A Tale of Two Cities: Exploring the Role of Race/Ethnicity and Geographic Setting on PrEP Use Among Adolescent Cisgender MSM.

TitleA Tale of Two Cities: Exploring the Role of Race/Ethnicity and Geographic Setting on PrEP Use Among Adolescent Cisgender MSM.
Publication TypePublication
Year of Publication2021
AuthorsSaleska JLonderee, Lee S-J, Leibowitz A, Ocasio M, Swendeman D
Corporate AuthorsAdolescent Medicine Trials Network(A. T. N.) Cares Team
JournalAIDS Behav
Volume25
Issue1
Pagination139-147
Date Published2021 Jan
ISSN1573-3254
KeywordsAdolescent, Adult, Anti-HIV Agents, Cities, Cross-Sectional Studies, Disease Transmission, Infectious, Ethnic Groups, HIV Infections, Homosexuality, Male, Humans, Los Angeles, Louisiana, Male, New Orleans, Pre-Exposure Prophylaxis, Young Adult
Abstract

<p>Although pre-exposure prophylaxis (PrEP) could substantially reduce the risk of HIV acquisition among adolescent cisgender men who have sex with men (cisMSM), various barriers faced by people of color, particularly within the southern region of the U.S., may lead to racial disparities in the utilization of PrEP. Few studies, however, have explored racial/ethnic differences in PrEP use by geographic setting among adolescent cisMSM. We conducted a cross-sectional analysis examining racial disparities in PrEP use among cisMSM ages 15-24 years in New Orleans, Louisiana, and Los Angeles, California recruited between May, 2017 and September, 2019. The odds of PrEP use among AA adolescents were considerably lower than White adolescents in New Orleans (OR (95% CI): 0.24 (0.10, 0.53)), although we did not find evidence of differences in Los Angeles. Our findings underscore the need for targeted interventions to promote PrEP use among adolescent MSM, particularly among AA adolescent cisMSM living in the southern region of U.S.</p>

DOI10.1007/s10461-020-02951-w
Alternate JournalAIDS Behav
PubMed ID32588260
PubMed Central IDPMC7759578
Grant ListU19 HD089886 / HD / NICHD NIH HHS / United States
P30MH058107 / MH / NIMH NIH HHS / United States
UL1TR001881 / / UCLA Clinical and Translational Science Institute /
UL1 TR001881 / TR / NCATS NIH HHS / United States
P30AI028697 / / UCLA Center for AIDS Research /
U19HD089886 / / National Institute of Child Health and Human Development /
P30 MH058107 / MH / NIMH NIH HHS / United States
P30 AI028697 / AI / NIAID NIH HHS / United States