Association between Having a Regular Healthcare Provider and Pre-exposure Prophylaxis Use among Black and White Men Who Have Sex with Men: A Cross-sectional Survey Público

Abstract

Background: Providers whom people see regularly (e.g., primary care providers [PCPs]) are among the most common type of healthcare providers in the United States, making it likely individuals at risk of human immunodeficiency virus (HIV) will interact with them. However, the majority of PCPs report never prescribing or discussing pre-exposure prophylaxis (PrEP) with a patient. Our study aimed to assess the association between having a regular healthcare provider and PrEP use among Black and White men who have sex with men (MSM) in Atlanta, GA.

Methods: We analyzed cross-sectional survey data on healthcare access and behaviors from 264 Black and White MSM in Atlanta who did not report being HIV positive. Using crude and adjusted log binomial regressions, we calculated prevalence ratios for Black and White MSM separately to examine the associations between having a regular healthcare provider and PrEP use.

Results: Among Black MSM, the proportion of those who had ever used PrEP was nearly three times higher for those with a regular healthcare provider compared to those without one (aPR 2.6; 95% CI: 1.0, 6.9). Conversely, the proportion of White MSM who had ever used PrEP was lower for those with a regular healthcare provider compared to those without one (aPR 0.7; 95% CI: 0.4, 1.3).

Conclusions: Findings from this study suggest that having a regular healthcare provider may be more strongly associated with PrEP use among Black MSM compared to White MSM. Further research is needed to understand the mechanisms involved in the differing associations.

Reproduced with permission from Springer Nature.

Table of Contents

Introduction………………………………………………………………………………………..1

Methods…………………………………………………………………………………...…….....2

Data Collection Methods and Study Population………………………………...…...…...3

Measures………………………………………………………………………………...…..........4

Data Analysis…………………………………………………………………………….......…...5

Results……………………………………………………………………………………………....5

Ever Using PrEP and Interest in Starting PrEP…………………......………….………....6

Discussion…………………………………………………………………………………………..7

References………………………………………………………………………………………...11

Table 1……………………………………………………………………..……………………...15

Table 2……………………………………………………………………………………….…....17

Table 3………………………………………………………………………………………..……18

Figure 1……………………………………………………………………………………......….19

About this Master's Thesis

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School	Rollins School of Public Health
Department	Epidemiology
Degree	M.P.H.
Submission	Master's Thesis
Language	English
Research Field	Health Sciences, Public Health Health Sciences, Epidemiology
Palavra-chave	regular healthcare provider primary care provider PrEP HIV
Committee Chair / Thesis Advisor	Chamberlain, Allison, Emory University

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