Social Support Networks Among Young Men and Transgender Women of Color Receiving HIV Pre-Exposure Prophylaxis

Wood, Sarah; Dowshen, Nadia; Bauermeister, José A.; Lalley‐Chareczko, Linden; Franklin, Joshua; Petsis, Danielle; Swyryn, Meghan; Barnett, Kezia; Weissman, Gary E.; Koenig, Helen; Gross, Robert

doi:10.1016/j.jadohealth.2019.08.014

Cited by 12 publications

(12 citation statements)

References 28 publications

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“…Unlike a study 22 that characterized perceived social support for young MSM in the United States where family members were the most common PrEP-specific support figures 19,20 , our findings reveal that support was received in networks from outside the family, especially friends and sexual-affective partners. In societies characterized by discrimination and violence against sexual and gender minorities such as Brazil, the risk of parental rejection and increased likelihood of victimization due to the stigma of homosexuality and AIDS tend to negatively affect willingness to disclose the use of biomedical HIV prevention methods.…”

Section: Discussioncontrasting

confidence: 99%

“…Our findings show that face-to-face and online MSM social networks are key spaces for disseminating and sharing information on sexual health, HIV prevention and PrEP. There is strong evidence 15,[19][20][21][22][23] showing the social support role played by peers and the association between this support and an increase in knowledge of PrEP and take up, a reduction in stigma, discrimination and HIV risk behaviors, and increased reach of PrEP in populations with lower coverage by typical clinical and public health strategies.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

HIV Pre-Exposure Prophylaxis (PrEP) among men who have sex with men: peer communication, engagement and social networks

Santos

Grangeiro²,

Couto³

2022

Ciênc. saúde coletiva

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HIV Pre-Exposure Prophylaxis (PrEP) has renewed optimism in controlling the HIV epidemic, despite its continued growth among men who have sex with men (MSM). The popularity of dating-sexual dating apps and digital media platforms in exchanging information and experiences about PrEP on peer social networks is recognized. However, studies on contexts, motivations, and scope in HIV prevention are scarce. The article aims to understand the dynamics of virtual and face-to-face peer networks among MSM for the decision to use PrEP, its disclosure, and publicity. Qualitative study using semi-structured interviews with 48 PrEP users from five Brazilian cities. Most interviewees share information and experiences about PrEP in peer social networks. However, its publication reveals tensions arising from the permanence of stigmas associated with homosexuality and HIV. The protagonism in exposing the use of PrEP expresses commitment to attracting new users. The relevance of peer social networks in sharing experiences and information about PrEP has the potential to diversify the target audience and expand and democratize PrEP coverage in the country.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

HIV Pre-Exposure Prophylaxis (PrEP) among men who have sex with men: peer communication, engagement and social networks

Santos

Grangeiro²,

Couto³

2022

Ciênc. saúde coletiva

View full text Add to dashboard Cite

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“…Within a study of MSM and transgender women, participants that scored higher on a depression scale had lower adherence to PrEP medication [ 6 ]. However, uptake of and adherence to PrEP among young men of color have both been shown to be facilitated by support from family and friends through instrumental/logistical support, emotional support, and social interaction [ 7 ]. On top of this, key characteristics of support coming from friends and family facilitating PrEP use include closeness, dependability, and homophily (i.e., alikeness) in terms of sexual orientation [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, uptake of and adherence to PrEP among young men of color have both been shown to be facilitated by support from family and friends through instrumental/logistical support, emotional support, and social interaction [ 7 ]. On top of this, key characteristics of support coming from friends and family facilitating PrEP use include closeness, dependability, and homophily (i.e., alikeness) in terms of sexual orientation [ 7 ]. Despite variability across demographic groups and HIV serostatus, studies have shown an increase in HIV risk behaviors among MSM with psychosocial health problems [ 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Assessing the Determinants of Quality of Life and the Impact on HIV Prevention Measures among HIV-Negative and Status-Unknown Young Men Who Have Sex with Men: A Study in Two U.S. Metropolitan Areas

Liu

Russ

Mitchell

et al. 2022

IJERPH

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Young men who have sex with men (YMSM) in the United States (U.S.) are disproportionally burdened by HIV and experience adverse social determinants of health. Minimal research has examined quality of life (QoL) and psychosocial/behavioral determinants among HIV-negative or status-unknown YMSM. We conducted a study with YMSM from two U.S. cities to assess their QoL scores, and whether specific QoL domains (e.g., physical, psychological, social, and environment) were associated with their demographics, psychosocial determinants, behavioral risk factors, and HIV prevention measures. Black YMSM, YMSM of low socioeconomic status (below high school education, income < $20,000, and lack of health insurance), and YMSM who did not disclose their sexual orientation had the lowest QoL scores across all domains. Substance use and unprotected anal intercourse were negatively associated with men’s physical/psychosocial health. Housing/food instability and perceived stress were among the strongest predictors of lower QoL in all domains. Higher physical/psychological and environment QoL scores were associated with a higher likelihood of HIV testing and PrEP use. The identification of YMSM within these demographic, behavioral, and psychosocial sub-groups is important for targeted intervention to enhance their well-being and engagement with HIV prevention.

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“…Nossos achados revelam que as redes sociais entre HSH, mantidos de forma presencial ou virtual, são importantes espaços de disseminação e compartilhamento de informações sobre saúde sexual, prevenção ao HIV e PrEP. Evidências robustas 15,[19][20][21][22][23] já evidenciam o papel do apoio social de pares e sua associação com maiores taxas de conhecimento e adesão à PrEP, diminuição da frequência e dos efeitos negativos do estigma e discriminações, redução de comportamentos de risco ao HIV, além do melhor alcance da PrEP em populações com menor cobertura pelas típicas estratégias clínicas e de saúde pública.…”

Section: Discussionunclassified

A Profilaxia Pré-Exposição ao HIV (PrEP) entre homens que fazem sexo com homens: comunicação, engajamento e redes sociais de pares

Santos

Grangeiro²,

Couto³

2022

Ciênc. saúde coletiva

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Resumo A Profilaxia Pré-Exposição ao HIV (PrEP) tem renovado o otimismo no controle da epidemia de HIV, não obstante seu contínuo crescimento entre os homens que fazem sexo com homens (HSH). A popularidade dos aplicativos de encontro afetivo-sexual e plataformas de mídias digitais na troca de informações e experiências sobre PrEP nas redes sociais de pares é reconhecida, embora sejam escassos estudos sobre contextos, motivações e alcance em termos da prevenção ao HIV. O artigo objetiva compreender a dinâmica das redes de pares virtuais e presenciais entre HSH para a decisão de usar PrEP, sua revelação e publicização. Estudo qualitativo com uso de entrevistas semiestruturadas com 48 usuários de PrEP de cinco cidades brasileiras. A maioria dos entrevistados compartilha informações e experiências sobre PrEP nas redes sociais de pares, contudo sua publicização revela tensões decorrentes da permanência de estigmas associados à homossexualidade e ao HIV. O protagonismo na revelação do uso da PrEP expressa engajamento em conquistar novos usuários. A relevância das redes sociais de pares no compartilhamento de experiências e informações sobre a PrEP tem potencial para a diversificação do público-alvo, ampliação e democratização da cobertura de PrEP no país.

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Social Support Networks Among Young Men and Transgender Women of Color Receiving HIV Pre-Exposure Prophylaxis

Cited by 12 publications

References 28 publications

HIV Pre-Exposure Prophylaxis (PrEP) among men who have sex with men: peer communication, engagement and social networks

HIV Pre-Exposure Prophylaxis (PrEP) among men who have sex with men: peer communication, engagement and social networks

Assessing the Determinants of Quality of Life and the Impact on HIV Prevention Measures among HIV-Negative and Status-Unknown Young Men Who Have Sex with Men: A Study in Two U.S. Metropolitan Areas

A Profilaxia Pré-Exposição ao HIV (PrEP) entre homens que fazem sexo com homens: comunicação, engajamento e redes sociais de pares

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