AI Article Synopsis

  • The study found that Black sexual minority men (BSMM) show limited uptake of pre-exposure prophylaxis (PrEP) despite its effectiveness in reducing HIV transmission.
  • High rates of agreement with beliefs that using alcohol or drugs while on PrEP is dangerous were observed among participants, with 78% agreeing about alcohol and 84% about drugs.
  • Those who held these beliefs were less likely to use PrEP and reported higher stigma and negative views about it, highlighting a need for targeted interventions to address these misconceptions and reduce PrEP-related stigma.

Article Abstract

Despite documented efficacy in reducing HIV transmission, pre-exposure prophylaxis (PrEP) uptake among Black sexual minority men (BSMM) is limited. One understudied factor which may impede PrEP uptake is PrEP-related interactive toxicity beliefs (i.e., believing it is hazardous to use alcohol/drugs while taking PrEP). Data from = 169 HIV negative BSMM over 4 months showed high rates of agreement with at least one alcohol (78%) or drug (84%) interactive toxicity belief. Univariate analyses showed increased alcohol or drug interactive toxicity beliefs predicted lower PrEP uptake. Multivariable regression suggested those with PrEP-related alcohol or drug interactive toxicity beliefs were more likely to report high PrEP stigma, more negative PrEP beliefs (e.g., concern that taking PrEP disrupts life), and were more likely to use alcohol/drugs (respectively) prior to/during sex. Findings warrant intervention work targeting interactive toxicity beliefs with tailored messaging to mitigate PrEP stigma and correct concerns around substance use and PrEP.

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http://dx.doi.org/10.1521/aeap.2023.35.2.114DOI Listing

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