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Young black MSM's exposures to and discussions about PrEP while navigating geosocial networking apps
Errol L Fields1,2, Nicole Thornton1, Amanda Long1
1Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Journal of LGBT Youth
|June 10, 2021
Summary
Young Black men who have sex with men (YBMSM) using geosocial networking apps (GSN-apps) encounter mixed discussions about PrEP. Addressing mistrust and misconceptions is crucial for effective HIV prevention among this population.
Area of Science:
- Public Health
- Epidemiology
- Social Science
Background:
- Young Black gay, bisexual, and other men who have sex with men (YBMSM) face a disproportionate HIV burden.
- Geosocial networking apps (GSN-apps) are highly utilized within YBMSM sexual networks in Baltimore.
- GSN-apps represent potential access points for targeted HIV prevention interventions like PrEP.
Purpose of the Study:
- To explore YBMSM GSN-app users' exposure to and discussions about PrEP.
- To inform online PrEP outreach strategies targeting YBMSM.
Main Methods:
- Active recruitment of YBMSM (n=17), aged 18-24, from a high-HIV prevalence GSN-app in Baltimore.
- Semi-structured interviews (60-90 minutes) analyzed using a 3-stage analytic coding strategy.
- Recruitment occurred via direct messaging within the GSN-app in high HIV transmission areas.
Main Results:
- The majority of participants reported encountering mentions or discussions of PrEP on GSN-apps.
- Identified themes included: Mistrust of PrEP, Association with sexual promiscuity, and Concerns about protection against other STIs.
- Some participants were unfamiliar with PrEP.
Conclusions:
- Negative perceptions and misconceptions surrounding PrEP require targeted messaging, accurate information, and education.
- Addressing these issues is essential to increase PrEP uptake among YBMSM.
- Failure to address these barriers may exacerbate existing HIV disparities.
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