The HIV epidemic disproportionately impacts men who have sex with men (MSM), particularly those who use stimulants. We explored barriers and facilitators to pre-exposure prophylaxis (PrEP) uptake among this population. From June 2018 through February 2019, we conducted semi-structured interviews in Providence, Rhode Island, and New Haven, Connecticut, with 21 MSM who reported recent (past six months) stimulant use.
View Article and Find Full Text PDFBackground: Stimulant use is increasing in the United States (U.S.), especially among men who have sex with men (MSM).
View Article and Find Full Text PDFRacial and ethnic disparities exist in HIV pre-exposure prophylaxis (PrEP) awareness and care. We evaluated how racial and ethnic disparities in PrEP awareness among MSM presenting to a sexually transmitted disease clinic changed from 2013 to 2016. Among 1243 MSM (68% non-Hispanic White, 22% Hispanic, and 10% non-Hispanic Black), PrEP awareness increased overall, but awareness was lower among Hispanic and non-Hispanic Black MSM relative to non-Hispanic White MSM.
View Article and Find Full Text PDFBackground: Pre-exposure prophylaxis (PrEP) is highly effective in preventing HIV transmission. Cisgender women (cis-women) constitute only a small proportion of PrEP users in the United States despite accounting for 19% of new HIV infections in 2016.
Setting: The Rhode Island Sexually Transmitted Diseases (STD) Clinic from 2013 to 2016.
Background: Data indicating the extent to which evidence-based decision making (EBDM) is used in local health departments (LHDs) are limited.
Purpose: This study aims to determine use of decision-making processes by New York State LHD leaders and upper-level staff and identify facilitators and barriers to the use of EBDM in LHDs.
Methods: The New York Public Health Practice-Based Research Network implemented a mixed-methods study in 31 LHDs.