Structural Barriers to Pre-exposure Prophylaxis Use Among Young Sexual Minority Men: The P18 Cohort Study.

Abstract:

BACKGROUND:Despite decreasing rates of HIV among many populations, HIV-related health disparities among gay, bisexual and other men who have sex with men persist, with disproportional percentages of new HIV diagnoses among racial and ethnic minority men. Despite increasing awareness of HIV pre-exposure prophylaxis (PrEP), PrEP use remains low. In addition to exploring individual-level factors for this slow uptake, structural drivers of PrEP use must also be identified in order to maximize the effectiveness of biomedical HIV prevention strategies. METHOD:Using cross-sectional data from an ongoing cohort study of young sexual minority men (N=492), we examine the extent to which structural-level barriers, including access to health care, medication logistics, counseling support, and stigma are related to PrEP use. RESULTS:While almost all participants indicated awareness of PrEP, only 14% had ever used PrEP. PrEP use was associated with lower concerns about health care access, particularly paying for PrEP. Those with greater concerns talking with their provider about their sexual behaviors were less likely to use PrEP. CONCLUSION:Paying for PrEP and talking to one's provider about sexual behaviors are concerns for young sexual minority men. In particular, stigma from healthcare providers poses a significant barrier to PrEP use in this population. Providers need not only to increase their own awareness of and advocacy for PrEP as an effective risk-management strategy for HIV prevention, but also must work to create open and non-judgmental spaces in which patients can discuss sexual behaviors without the fear of stigma.

journal_name

Curr HIV Res

journal_title

Current HIV research

authors

Jaiswal J,Griffin M,Singer SN,Greene RE,Acosta ILZ,Kaudeyr SK,Kapadia F,Halkitis PN

doi

10.2174/1570162X16666180730144455

subject

Has Abstract

pub_date

2018-01-01 00:00:00

pages

237-249

issue

3

eissn

1570-162X

issn

1873-4251

pii

CHR-EPUB-92043

journal_volume

16

pub_type

杂志文章
  • Control of HIV latency by epigenetic and non-epigenetic mechanisms.

    abstract::Intensive antiretroviral therapy successfully suppresses viral replication but is unable to eradicate the virus. HIV persists in a small number of resting memory T cells where HIV has been transcriptionally silenced. This review will focus on recent insights into the HIV transcriptional control mechanisms that provide...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/157016211798998736

    authors: Mbonye U,Karn J

    更新日期:2011-12-01 00:00:00

  • Qualitative and quantitative variables that affect the potency of Fc- mediated effector function in vitro and in vivo: considerations for passive immunization using non-neutralizing antibodies.

    abstract::Passive immunization studies in non-human primates have established unequivocally that virus neutralization can prevent infection, providing the impetus for current intense efforts to identify immunogens that elicit broadly neutralizing antibodies in humans. Although Fc-mediated effector function may also contribute t...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/1570162x113116660060

    authors: Lewis GK

    更新日期:2013-07-01 00:00:00

  • Roles of HIV-1 Env variable regions in viral neutralization and vaccine development.

    abstract::A major focus of HIV-1 vaccine development has been directed towards a limited number of broadly conserved epitopes in the Envelope (Env) proteins that are sensitive neutralization targets in many primary isolates. However, evidence suggests that these epitopes are poorly immunogenic; similar antibodies are rarely pro...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/157016207782418470

    authors: Pinter A

    更新日期:2007-11-01 00:00:00

  • A clinical scoring system as useful as FNAC in the diagnosis of tuberculous lymphadenitis in HIV positive patients.

    abstract::Among HIV positive patients, Fine needle aspiration cytology (FNAC) or biopsy for diagnosis of tuberculous lymphadenopathy is often avoided due to an unspoken stigma. Earlier, we had developed a clinical scoring scale for the diagnosis of tuberculous lymphadenitis (TBLN), which had 88% sensitivity and detected no fals...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/157016206778560009

    authors: Purohit SD,Purohit V,Mathur ML

    更新日期:2006-10-01 00:00:00

  • HLA-C Single Nucleotide Polymorphism Associated with Increased Viral Load Level in HIV-1 Infected Individuals from Northeast Brazil.

    abstract:BACKGROUND:Genetic variations in Human leukocyte antigen C (HLA-C), Zinc ribbon domain containing 1 (ZNRD1) and its antisense RNA (ZNRD1-AS1) genes are known to influence the HIV-1 replication and disease progression. OBJECTIVE AND METHOD:We evaluated the distribution of HLA-C (rs10484554, rs9264942) and ZNRD1 (rs8321...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162X15666170511141741

    authors: Celerino da Silva R,Moura RR,Victor Campos Coelho A,Arraes LC,Brandão LAC,Crovella S,Lima Guimarães R

    更新日期:2017-01-01 00:00:00

  • Characterization of HIV-1 enzyme reverse transcriptase inhibition by the compound 6-chloro-1,4-dihydro-4-oxo-1-(beta-D-ribofuranosyl) quinoline-3-carboxylic acid through kinetic and in silico studies.

    abstract::We recently described that the chloroxoquinolinic ribonucleoside 6-chloro-1,4-dihydro-4-oxo-1-(beta-D-ribofuranosyl) quinoline-3-carboxylic acid (compound A) inhibits the human immunodeficiency virus type 1 (HIV-1) enzyme reverse transcriptase (RT), and its replication in primary cells. Based on these findings, we per...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/157016209788347958

    authors: Souza TM,Rodrigues DQ,Ferreira VF,Marques IP,da Costa Santos F,Cunha AC,de Souza MC,de Palmer Paixão Frugulhetti IC,Bou-Habib DC,Fontes CF

    更新日期:2009-05-01 00:00:00

  • Molecular Genetics and the Incidence of Transmitted Drug Resistance Among Pre-Treatment HIV-1 Infected Patients in the Eastern Cape, South Africa.

    abstract:BACKGROUND:Transmitted drug resistance (TDR) remains a significant threat to Human immunodeficiency virus (HIV) infected patients that are not exposed to antiretroviral treatment. Although, combined antiretroviral therapy (cART) has reduced deaths among infected individuals, emergence of drug resistance is gradually on...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162X17666191004093433

    authors: Digban TO,Iweriebor BC,Obi LC,Nwodo U,Okoh AI

    更新日期:2019-01-01 00:00:00

  • HIV pharmacogenetics in clinical practice: recent achievements and future challenges.

    abstract::It has long been recognized that drug metabolism and drug toxicity may vary greatly between individuals, affecting both efficacy and toxicity. Pharmacogenetics could benefit HIV therapeutics because of the high prevalence of drug-related adverse events and the long term nature and complexity of combination therapy. In...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/157016208786501535

    authors: Tozzi V,Libertone R,Liuzzi G

    更新日期:2008-11-01 00:00:00

  • Combining drug and immune therapy: a potential solution to drug resistance and challenges of HIV vaccines?

    abstract::According to the World Health Organization's 2007 estimates, close to 33 million people worldwide are living with HIV/AIDS. Over the past two decades, significant progress has been made in understanding HIV pathogenesis and disease progression, which has allowed the identification of a multitude of drug and vaccine ta...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/157016208785861159

    authors: Endsley AN,Salama NN,Ho RJ

    更新日期:2008-09-01 00:00:00

  • No Increase in HIV Drug Resistance Mutations among Injecting Drug Users on Methadone Maintenance Therapy: A Prospective Cohort Study.

    abstract:BACKGROUND:Whether HIV-positive injecting drug users (IDUs) are at higher risk of developing drug resistance mutations (DRMs) after methadone maintenance therapy (MMT) than any other HIV-positive population is unclear. OBJECTIVE:To compare the incidence of new DRMs in two population groups: antiretroviraltreatment (AR...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162X18666200712173630

    authors: Huang C,Ye L,Abdullah AS,Liang B,Jiang J,Ning C,Zang N,Zhang Y,Yang Y,Hu X,Yang Q,Luo C,Lao F,Liu H,Liang H,Huang J

    更新日期:2020-01-01 00:00:00

  • Genotypic and phenotypic comparison of enteroaggregative Escherichia coli isolates from HIV-positive and non-HIV diarrheal samples.

    abstract::Enteroaggregative Escherichia coli (EAEC) have been isolated from both HIV-positive and non-HIV diarrheal samples. In this study a collection of 18 isolates from these two groups were compared for biofilm formation and antibiotic resistance and for the presence of 14 virulence-related genes. All the HIV-positive and o...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162x12666140207161000

    authors: Jafari A,Shafaei E,Oloomi M,Aghasadeghi MR,Bouzari S

    更新日期:2013-12-01 00:00:00

  • The selective packaging and annealing of primer tRNALys3 in HIV-1.

    abstract::In HIV-1, tRNA(Lys3) serves as the primer for reverse transcriptase, and during viral assembly, the tRNA(Lys) isoacceptors, tRNA(Lys1,2) and tRNA(Lys3), are selectively packaged into the virion. In this review, we shall first discuss the evidence for the formation of a tRNA(Lys) packaging complex, whose components inc...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/1570162043484988

    authors: Kleiman L,Halwani R,Javanbakht H

    更新日期:2004-04-01 00:00:00

  • HIV genes diversify in B cells.

    abstract::Mutation of the human immunodeficiency virus by host cells inhibits viral dissemination by creating non-functional variants. However, viral mutation does not always eliminate the ability of the virus to disseminate and, in fact, is thought to promote persistence by generating functional mutants that evade immunity or ...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/157016208783571919

    authors: Balin SJ,Ross TM,Platt JL,Cascalho M

    更新日期:2008-01-01 00:00:00

  • Mother-to-child transmission of HIV infection and its prevention.

    abstract::An estimated 800,000 children acquired HIV-infection in 2002, most as a result of mother-to-child transmission (MTCT), and vertically-acquired HIV infection continues to be of major public health importance. Prevention of MTCT is possible with a combination of interventions including antiretroviral therapy (ART) (usua...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/1570162033485140

    authors: Thorne C,Newell ML

    更新日期:2003-10-01 00:00:00

  • Efficacy, tolerability and virological consequences of long-term use of unboosted atazanavir plus 2 NRTIs in HIV-infected patients.

    abstract:PURPOSE:Switch to unboosted atazanavir (ATV) is an attractive option due to convenience and tolerability in HIV-positive patients. With limited available data we investigated the determinants of long-term efficacy and the consequences of virological failure of unboosted atazanavir-based regimens. METHODS:Retrospective...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162x12666140807151616

    authors: Bonora S,Calcagno A,Vigano O,Bigliano P,Marinaro L,Colella E,Orofino G,Trentini L,Tettoni MC,D'Avolio A,Mercadante S,Galli M,Di Perri G,Rusconi S

    更新日期:2014-01-01 00:00:00

  • The TLR4 ASP299GLY polymorphism is a risk factor for active tuberculosis in Caucasian HIV-infected patients.

    abstract:INTRODUCTION:Tuberculosis (TB) is a pandemic infectious disease especially frequent in HIV-infected patients. Toll-like receptor (TLR) 4 has been described to play a main role in the innate immunity against TB. In fact, single nucleotide polymorphisms (SNPs) in TLRs may influence AIDS disease progression. The associati...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/157016210791111052

    authors: Pulido I,Leal M,Genebat M,Pacheco YM,Sáez ME,Soriano-Sarabia N

    更新日期:2010-04-01 00:00:00

  • Effects of vitamin A deficiency and opioids on parvalbumin + interneurons in the hippocampus of the HIV-1 transgenic rat.

    abstract::Opioid use in HIV infection has been associated with an increased frequency of neurological disease and cognitive impairment and vitamin A deficiency has been linked to progressive HIV disease in drug users. In this report the potential effects of these factors, alone and in combination, on gamma amino butyric acid (G...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/157016212802138715

    authors: Guo M,Bryant J,Sultana S,Jones O,Royal W 3rd

    更新日期:2012-07-01 00:00:00

  • Mechanisms of HIV-1 neurotropism.

    abstract::Human immunodeficiency virus type 1 (HIV) infects macrophages and microglia in the CNS and frequently causes neurocognitive impairment. Although antiviral therapy generally reduces the viral load in the CNS and improves HIV-associated neurological dysfunction, most current antiviral drugs have poor CNS penetrance and ...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/157016206777709500

    authors: Dunfee R,Thomas ER,Gorry PR,Wang J,Ancuta P,Gabuzda D

    更新日期:2006-07-01 00:00:00

  • Preventive antiretroviral therapy in non-thalassemia carrier infants exposed to mother-to-child transmission of HIV decreases cord and after delivery red blood production without altering the development of hemoglobin.

    abstract::Antiretroviral (ARV) prophylaxis for prevention of mother to child transmission (MTCT) of HIV could affect hemoglobin (Hb) development of infants. A cross-sectional descriptive study was conducted in 24 HIV-infected and 21 HIV-uninfected pregnancies. ARV drugs were administered to HIV-infected pregnancies at 21 weeks ...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162x12666140713170800

    authors: Pornprasert S,Wongnoi R,Oberdorfer P,Sirivatanapa P

    更新日期:2014-01-01 00:00:00

  • Physical activity: do patients infected with HIV practice? How much? A systematic review.

    abstract::Several studies have suggested that aerobic physical activity is safe and beneficial for HIV-infected adults. However, there is information lacking regarding whether HIV-infected patients practice physical activity and to what extent. Therefore, the aim of this systematic review was to determine the prevalence of phys...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/157016212802429794

    authors: Schuelter-Trevisol F,Wolff FH,Alencastro PR,Grigoletti S,Ikeda ML,Brandão AB,Barcellos NT,Fuchs SC

    更新日期:2012-09-01 00:00:00

  • Milk Donor Blood Screening for HIV, Syphilis and Hepatitis B Markers in a Brazilian Human Milk Bank: Prevalence Time-trends Over the 2005- 2015 Period.

    abstract:BACKGROUND:Human milk banking has been promoted to provide donated breast milk for at-risk children whose mothers cannot breastfeed them but this effort was hindered by the advent of HIV epidemic. OBJECTIVE:To estimate the seroprevalence of HIV, syphilis and hepatitis B in the blood of human milk donors registered in ...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162X15666170707143541

    authors: Kupek E,Savi EO

    更新日期:2017-01-01 00:00:00

  • Epidemiological profile of naive HIV-1/AIDS patients in Istanbul: the largest case series from Turkey.

    abstract::The aim of the study was to report the epidemiological profile of HIV-1 positive patients from, Istanbul, Turkey, which has one of the lowest HIV-1/AIDS prevalences in Europe. The patients were followed by ACTHIV-IST group which was established by the Infectious Diseases Departments of five teaching hospitals (three u...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162x12666140411111803

    authors: Yemisen M,Aydın OA,Gunduz A,Ozgunes N,Mete B,Ceylan B,Karaosmanoglu HK,Yildiz D,Sargin F,Ozaras R,Tabak F

    更新日期:2014-01-01 00:00:00

  • Effects of highly active antiretroviral therapy on HIV-1-associated oral complications.

    abstract::The oral cavity of human immunodeficiency virus type I (HIV-1) infected individuals is subjected to a series of opportunistic infections which are usually considered as a prognostic marker for the severity of infection as well as an indicator of immunodeficiency. The highly active antiretroviral therapy (HAART) has si...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/157016207780636533

    authors: Parveen Z,Acheampong E,Pomerantz RJ,Jacobson JM,Wigdahl B,Mukhtar M

    更新日期:2007-05-01 00:00:00

  • Genotypic Methods for HIV Drug Resistance Monitoring: The Opportunities and Challenges Faced by China.

    abstract::AIDS is a globalized infectious disease. In 2014, UNAIDS launched a global project of "90-90-90" to end the HIV epidemic by 2030. The second and third 90 require 90% of HIV-1 infected individuals receiving antiretroviral therapy (ART) and durable virological suppression. However, wide use of ART will greatly increase ...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162X17666190927154110

    authors: Zuo L,Peng K,Hu Y,Xu Q

    更新日期:2019-01-01 00:00:00

  • Profile of HIV-1 infected patients from an AIDS clinic in Beijing from 2007-2008.

    abstract::While significant progress has been made since 2003 when a comprehensive treatment, prevention and control program was implemented to combat the HIV/AIDS epidemic in China, new challenges are emerging. There have been limited direct case reports on profiles of HIV/AIDS patients under care at unique clinical settings i...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/157016210793499169

    authors: Jiao Y,Zhang T,Wang S,Liu Q,Zhou H,Lu S,Wu H

    更新日期:2010-10-01 00:00:00

  • Preventing HIV transmission in married and cohabiting HIV-discordant couples in sub-Saharan Africa through combination prevention.

    abstract::Most new HIV infections in sub-Saharan Africa now occur in married and cohabiting couples, many of whom do not realize that only one of them may be infected with HIV. HIV-negative individuals living in stable HIV-discordant partnerships (in which one partner is HIV-infected while the other one is not) are twice as lik...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/157016210793499303

    authors: Matovu JK

    更新日期:2010-09-01 00:00:00

  • The combination of pill count and self-reported adherence is a strong predictor of first-line ART failure for adults in South Africa.

    abstract:BACKGROUND:Suboptimal adherence to antiretroviral therapy (ART) is a strong predictor of virologic failure (VF) among people with HIV. Various methods such as patient self-report, pill counts and pharmacy refills have been utilized to monitor adherence. However, there are limited data on the accuracy of combining metho...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162x1205141121102501

    authors: Wu P,Johnson BA,Nachega JB,Wu B,Ordonez CE,Hare AQ,Kearns R,Murphy R,Sunpath H,Marconi VC

    更新日期:2014-01-01 00:00:00

  • Temporal Trends in the Epidemiology of HIV in Turkey.

    abstract:OBJECTIVE:The aim of this study was to analyze the temporal trends of HIV epidemiology in Turkey from 2011 to 2016. METHODS:Thirty-four teams from 28 centers at 17 different cities participated in this retrospective study. Participating centers were asked to complete a structured form containing questions about epidem...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/1570162X18666200427223823

    authors: Erdinc FS,Dokuzoguz B,Unal S,Komur S,Inkaya AC,Inan D,Karaoglan I,Deveci A,Celen MK,Kose S,Erben N,Senturk GC,Heper Y,Kutlu SS,Hatipoglu CA,Sumer S,Kandemir B,Sirmatel F,Bayindir Y,Yilmaz E,Ersoy Y,Kazak E,Yil

    更新日期:2020-01-01 00:00:00

  • Factors influencing adherence to highly active antiretroviral therapy in Spain.

    abstract:BACKGROUND:Multiple factors have been previously described which could influence adherence to HAART. Our objective is to determine the fundamental factors which influence adherence to highly active antiretroviral therapy in our population. METHODS:A cross-sectional study was made selecting 143 outpatients attending ou...

    journal_title:Current HIV research

    pub_type: 杂志文章

    doi:10.2174/157016206776055075

    authors: Moralejo L,Inés S,Marcos M,Fuertes A,Luna G

    更新日期:2006-04-01 00:00:00

  • Formulation and delivery of microbicides.

    abstract::The development of pre-exposure prophylactics or microbicide products for the reduction or elimination of the sexual transmission of HIV has numerous challenges or barriers to success. Historically traditional dosage forms such as gels have been developed in the field but more recently controlled release dosage forms ...

    journal_title:Current HIV research

    pub_type: 杂志文章,评审

    doi:10.2174/157016212799304599

    authors: Agashe H,Hu M,Rohan L

    更新日期:2012-01-01 00:00:00