IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0234821.html
   My bibliography  Save this article

Awareness of and willingness to use PrEP among Black and Latinx adolescents residing in higher prevalence areas in the United States

Author

Listed:
  • Tamara Taggart
  • Yilin Liang
  • Paulo Pina
  • Tashuna Albritton

Abstract

This mixed-methods study examined awareness of and willingness to use pre-exposure prophylaxis (PrEP) among sexually active Black and Latinx adolescents (13–17 years) residing in five cities in the United States with some of the highest burden of HIV. Data are from adolescents who participated in a cross-sectional survey (n = 208) and one-on-one interviews and focus groups (n = 26) conducted from September 2017—August 2019. Approximately 50% of the sample were recruited through community efforts, and the other half through a panel. Logistic regression with covariates including sexual orientation, relationship status, socioeconomic status, and race/ethnicity were used to assess factors associated with PrEP awareness and willingness. For the qualitative data, thematic analysis was used to develop a codebook of a-priori and inductive codes while analytic memos were written to identify key themes. PrEP awareness was reported by 38% of the sample and was associated with Black race (AOR = 0.49; 95% CI = 0.27, 0.90) and prior HIV testing (AOR = 3.89, 95% CI = 1.25, 12.08). PrEP willingness (defined as “definitely would use PrEP”) was reported by 22% of the sample and was associated with higher age, more education, having had condomless sex in the past 6 months (AOR = 0.23; 95% CI = 0.10, 0.56), perceived likelihood of acquiring HIV (AOR = 3.59; 95% CI = 1.06, 12.21), and PrEP awareness (AOR = 0.41; 95% CI = 0.19, 0.89). Qualitative data showed that misconceptions about PrEP persist and PrEP stigma, fear of being punished, provider attitudes and recommendations, and empowerment were related to adolescents’ willingness to use PrEP. Study findings reveal important strategies for improving PrEP delivery and scale-up to Black and Latinx adolescents. These strategies include using sociodemographic and health behavior data to target adolescents who may be more or less willing to use PrEP, improving provider communication about PrEP, and creating culturally and developmentally appropriate PrEP education materials that address common misconceptions held by adolescents.

Suggested Citation

  • Tamara Taggart & Yilin Liang & Paulo Pina & Tashuna Albritton, 2020. "Awareness of and willingness to use PrEP among Black and Latinx adolescents residing in higher prevalence areas in the United States," PLOS ONE, Public Library of Science, vol. 15(7), pages 1-13, July.
    • Handle: RePEc:plo:pone00:0234821
    DOI: 10.1371/journal.pone.0234821
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0234821
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0234821&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0234821?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Sikkema, K.J. & Heckman, T.G. & Kelly, J.A. & Anderson, E.S. & Winett, R.A. & Solomon, L.J. & Wagstaff, D.A. & Roffman, R.A. & Perry, M.J. & Cargill, V. & Crumble, D.A. & Fuqua, R.W. & Norman, A.D. & , 1996. "HIV risk behaviors among women living in low-income, inner-city housing developments," American Journal of Public Health, American Public Health Association, vol. 86(8), pages 1123-1128.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kathleen J. Sikkema, 2005. "HIV Prevention among Women in Low-Income Housing Developments: Issues and Intervention Outcomes in a Place-Based Randomized Controlled Trial," The ANNALS of the American Academy of Political and Social Science, , vol. 599(1), pages 52-70, May.
    2. Rhodes, Tim & Singer, Merrill & Bourgois, Philippe & Friedman, Samuel R. & Strathdee, Steffanie A., 2005. "The social structural production of HIV risk among injecting drug users," Social Science & Medicine, Elsevier, vol. 61(5), pages 1026-1044, September.
    3. Max-Louis G Buot & Jeffrey P Docena & Brenda K Ratemo & Matthew J Bittner & Jacob T Burlew & Aziz R Nuritdinov & Jennifer R Robbins, 2014. "Beyond Race and Place: Distal Sociological Determinants of HIV Disparities," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-15, April.
    4. Schilling, Robert F. & Fernando, Daniel & Fontdevila, Jorge & El-Bassel, Nabila, 2000. "HIV risk reduction among injection drug users: explaining the lack of anticipated outcomes in a community-level controlled comparison study," Evaluation and Program Planning, Elsevier, vol. 23(3), pages 301-313, August.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0234821. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.