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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Role of Social Networks and Social Norms in Future PrEP Use in a Racially Diverse Sample of At-Risk Women and Members of Their Social Networks
JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, v 86(4), pp 422-429
01 Apr 2021
PMID: 33196549
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Objective: Despite the efficacy of pre-exposure prophylaxis (PrEP) in reducing the risk of HIV infection, uptake remains low among many who are most vulnerable to HIV, such as Black and Latinx women. Interventions that target social networks to encourage at-risk women to initiate PrEP are underused. Design: This study used an egocentric network design and sampled Black/African American and Latinx women at risk of HIV as well as people from their social networks (N = 211) in a small, western city. Methods: Multivariable generalized linear mixed effects regression models investigated individual-level and network-level characteristics associated with likely future PrEP use. Results: PrEP awareness was low, but once informed, 36% considered themselves likely to take it in the future. Perceived risk of HIV, perceived barriers to HIV testing, and participation in a 12-step program increased odds of anticipated PrEP use. A higher proportion of friends in one's network decreased odds of future PrEP use, whereas a higher proportion of network members who tested regularly for HIV increased odds of future PrEP use. A marginally significant interaction was detected between proportion of friends in one's network and proportion of the network perceived to test for HIV regularly (ie, testing norms). When HIV testing norms were low, a higher proportion of friends in the network decreased odds of likely PrEP use. However, this effect was reversed in contexts with strong testing norms. Conclusion: Women who are interested in PrEP may be embedded within social and normative contexts that can foster or inhibit PrEP uptake.
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Details
- Title
- Role of Social Networks and Social Norms in Future PrEP Use in a Racially Diverse Sample of At-Risk Women and Members of Their Social Networks
- Creators
- Laura M. Johnson - University of Nevada RenoHarold D. Green - Indiana UniversityBrandon Koch - University of Nevada RenoJamila K. Stockman - University of California, San DiegoMarisa Felsher - Johns Hopkins Univ, Sch Med, Div Infect Dis, Baltimore, MD 21205 USAAlexis M. Roth - Johns Hopkins MedicineKarla D. Wagner - University of Nevada Reno
- Publication Details
- JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, v 86(4), pp 422-429
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 8
- Grant note
- R01DA038185 / National Institute On Drug Abuse (NIDA) of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA) P30AI036214 / San Diego Center for AIDS Research R21DA043417-02 / NIDA; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000656627600011
- Scopus ID
- 2-s2.0-85102222098
- Other Identifier
- 991019169005204721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Immunology
- Infectious Diseases