Pre-Exposure Prophylaxis Knowledge and Perceived Effectiveness to Prevent HIV Among Deaf Gay, Bisexual, and Queer Men

Biskupiak, Andrew; Smith, Scott; Kushalnagar, Poorna

doi:10.1089/lgbt.2018.0102

Cited by 9 publications

(9 citation statements)

References 27 publications

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“…Evidence for social media and its role in promoting HIV-related awareness comes from a recent US study of 121 deaf GBQ men who used ASL, which found that a majority (85%) knew about PrEP for HIV prevention. Moreover, the perceived effectiveness of PrEP in preventing HIV was strongly associated with engaging in LGBTQ-related discussions online or on social networking sites [26]. While this study was restricted to GBQ men, and HIV screening knowledge and practice are not always equivocal, this offers further evidence that social media may play a powerful role in mitigating HIV screening disparities among deaf ASL users.…”

Section: Discussionmentioning

confidence: 99%

“…In a study of 515 deaf adults, those who engaged in social media networking were more likely to discuss health issues with their healthcare providers via electronic platforms compared to nonusers of social media sites, potentially reducing communication barriers that contribute to health disparities [24]. Similarly, deaf gay, bisexual, and queer (GBQ) men who connected with lesbian, gay, bisexual, transgender, and queer (LGBTQ) peers online were more likely to be aware of preexposure prophylaxis (PrEP) compared to deaf GBQ men who did not have online connections [25,26]. Belief in PrEP’s effectiveness was also associated with discussing LGBTQ issues online or through social media (odds ratio [OR] 3.12; 95% CI 1.12-8.75) [26].…”

Section: Introductionmentioning

confidence: 99%

“…Similarly, deaf gay, bisexual, and queer (GBQ) men who connected with lesbian, gay, bisexual, transgender, and queer (LGBTQ) peers online were more likely to be aware of preexposure prophylaxis (PrEP) compared to deaf GBQ men who did not have online connections [25,26]. Belief in PrEP’s effectiveness was also associated with discussing LGBTQ issues online or through social media (odds ratio [OR] 3.12; 95% CI 1.12-8.75) [26].…”

Section: Introductionmentioning

confidence: 99%

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Social Media Use and HIV Screening Uptake Among Deaf Adults in the United States: Cross-Sectional Survey Study

Argenyi¹,

Kushalnagar²

2019

JMIR Public Health Surveill

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Background About 46% of US adults obtain recommended HIV screening at least once during their lifetime. There is little knowledge of screening rates among deaf and hard-of-hearing adults who primarily use American Sign Language (ASL), or of social media as a potentially efficacious route for HIV prevention outreach, despite lower HIV/AIDS-specific health literacy and potentially higher HIV seropositivity rates than hearing peers. Objective We investigated both the likelihood of HIV screening uptake among deaf adults in the past year and over one year ago, and the relationship between social media use and HIV screening uptake among deaf adult ASL users. Methods The Health Information National Trends Survey in ASL was administered to 1340 deaf US adults between 2015-2018. Modified Poisson with robust standard errors was used to assess the relationship between social media usage as a predictor and HIV screening as an outcome (screened more than one year ago, screened within the past year, and never been screened), after adjusting for sociodemographics and sexually transmitted disease (STD) covariates. Results The estimated lifetime prevalence of HIV screening uptake among our sample was 54% (719/1340), with 32% (429/1340) in the past year. Being of younger age, male gender, black, lesbian, gay, bisexual, or queer, or having some college education or a prior STD were associated with HIV screening uptake. Adjusting for correlates, social media use was significantly associated with HIV screening in the past year, compared to either lifetime or never. Conclusions Screening falls well short of universal screening targets, with gaps among heterosexual, female, Caucasian, or older deaf adults. HIV screening outreach may not be effective because of technological or linguistic inaccessibility, rendering ASL users an underrecognized minority group. However, social media is still a powerful tool, particularly among younger deaf adults at risk for HIV.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Social Media Use and HIV Screening Uptake Among Deaf Adults in the United States: Cross-Sectional Survey Study

Argenyi¹,

Kushalnagar²

2019

JMIR Public Health Surveill

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“…Nonetheless, important knowledge gaps about PrEP remain in key populations [ 16 , 18 , 19 ]. Factors that contribute to higher PrEP knowledge and awareness among MSM include high levels of schooling and living in large cities [ 19 ], belonging to with LGBT networks [ 20 , 21 ], and prior HIV testing [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…On the other hand, high acceptability of PrEP has been observed in many studies, and main facilitators were free access to PrEP [ 2 , 17 , 20 ], as well as access to prevention services that provide free HIV testing and sexual health follow-up on a regular basis, and individual counseling [ 2 ]. The Brazilian Health System (in Portuguese Sistema Único de Saúde–SUS ) offers free and universal access, which includes HIV prevention, treatment, and care.…”

Section: Introductionmentioning

confidence: 99%

Acceptability of daily pre-exposure prophylaxis among adolescent men who have sex with men, travestis and transgender women in Brazil: A qualitative study

et al. 2021

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Background Adolescents face socio-structural, personal and programmatic barriers to HIV prevention services, highlighting the importance of understanding knowledge and acceptability as essential aspects to promote their broader access to pre-exposure prophylaxis (PrEP). We analyzed the acceptability of PrEP among adolescent men who have sex with men (MSM), travestis and transgender women (TGW). Methods A qualitative investigation was conducted as part of the formative research of the PrEP15-19 study, an ongoing demonstration study that analyzes the effectiveness of daily PrEP among adolescent MSM, travestis and TGW aged 15–19 in three Brazilian cities. A total of 37 semi-structured interviews and 6 focus groups were conducted. Building from thematic analysis focusing on participants’ sexual encounters, perceptions about PrEP efficacy, and vulnerability contexts, we analyzed prospective acceptability of PrEP. Findings Knowledge about PrEP was incipient and characterized by adolescents’ frequent doubts about its prescription and efficacy. The ‘ideal’ use of PrEP appeared together with consistent condom use, especially in casual sex. PrEP use was also mentioned as depending on increased learning about prevention management over time. Main barriers to PrEP use included the incorporation of a daily medication into participants’ routine and its impact on their social lives, especially related to stigma. Concerns over short- and long-term side effects were also reported as barriers to PrEP use. TGW and travestis contrasted using PrEP with the precarity of their life conditions, and some expressed a critical vision about PrEP by associating it with pharmaceuticalization and trans necropolitics. Conclusions Participants’ low knowledge and acceptability of PrEP are circumscribed by a rigid perception of condom as the ideal prevention method and the context of their sexual relations. Prospective acceptability highlights that the successful uptake of PrEP depends on overcoming barriers of access to health services and confronting transphobia and homophobia as part of care.

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Deaf Women's Health: Adherence to Breast and Cervical Cancer Screening Recommendations

Kushalnagar

Engelman

Simons

2019

American Journal of Preventive Medicine

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Pre-Exposure Prophylaxis Knowledge and Perceived Effectiveness to Prevent HIV Among Deaf Gay, Bisexual, and Queer Men

Cited by 9 publications

References 27 publications

Social Media Use and HIV Screening Uptake Among Deaf Adults in the United States: Cross-Sectional Survey Study

Social Media Use and HIV Screening Uptake Among Deaf Adults in the United States: Cross-Sectional Survey Study

Acceptability of daily pre-exposure prophylaxis among adolescent men who have sex with men, travestis and transgender women in Brazil: A qualitative study

Deaf Women's Health: Adherence to Breast and Cervical Cancer Screening Recommendations

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