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HIV leadership programming attendance is associated with PrEP and PEP awareness among young, gay, bisexual, and other men who have sex with men in Vancouver, Canada
- Source :
- BMC Public Health, Vol 19, Iss 1, Pp 1-11 (2019), BMC Public Health
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- BackgroundYoung gay, bisexual, and other men who have sex with men (YGBM) may have reduced engagement and knowledge of HIV care and biomedical HIV prevention strategies, such as pre-exposure prophylaxis (PrEP), post-exposure prophylaxis (PEP), and Treatment as Prevention (TasP), compared with adult GBM. We sought to understand differences in HIV prevention awareness, health care access, and service utilization between youth (16–29 years) and adult (≥30 year) GBM, as well as factors associated with attendance in HIV leadership programming among YGBM living in the publicly funded PrEP setting of Vancouver, Canada.MethodsSexually-active GBM were recruited using respondent-driven sampling (RDS) from February 2012 to February 2015. Participants completed an in-person computer-assisted self-interview every 6 months, up to February 2017, with questions on sociodemographic factors, awareness of biomedical HIV prevention strategies, and an HIV treatment optimism-skepticism scale. Participants were asked if they had ever attended either of two HIV-leadership programs designed for YGBM. Both programs involve multiple GBM-led education and social networking sessions operated by community-based organizations in Vancouver. Multivariable Glimmix confounder models assessed differences between youth and adult GBM. Among younger men, bivariate analyses examined factors associated with HIV-leadership program attendance.ResultsOf 698 GBM who enrolled in the longitudinal study, 36.8% were less than 30 years old at the first study visit. After controlling for gender identification, sexual orientation, HIV status, and income in the past 6 months, younger GBM (n = 257/698) had lower awareness of biomedical HIV prevention strategies and less HIV treatment optimism compared with older GBM (n = 441/698). Among younger GBM who attended HIV-leadership programs (n = 50), greater awareness of biomedical HIV prevention strategies and higher HIV treatment optimism were reported, compared with non-attendees.ConclusionYounger GBM, who are disproportionately affected by the HIV epidemic, are less aware of new prevention technologies than older GBM, but attending peer-based HIV-leadership programs ameliorates age-disparities in HIV-prevention knowledge and treatment optimism.
- Subjects :
- Adult
Male
Canada
Health Knowledge, Attitudes, Practice
medicine.medical_specialty
Longitudinal study
Youth
Adolescent
Gay, bisexual, and other men who have sex with men
media_common.quotation_subject
HIV Infections
030209 endocrinology & metabolism
Men who have sex with men
Cohort Studies
Sexual and Gender Minorities
Young Adult
03 medical and health sciences
0302 clinical medicine
Epidemiology
Humans
Medicine
Longitudinal Studies
030212 general & internal medicine
Homosexuality
media_common
business.industry
lcsh:Public aspects of medicine
Public health
Public Health, Environmental and Occupational Health
Attendance
virus diseases
lcsh:RA1-1270
Treatment as prevention
3. Good health
Leadership
Family medicine
Health promotion
Pre-Exposure Prophylaxis
Biostatistics
Post-Exposure Prophylaxis
business
Research Article
Program Evaluation
Subjects
Details
- ISSN :
- 14712458
- Volume :
- 19
- Database :
- OpenAIRE
- Journal :
- BMC Public Health
- Accession number :
- edsair.doi.dedup.....bd71d6d12b27003f2ad1e2d28be70642