
go back to reference Smith D, Van Handel M, Huggins R. PrEP awareness and attitudes in a national survey of primary care clinicians in the United States, 2009–2015. PLoS ONE. 2016;11(6):e0156592.CrossRefPubMedPubMedCentral Smith D, Van Handel M, Huggins R. PrEP awareness and attitudes in a national survey of primary care clinicians in the United States, 2009–2015. PLoS ONE. 2016;11(6):e0156592.CrossRefPubMedPubMedCentral
23.
go back to reference Petroll A, Walsh J, Owczarzak J, et al. PrEP awareness, familiarity, comfort, and prescribing experience among US primary care providers and HIV specialists. AIDS Behav. 2017;21(5):1256–67.CrossRefPubMedPubMedCentral Petroll A, Walsh J, Owczarzak J, et al. PrEP awareness, familiarity, comfort, and prescribing experience among US primary care providers and HIV specialists. AIDS Behav. 2017;21(5):1256–67.CrossRefPubMedPubMedCentral
24.
go back to reference Hosek S, Siberry G, Bell M, et al. The acceptability and feasibility of an HIV preexposure prophylaxis (PrEP) trial with young men who have sex with men. J Acquir Immune Defic Syndr. 2013;62(4):447–56.CrossRefPubMed Hosek S, Siberry G, Bell M, et al. The acceptability and feasibility of an HIV preexposure prophylaxis (PrEP) trial with young men who have sex with men. J Acquir Immune Defic Syndr. 2013;62(4):447–56.CrossRefPubMed
25.
go back to reference Young L, Schumm P, Alon L, et al. PrEP Chicago: a randomized controlled peer change agent intervention to promote the adoption of pre-exposure prophylaxis for HIV prevention among young Black men who have sex with men. Clin Trials. 2018;15(1):44–52.CrossRefPubMed Young L, Schumm P, Alon L, et al. PrEP Chicago: a randomized controlled peer change agent intervention to promote the adoption of pre-exposure prophylaxis for HIV prevention among young Black men who have sex with men. Clin Trials. 2018;15(1):44–52.CrossRefPubMed
Metadata
Title
A Randomized Controlled Pilot Study of a Culturally-Tailored Counseling Intervention to Increase Uptake of HIV Pre-exposure Prophylaxis Among Young Black Men Who Have Sex with Men in Washington, DC
Authors
Aimee Desrosiers
Matthew Levy
Aurnell Dright
Maria Zumer
Nikardi Jallah
Irene Kuo
Manya Magnus
Marc Siegel
Publication date
01-01-2019
Publisher
Springer US
Published in
AIDS and Behavior / Issue 1/2019
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-018-2264-5

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