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A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
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Demographic Differences in PrEP-Related Stereotypes: Implications for Implementation.

Sarit A Golub1,2, Kristi E Gamarel3,4, Anthony Surace3

  • 1Department of Psychology, Hunter College and the Graduate Center of the City University of New York (CUNY), 695 Park Avenue, New York, NY, 10065, USA. sarit.golub@hunter.cuny.edu.

AIDS and Behavior
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Summary

Negative stereotypes about pre-exposure prophylaxis (PrEP) are common among MSM, with many believing PrEP users are HIV-positive or promiscuous. Addressing these perceptions is crucial for effective PrEP implementation and uptake.

Keywords:
HIV preventionMSMPre-exposure prophylaxisStereotypes

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Area of Science:

  • Public Health
  • Social Science
  • Medical Sociology

Background:

  • Pre-exposure prophylaxis (PrEP) is a key HIV prevention strategy.
  • Understanding user perceptions and stereotypes is vital for successful PrEP programs.
  • Qualitative research can uncover nuanced social dynamics surrounding health interventions.

Purpose of the Study:

  • To identify and characterize stereotypes associated with pre-exposure prophylaxis (PrEP) users among men who have sex with men (MSM).
  • To explore demographic differences in the recognition of these stereotypes.
  • To inform strategies for overcoming barriers to PrEP uptake and adherence.

Main Methods:

  • Qualitative interviews were conducted with 160 MSM involved in a PrEP messaging study.
  • Participants were asked about their perceptions and experiences with PrEP-related stereotypes.
  • Analysis focused on identifying common stereotype themes and demographic variations.

Main Results:

  • 80% of participants identified negative stereotypes about PrEP users.
  • Common stereotypes included beliefs that PrEP users are HIV-infected (and concealing it) or are promiscuous and do not use condoms.
  • Identification of these stereotypes varied significantly based on participants' race/ethnicity and education levels.

Conclusions:

  • Negative stereotypes surrounding PrEP are prevalent among MSM and can influence perceptions of risk and prevention behaviors.
  • Awareness of demographic differences in stereotype recognition is essential for tailored public health messaging.
  • Addressing these stereotypes is critical for enhancing PrEP acceptability and facilitating open discussions with healthcare providers and partners.