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Optimizing PrEP Continuance: A Secondary Analysis Examining Perceived Autonomy Support and Care Coordination Quality among Black MSM in HPTN 073

Author

Listed:
  • S. Raquel Ramos

    (School of Nursing, Yale University, Orange, CT 06477, USA
    Department of Social and Behavioral Sciences, School of Public Health, Yale University, New Haven, CT 06520, USA
    Center for Interdisciplinary Research on AIDS, School of Public Health, Yale University, New Haven, CT 06520, USA)

  • Geetha Beauchamp

    (SCHARP, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA)

  • Darrell P. Wheeler

    (Office of the Provost, Iona College, New Rochelle, NY 10801, USA)

  • Leo Wilton

    (Department of Human Development, State University of New York at Binghamton, Binghamton, NY 13901, USA)

  • Darren L. Whitfield

    (School of Social Work, University of Maryland, Baltimore, MD 21201, USA)

  • Donte T. Boyd

    (College of Social Work, The Ohio State University, Columbus, OH 43210, USA)

  • Lisa Hightow-Weidman

    (Department of Medicine, University of North Carolina, Chapel Hill, NC 27599, USA)

  • Sheldon D. Fields

    (College of Nursing, Pennsylvania State University, University Park, PA 16803, USA)

  • LaRon E. Nelson

    (School of Nursing, Yale University, Orange, CT 06477, USA
    Center for Interdisciplinary Research on AIDS, School of Public Health, Yale University, New Haven, CT 06520, USA
    MAP Centre for Urban Health Solutions, Unity Health Toronto, St. Michael’s Hospital, Toronto, ON M5B 1W8, Canada)

  • on behalf of the HPTN 073 Team

    (Complete authors of the HPTN 073 Study Team are listed in the Supplementary Materials.)

Abstract

At the end of year 2018, it was estimated that in the United States over 1 million people were living with HIV. Although Black/African American individuals comprise an estimated 13.4% of the US population, as of 2019, they represented an estimated 42% of all new HIV diagnoses in 2018. PrEP use among Black men who have sex with men has not reached levels sufficient to have a population impact on HIV incidence. The purpose of this study was to examine whether high perceived autonomy support and care coordination quality were associated with PrEP continuation. Secondary analyses were conducted on data with 226 Black MSM in three US cities. Participants who were PrEP users and scored higher on autonomy support at week 8 were significantly more likely to continue PrEP (OR 1.48; 95% CI 1.04–2.11). Perception of coordination quality did not differ between PrEP users and non-users at any of the visits. Although coordination quality was not statistically significant, greater than half of PrEP users and non-PrEP users utilized the C4 services. Addressing social, individual, and structural barriers to PrEP may benefit Black MSM irrespective of their PrEP use.

Suggested Citation

  • S. Raquel Ramos & Geetha Beauchamp & Darrell P. Wheeler & Leo Wilton & Darren L. Whitfield & Donte T. Boyd & Lisa Hightow-Weidman & Sheldon D. Fields & LaRon E. Nelson & on behalf of the HPTN 073 Team, 2022. "Optimizing PrEP Continuance: A Secondary Analysis Examining Perceived Autonomy Support and Care Coordination Quality among Black MSM in HPTN 073," IJERPH, MDPI, vol. 19(8), pages 1-10, April.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:8:p:4489-:d:789679
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    References listed on IDEAS

    as
    1. LaRon E. Nelson & James M. McMahon & Natalie M. Leblanc & Amy Braksmajer & Hugh F. Crean & Kristin Smith & Ying Xue, 2019. "Advancing the case for nurse practitioner‐based models to accelerate scale‐up of HIV pre‐exposure prophylaxis," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(1-2), pages 351-361, January.
    2. Tsai, Alexander C. & Burns, Bridget F.O., 2015. "Syndemics of psychosocial problems and HIV risk: A systematic review of empirical tests of the disease interaction concept," Social Science & Medicine, Elsevier, vol. 139(C), pages 26-35.
    3. Wilson, P.A. & Moore, T.E., 2009. "Public health responses to the HIV epidemic among black men who have sex with men: A qualitative study of US Health Departments and Communities," American Journal of Public Health, American Public Health Association, vol. 99(6), pages 1013-1022.
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