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How Can We PrEP? Exploring Black MSM's Experiences With Pre-Exposure Prophylaxis Through Photovoice
Katherine LeMasters1, Kaitlyn Atkins2, Saeed Ahmadi Oloonabadi3
1Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, and the Carolina Population Center, Chapel Hill, North Carolina.
Summary
Pre-exposure prophylaxis (PrEP) significantly reduces HIV risk. This study explored Black men who have sex with men
Area of Science:
- Public Health
- HIV Prevention
- Social Science Research
Background:
- Pre-exposure prophylaxis (PrEP) is highly effective in preventing HIV infection, reducing risk by over 90% through sexual transmission.
- Despite its efficacy, PrEP acceptance and adherence are notably low among key populations, particularly Black men who have sex with men (MSM) in the southern U.S.
Purpose of the Study:
- To explore the experiences of Black MSM with PrEP in North Carolina.
- To identify barriers and facilitators to PrEP use within this community.
- To inform public health strategies for improving PrEP uptake and adherence.
Main Methods:
- Community-based participatory research (CBPR) approach.
- Photovoice methodology, combining photography and group discussions.
- Qualitative data collection and analysis focused on lived experiences.
Main Results:
- Findings revealed significant challenges, including intersectional stigma affecting PrEP use.
- Identified a critical need for enhanced patient-provider education regarding PrEP.
- Highlighted the essential role of community-based organizations in bridging patient-provider gaps.
Conclusions:
- Community-level interventions are necessary to address barriers to PrEP.
- Integrating PrEP services into primary care settings can improve accessibility.
- Normalizing conversations about PrEP within the community is crucial for wider adoption.
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