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Participation in community groups increases the likelihood of PrEP awareness: New Orleans NHBS-MSM Cycle, 2014

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  • Yusuf Ransome
  • Meagan Zarwell
  • William T Robinson

Abstract

Background: Gay, bisexual, and other men who have sex with men (GBM) have the highest proportion of incident HIV infection. Pre-exposure prophylaxis (PrEP) use and screening for sexually transmitted infections (STIs) are primary HIV prevention strategies, however, uptake remains low. Social capital, collective resources generated through social connections, are associated with lower HIV risk and infection. We investigated social capital in association with PrEP indicators among GBM. Methods: Analyses included (N = 376) GBM from the 2014 National HIV Behavioral Surveillance (NHBS) in New Orleans. Multiple regression methods assessed the association between one item within each of eight domains from the Onyx and Bullen Social Capital Scale and: awareness and willingness to use PrEP. Analyses are adjusted for age, race, education, sexual intercourse with women, and health insurance. Results: Forty percent of GBM were 18–29 years, 52 percent White. Sixty percent were willing to use PrEP. Social capital was above 50 percent across 7 of 8 indicators. Community group participation (vs no participation) was associated with higher likelihoods of PrEP awareness (adjusted Prevalence Ratio [aPR] = 1.41, 95% Confidence Interval [CI] = 1.02, 1.95). None of the seven remaining social capital indicators were significantly associated with any of the PrEP outcomes. Conclusions: Community groups and organizations could be targeted for interventions to increase uptake of HIV prevention strategies among GBM in New Orleans

Suggested Citation

  • Yusuf Ransome & Meagan Zarwell & William T Robinson, 2019. "Participation in community groups increases the likelihood of PrEP awareness: New Orleans NHBS-MSM Cycle, 2014," PLOS ONE, Public Library of Science, vol. 14(3), pages 1-11, March.
    • Handle: RePEc:plo:pone00:0213022
    DOI: 10.1371/journal.pone.0213022
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    References listed on IDEAS

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    1. Duncan, Dustin T. & Ransome, Yusuf & Park, Su Hyun & Jackson, Skyler D. & Kawachi, Ichiro & Branas, Charles C. & Knox, Justin & Al-Ajlouni, Yazan A. & Mountcastle, Hayden & Miles, Caleb H. & Hickson, , 2021. "Neighborhood social cohesion, religious participation and sexual risk behaviors among cisgender black sexual minority men in the southern United States," Social Science & Medicine, Elsevier, vol. 279(C).

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