Journal article
Drawing from the Theory of Planned Behaviour to examine pre-exposure prophylaxis uptake intentions among heterosexuals in high HIV prevalence neighbourhoods in Philadelphia, Pennsylvania, USA: an observational study
Sexual health, v 16(3)
01 Jan 2019
PMID: 31079596
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background Research surrounding attitudes and intentions concerning pre-exposure prophylaxis (PrEP) among at-risk heterosexuals, women and ethnic and racial minorities is needed to inform programs to scale this effective HIV prevention intervention among these populations. Methods:The study sample includes 192 HIV-negative heterosexuals recruited from HIV testing sites operating in high HIV prevalence neighbourhoods in a mid-Atlantic city. Participants received brief educational sessions on PrEP and completed a self-administered survey assessing sociodemographic factors, HIV risk behaviours and theoretical determinants of PrEP uptake, based on the Theory of Planned Behaviour. Results:Participants were majority persons of colour (86%), with a median age of 43 years. Compared with Whites, a higher percentage of Black and Brown persons had more than five sex partners (75.0%), used condoms inconsistently (85.6%) and engaged in transactional sex (84.4%). Most expressed positive PrEP attitudes and indicated intention to adopt PrEP, especially if recommended by their doctor. In a multivariable model, willingness to take PrEP if suggested by a healthcare provider (aOR: 4.17; 95% CI: 1.42-12.24) and willingness to take PrEP even if it caused side-effects (aOR: 1.98; 95% CI: 1.01-3.90) were both associated with greater PrEP adoption intentions. Conclusions:A diverse at-risk population was identified through community-based HIV testing. Low perceived HIV risk, as well as PrEP-related attitudes, subjective norms and perceived behavioural control were associated with PrEP use intentions. These factors are potential targets for interventions to increase PrEP adoption among diverse heterosexual samples.
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Details
- Title
- Drawing from the Theory of Planned Behaviour to examine pre-exposure prophylaxis uptake intentions among heterosexuals in high HIV prevalence neighbourhoods in Philadelphia, Pennsylvania, USA: an observational study
- Creators
- Alexis Roth - Drexel UniversityMarisa Felsher - Drexel Univ, Dornsife Sch Publ Hlth, Dept Community Hlth & Prevent, 3215 Market St, Philadelphia, PA 19104 USANguyen Tran - Drexel UniversityScarlett Bellamy - Drexel UniversityAna Martinez-Donate - Drexel UniversityDouglas Krakower - Beth Israel Deaconess Medical CenterZsofia Szep - Drexel University
- Publication Details
- Sexual health, v 16(3)
- Publisher
- Csiro Publishing
- Number of pages
- 7
- Grant note
- Drexel University Dornsife School of Public Health American Sexually Transmitted Diseases Association Drexel University College of Medicine Seed Grant Program K23MH098795 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Epidemiology and Biostatistics; Infectious Diseases (and HIV Medicine); Community Health and Prevention
- Web of Science ID
- WOS:000474861300003
- Scopus ID
- 2-s2.0-85065642707
- Other Identifier
- 991019168458604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Infectious Diseases
- Public, Environmental & Occupational Health