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Structural vulnerabilities and PrEP awareness among Boston heterosexuals and people who inject drugs at risk for HIV: findings from 2018 to 2019 cycles from the Boston, MA site of the NHBS.

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Title: Structural vulnerabilities and PrEP awareness among Boston heterosexuals and people who inject drugs at risk for HIV: findings from 2018 to 2019 cycles from the Boston, MA site of the NHBS.
Authors: Lee, J. S., Batchelder, A. W., Stanton, A. M., Westphal, L., Klevens, R. M., Mayer, K. H., O'Cleirigh, C.
Source: AIDS Care. May2024, Vol. 36 Issue 5, p641-651. 11p.
Subjects: HIV infection risk factors, Health literacy, Sexually transmitted diseases, Sexual orientation, Research funding, Logistic regression analysis, Descriptive statistics, Multivariate analysis, Pre-exposure prophylaxis, Odds ratio, Birthplaces, Homelessness, Data analysis software, Confidence intervals, Social stigma, Poverty
Geographic Terms: Massachusetts
Abstract: 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 (N = 515) or were people who injected drugs (PWID; N = 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%; p =.001). Among people with heterosexual risk, homelessness (aOR = 1.99, p =.003), and among PWID: homelessness (aOR = 2.11, p =.032); bacterial STD (aOR = 2.96, p =.012); chlamydia (aOR = 6.14, p =.008); and HCV (aOR = 2.40, p <.001) were associated with increased likelihood of PrEP awareness. In the combined sample: homelessness (aOR = 2.25, p <.001); HCV (aOR = 2.18, p <.001); identifying as homosexual (aOR = 3.71, p =.036); and bisexual (aOR = 1.55, p =.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. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Structural vulnerabilities and PrEP awareness among Boston heterosexuals and people who inject drugs at risk for HIV: findings from 2018 to 2019 cycles from the Boston, MA site of the NHBS.
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22AIDS+Care%22&quot;&gt;AIDS Care&lt;/searchLink&gt;. May2024, Vol. 36 Issue 5, p641-651. 11p.
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  Data: 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 (N = 515) or were people who injected drugs (PWID; N = 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%; p =.001). Among people with heterosexual risk, homelessness (aOR = 1.99, p =.003), and among PWID: homelessness (aOR = 2.11, p =.032); bacterial STD (aOR = 2.96, p =.012); chlamydia (aOR = 6.14, p =.008); and HCV (aOR = 2.40, p &lt;.001) were associated with increased likelihood of PrEP awareness. In the combined sample: homelessness (aOR = 2.25, p &lt;.001); HCV (aOR = 2.18, p &lt;.001); identifying as homosexual (aOR = 3.71, p =.036); and bisexual (aOR = 1.55, p =.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. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of AIDS Care is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2023.2288646
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 11
        StartPage: 641
    Subjects:
      – SubjectFull: HIV infection risk factors
        Type: general
      – SubjectFull: Health literacy
        Type: general
      – SubjectFull: Sexually transmitted diseases
        Type: general
      – SubjectFull: Sexual orientation
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Multivariate analysis
        Type: general
      – SubjectFull: Pre-exposure prophylaxis
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Birthplaces
        Type: general
      – SubjectFull: Homelessness
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Confidence intervals
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      – SubjectFull: Social stigma
        Type: general
      – SubjectFull: Poverty
        Type: general
      – SubjectFull: Massachusetts
        Type: general
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      – TitleFull: Structural vulnerabilities and PrEP awareness among Boston heterosexuals and people who inject drugs at risk for HIV: findings from 2018 to 2019 cycles from the Boston, MA site of the NHBS.
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            – D: 01
              M: 05
              Text: May2024
              Type: published
              Y: 2024
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