Abstract
The current study examined and compared the willingness of young Black men who have sex with men (YBMSM) to accept pre-exposure prophylaxis (PrEP), adult male circumcision, and condoms for reducing their risk of HIV acquisition. The majority (67%) reported unprotected receptive anal sex in the last six months. About three-quarters (71%) would accept using PrEP if it was 100% effective. Cost influenced PrEP acceptance with 19% indicating acceptance at $100 per month co-pay. Of those not circumcised, 50% indicated willingness if circumcision was 100% effective. Acceptance of circumcision decreased markedly to 17% with co-pays of $100. About 73% of men were willing to use condoms if they were 100% effective and 50% indicated a willingness at the cost of $10 per month. The findings suggest that condom use promotion strategies should remain at the forefront of public health efforts to control HIV incidence among YBMSM.
Highlights
The southern region of the United States comprises the largest percentage (18%) of BlackAmericans and accounts for 46% of all new HIV diagnoses and more than 55% of HIV prevalence [1].Young Black men who have sex with men (YBMSM) represent 73% of HIV incidence among allBlack men and 37% of all MSM [2,3]
YBMSM aged 13–29 years are the only subgroup to have experienced a continuous increase in HIV incidence rates during the last three years [4]
These findings showed that 27% would not accept pre-exposure prophylaxis (PrEP), 42%
Summary
The southern region of the United States comprises the largest percentage (18%) of BlackAmericans and accounts for 46% of all new HIV diagnoses and more than 55% of HIV prevalence [1].Young Black men who have sex with men (YBMSM) represent 73% of HIV incidence among allBlack men and 37% of all MSM [2,3]. YBMSM aged 13–29 years are the only subgroup to have experienced a continuous increase in HIV incidence rates during the last three years [4]. Based on these marked racial/ethnic disparities, many questions remain about the acceptance of newly developed as well as established HIV prevention strategies for YBMSM. Are empirically supported, showing a 59% decrease in STI acquisition with accurate and consistent condom utilization [5,6,7,8,9] Despite this effectiveness, continued disparities have increased the need for additional approaches to HIV prevention [10]. Biomedical strategies have reemerged as promising efforts in this regard
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