Beliefs About the End of AIDS, Concerns About PrEP Functionality, and Perceptions of HIV Risk as Drivers of PrEP Use in Urban Sexual Minority Men: The P18 Cohort Study
Using cross-sectional data from an ongoing cohort study of young gay, bisexual, and other men who have sex with men (N = 492), we examined the extent to which cognitive factors such as beliefs about the end of AIDS, concerns about the manner in which PrEP works, and perceptions about risk of contrac...
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Veröffentlicht in: | AIDS and behavior 2018-11, Vol.22 (11), p.3705-3717 |
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description | Using cross-sectional data from an ongoing cohort study of young gay, bisexual, and other men who have sex with men (N = 492), we examined the extent to which cognitive factors such as beliefs about the end of AIDS, concerns about the manner in which PrEP works, and perceptions about risk of contracting HIV, are related to PrEP uptake and use. While almost all participants indicted awareness of PrEP, a mere 14% had ever used PrEP. Those with lower concerns about the side effects of PrEP and greater belief that treatment and PrEP would eliminate AIDS were also more likely to have ever used PrEP. Our findings support the ongoing challenges of PrEP uptake as means of curtailing HIV in young sexual minority men, and suggest that beyond the structural factors, consideration must be given to further educating the population as a means of adjusting potentially faulty beliefs, concerns, and perceptions which may influence PrEP utilization. |
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While almost all participants indicted awareness of PrEP, a mere 14% had ever used PrEP. Those with lower concerns about the side effects of PrEP and greater belief that treatment and PrEP would eliminate AIDS were also more likely to have ever used PrEP. 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While almost all participants indicted awareness of PrEP, a mere 14% had ever used PrEP. Those with lower concerns about the side effects of PrEP and greater belief that treatment and PrEP would eliminate AIDS were also more likely to have ever used PrEP. Our findings support the ongoing challenges of PrEP uptake as means of curtailing HIV in young sexual minority men, and suggest that beyond the structural factors, consideration must be given to further educating the population as a means of adjusting potentially faulty beliefs, concerns, and perceptions which may influence PrEP utilization.</description><subject>Acquired immune deficiency syndrome</subject><subject>Acquired Immunodeficiency Syndrome</subject><subject>Adult</subject><subject>AIDS</subject><subject>Awareness</subject><subject>Bisexuality</subject><subject>Bisexuality - psychology</subject><subject>Cognition</subject><subject>Cognitive ability</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Consciousness</subject><subject>Cross-Sectional Studies</subject><subject>Disease prevention</subject><subject>Gays & lesbians</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Psychology</subject><subject>Health risks</subject><subject>HIV</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - psychology</subject><subject>Homosexuality, Male - psychology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Men</subject><subject>Men who have sex with men</subject><subject>Mens health</subject><subject>New York</subject><subject>Original Paper</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Perception</subject><subject>Pre-Exposure Prophylaxis</subject><subject>Public Health</subject><subject>Risk perception</subject><subject>Sexual and Gender Minorities</subject><subject>Sexual Behavior - psychology</subject><subject>Sexually transmitted diseases</subject><subject>Side effects</subject><subject>STD</subject><issn>1090-7165</issn><issn>1573-3254</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kttuEzEQhlcIRA_wANwgS9xw0QWfsl5zg0Ka0kitiEjDreX1zjYuGzvYu1X3iXhNnKQtB4kb25r55p-x_WfZK4LfEYzF-0gwL0iOSZlTmpbhSXZIRoLljI7403TGEueCFKOD7CjGG4yxLIR8nh1QKQURjBxmPz9Ba6GJaFz5vkPdCtDU1cg3aDw7XZygiXcGgnvIz8N0js56ZzrrnW5tN5wgnfg5BAObbTBua89n39BXG78jHdFpsLcQduFd9TICsg4tQ6UdWsBdr1t0aZ0PSQxdgvuArtIQc1Km3isfOrTo-np4kT1rdBvh5f1-nC3PpleT8_ziy-fZZHyRG07LLhdMagONNlRCWZeUm4JiyTAVgnGDq0pQXDaGN6NSgDTccMkrWnNcc1pghtlx9nGvu-mrNdQGXBd0qzbBrnUYlNdW_Z1xdqWu_a1Kby0KJsuk8PZeIfgfPcROrW000Lbage-jorjglMuy4Al98w964_uQ3nVHsRGRnBWJInvKBB9jgOZxGoLV1gdq7wOVfKC2PlBDqnn95zUeKx4-PgF0D8SUctcQfrf-v-ovVzK9Bw</recordid><startdate>20181101</startdate><enddate>20181101</enddate><creator>Halkitis, Perry N.</creator><creator>Jaiswal, Jessica</creator><creator>Griffin-Tomas, Marybec</creator><creator>Krause, Kristen D.</creator><creator>D’Avanzo, Paul</creator><creator>Kapadia, Farzana</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7T2</scope><scope>7U3</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AM</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGRYB</scope><scope>BHHNA</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>HEHIP</scope><scope>K7.</scope><scope>K9.</scope><scope>KB0</scope><scope>M0O</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20181101</creationdate><title>Beliefs About the End of AIDS, Concerns About PrEP Functionality, and Perceptions of HIV Risk as Drivers of PrEP Use in Urban Sexual Minority Men: The P18 Cohort Study</title><author>Halkitis, Perry N. ; Jaiswal, Jessica ; Griffin-Tomas, Marybec ; Krause, Kristen D. ; D’Avanzo, Paul ; Kapadia, Farzana</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c428t-739acefac29e8d824c62093027734c0bb7208fc4f587e9c4c494b2d40d4260303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Acquired Immunodeficiency Syndrome</topic><topic>Adult</topic><topic>AIDS</topic><topic>Awareness</topic><topic>Bisexuality</topic><topic>Bisexuality - psychology</topic><topic>Cognition</topic><topic>Cognitive ability</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Consciousness</topic><topic>Cross-Sectional Studies</topic><topic>Disease prevention</topic><topic>Gays & lesbians</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Health Psychology</topic><topic>Health risks</topic><topic>HIV</topic><topic>HIV Infections - prevention & control</topic><topic>HIV Infections - psychology</topic><topic>Homosexuality, Male - psychology</topic><topic>Human immunodeficiency virus</topic><topic>Humans</topic><topic>Infectious Diseases</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Men</topic><topic>Men who have sex with men</topic><topic>Mens health</topic><topic>New York</topic><topic>Original Paper</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Perception</topic><topic>Pre-Exposure Prophylaxis</topic><topic>Public Health</topic><topic>Risk perception</topic><topic>Sexual and Gender Minorities</topic><topic>Sexual Behavior - psychology</topic><topic>Sexually transmitted diseases</topic><topic>Side effects</topic><topic>STD</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Halkitis, Perry N.</creatorcontrib><creatorcontrib>Jaiswal, Jessica</creatorcontrib><creatorcontrib>Griffin-Tomas, Marybec</creatorcontrib><creatorcontrib>Krause, Kristen D.</creatorcontrib><creatorcontrib>D’Avanzo, Paul</creatorcontrib><creatorcontrib>Kapadia, Farzana</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Social Services Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Criminal Justice Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Criminology Collection</collection><collection>Sociological Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Sociology Collection</collection><collection>ProQuest Criminal Justice (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Criminal Justice</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>AIDS and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Halkitis, Perry N.</au><au>Jaiswal, Jessica</au><au>Griffin-Tomas, Marybec</au><au>Krause, Kristen D.</au><au>D’Avanzo, Paul</au><au>Kapadia, Farzana</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Beliefs About the End of AIDS, Concerns About PrEP Functionality, and Perceptions of HIV Risk as Drivers of PrEP Use in Urban Sexual Minority Men: The P18 Cohort Study</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2018-11-01</date><risdate>2018</risdate><volume>22</volume><issue>11</issue><spage>3705</spage><epage>3717</epage><pages>3705-3717</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><abstract>Using cross-sectional data from an ongoing cohort study of young gay, bisexual, and other men who have sex with men (N = 492), we examined the extent to which cognitive factors such as beliefs about the end of AIDS, concerns about the manner in which PrEP works, and perceptions about risk of contracting HIV, are related to PrEP uptake and use. While almost all participants indicted awareness of PrEP, a mere 14% had ever used PrEP. Those with lower concerns about the side effects of PrEP and greater belief that treatment and PrEP would eliminate AIDS were also more likely to have ever used PrEP. Our findings support the ongoing challenges of PrEP uptake as means of curtailing HIV in young sexual minority men, and suggest that beyond the structural factors, consideration must be given to further educating the population as a means of adjusting potentially faulty beliefs, concerns, and perceptions which may influence PrEP utilization.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29971731</pmid><doi>10.1007/s10461-018-2218-y</doi><tpages>13</tpages></addata></record> |
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subjects | Acquired immune deficiency syndrome Acquired Immunodeficiency Syndrome Adult AIDS Awareness Bisexuality Bisexuality - psychology Cognition Cognitive ability Cohort analysis Cohort Studies Consciousness Cross-Sectional Studies Disease prevention Gays & lesbians Health Knowledge, Attitudes, Practice Health Psychology Health risks HIV HIV Infections - prevention & control HIV Infections - psychology Homosexuality, Male - psychology Human immunodeficiency virus Humans Infectious Diseases Male Medicine Medicine & Public Health Men Men who have sex with men Mens health New York Original Paper Patient Acceptance of Health Care - psychology Perception Pre-Exposure Prophylaxis Public Health Risk perception Sexual and Gender Minorities Sexual Behavior - psychology Sexually transmitted diseases Side effects STD |
title | Beliefs About the End of AIDS, Concerns About PrEP Functionality, and Perceptions of HIV Risk as Drivers of PrEP Use in Urban Sexual Minority Men: The P18 Cohort Study |
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