Structural Vulnerabilities and PrEP Awareness Among Boston Heterosexuals and People who Inject Drugs at Risk for HIV: Findings from 2018–2019 Cycles from the Boston, MA site of the NHBS

Lee, J. S.; Batchelder, A.W.; Stanton, A.M.; Westphal, L.; Klevens, R. M.; Mayer, K.H.

doi:10.1080/09540121.2023.2288646

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Structural Vulnerabilities and PrEP Awareness Among Boston Heterosexuals and People who Inject Drugs at Risk for HIV: Findings from 2018–2019 Cycles from the Boston, MA site of the NHBS

5 2024
By Lee, J. S. ; Batchelder, A.W. ; Stanton, A.M. ; ...
Source: AIDS Care. 36(5):641-651

Public Access Version Available on: May 01, 2025, 12:00 AM

Please check back on the date listed above.

English

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Alternative Title:

AIDS Care
Personal Author:

Lee, J. S. ; Batchelder, A.W. ; Stanton, A.M. ; Westphal, L. ; Klevens, R. M. ; ... More +

Lee, J. S. ; Batchelder, A.W. ; Stanton, A.M. ; Westphal, L. ; Klevens, R. M. ; Mayer, K.H. Less -
Corporate Authors:

for the National HIV Behavioral Surveillance Study Group
Description:

Little is known about biopsychosocial factors relating to pre-exposure prophylaxis (PrEP) awareness among people with either heterosexual or injection drug use HIV risk behaviors. Participants engaged in vaginal/anal sex with a person of the opposite sex (| = 515) or were people who injected drugs (PWID; | = 451) in the past 12 months from 2018-2019 in Boston, MA. We examined associations between PrEP awareness and: homelessness; perceived HIV-related stigma; country of birth; bacterial STDs, chlamydia, and/or gonorrhea in the past 12 months, lifetime hepatitis C virus (HCV) infection, sexual orientation, and poverty. More PWID (36.8%) were aware of PrEP than people with heterosexual HIV risk (28%; | = .001). Among people with heterosexual risk, homelessness (aOR = 1.99, | = .003), and among PWID: homelessness (aOR = 2.11, | = .032); bacterial STD (aOR = 2.96, | = .012); chlamydia (aOR = 6.14, | = .008); and HCV (aOR = 2.40, | < .001) were associated with increased likelihood of PrEP awareness. In the combined sample: homelessness (aOR = 2.25, | < .001); HCV (aOR = 2.18, | < .001); identifying as homosexual (aOR = 3.71, | = .036); and bisexual (aOR = 1.55, | = .016) were each associated with PrEP awareness. Although having an STD, HCV, identifying as homosexual or bisexual, and experiencing homelessness were associated with increased PrEP awareness, most participants were unaware of PrEP. Efforts to increase PrEP awareness could engage PWID and heterosexual HIV risk behavior.
Subjects:

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Boston Drug Users Female Hepacivirus Hepatitis C Heterosexuality HIV Infections Humans Male Pre-Exposure Prophylaxis Substance Abuse, Intravenous
Keywords:

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Homelessness People Who Inject Drugs Pre-exposure Prophylaxis (PrEP) PrEP Awareness Sexually Transmitted Infection
Source:

AIDS Care. 36(5):641-651
Pubmed ID:

38091449
Pubmed Central ID:

PMC10994762
Document Type:

Journal Article
Funding:

T32 MH116140/MH/NIMH NIH HHSUnited States/ ; K23 MH131438/MH/NIMH NIH HHSUnited States/ ; P30 AI060354/AI/NIAID NIH HHSUnited States/ ; K23 DA043418/DA/NIDA NIH HHSUnited States/ ; U62 PS005074/PS/NCHHSTP CDC HHSUnited States/

T32 MH116140/MH/NIMH NIH HHSUnited States/ ; K23 MH131438/MH/NIMH NIH HHSUnited States/ ; P30 AI060354/AI/NIAID NIH HHSUnited States/ ; K23 DA043418/DA/NIDA NIH HHSUnited States/ ; U62 PS005074/PS/NCHHSTP CDC HHSUnited States/ Less -
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha-512:9772a45bf0cdd2fe131c9eb985475666d67719085c3d80198490bc5e2e6e9278b615c3d81b33ce16817a2d50ac755b193cea41e7acc3147e8f691f7bda91496a
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