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- Title
Perceptions of PrEP Use Within Primary Relationships Among Young Black Gay, Bisexual, and Other Men Who Have Sex with Men.
- Authors
Quinn, Katherine G.; Zarwell, Meagan; John, Steven A.; Christenson, Erika; Walsh, Jennifer L.
- Abstract
A significant proportion of new HIV infections among gay, bisexual, and other men who have sex with men (MSM) occur within primary relationships. Although PrEP use continues to increase, there is a need to better understand the factors that contribute to PrEP decision-making within primary relationships. We qualitatively examined how relationship context influences perceptions of PrEP and decisions to initiate and discontinue PrEP among young Black MSM to provide a nuanced understanding of PrEP use within relationships. Between late 2017 and mid-2018, we conducted 10 focus groups with young Black MSM (n = 80) in Milwaukee, WI, Minneapolis, MN, Kansas City, KS, and Detroit, MI. We used inductive thematic analysis to examine how young Black MSM make decisions about PrEP use within the context of primary relationships. We identified three primary themes: (1) perceptions of PrEP as an indication of distrust and infidelity, (2) perceptions of PrEP use as necessary, even in primary relationships, and (3) the influence of partners on PrEP. Our results demonstrate the considerable variation in how young Black MSM view PrEP within primary relationships and the influence of primary partners in PrEP use decisions. The dynamics between two or more individuals can shape an individual's conceptualizations of and decisions around PrEP use, and these may be key drivers of racial disparities in HIV and PrEP use.
- Subjects
PRE-exposure prophylaxis; HIV prevention; MEN who have sex with men; MEN'S sexual behavior; HIV infection statistics; BLACK gay men; BLACK young men
- Publication
Archives of Sexual Behavior, 2020, Vol 49, Issue 6, p2117
- ISSN
0004-0002
- Publication type
journal article
- DOI
10.1007/s10508-020-01683-1