Back to Search
Start Over
Post-traumatic stress disorder symptoms and PrEP intentions among Black American young adults at high-risk for HIV.
- Source :
-
Ethnicity & Health . January 2024, Vol. 29 Issue 1, p100-111. 12p. - Publication Year :
- 2024
-
Abstract
- Black Americans bear the greatest burden of HIV, accounting for 43% of new diagnoses. Yet Black Americans also evidence the lowest utilization rates of Pre-Exposure Prophylaxis (PrEP), a highly effective biomedical strategy for preventing HIV infection. Predictors of PrEP acceptance vary; however, little is known about psychological distress, such as post-traumatic stress disorder (PTSD) symptoms, as a predictor. In this cross-sectional study, n = 195 Black Americans, evidencing behaviors found in the research literature to heighten risk for contracting HIV (e.g. sex work, injection drug use) ages 18-29, 55% cisgender women, 39.5% cisgender men, 3% transgender/non-binary, completed audio-computer-assisted self-interviews. Bivariate analyses indicated significant positive associations between PTSD symptoms and PrEP acceptance and self-confidence. In multinomial logistic regression analyses, after controlling for Perceived HIV Risk, participants had a higher likelihood of responding they 'probably would' take PrEP (as opposed to 'definitely would not' take PrEP) if they reported higher levels of PTSD symptoms. Post-hoc analyses revealed a curvilinear relationship between PTSD symptoms and PrEP acceptance with those reporting the highest level of PTSD in the sample having slightly lower PrEP acceptance than those reporting moderately high levels of PTSD. Findings are discussed in the context of the negative impacts of high levels of PTSD and potential positive adaptations subsequent to moderate levels of PTSD that could be relevant to advances in HIV prevention efforts. [ABSTRACT FROM AUTHOR]
- Subjects :
- *HIV infection risk factors
*RISK-taking behavior
*STATISTICS
*CONFIDENCE
*CROSS-sectional method
*INTRAVENOUS drug abuse
*MULTIPLE regression analysis
*POST-traumatic stress disorder
*SEX work
*NONBINARY people
*INTERVIEWING
*PRE-exposure prophylaxis
*RISK assessment
*DESCRIPTIVE statistics
*CHI-squared test
*RESEARCH funding
*INTENTION
*DATA analysis
*CONDOMS
*AFRICAN Americans
*CISGENDER people
*SECONDARY analysis
*DISEASE complications
*ADULTS
Subjects
Details
- Language :
- English
- ISSN :
- 13557858
- Volume :
- 29
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Ethnicity & Health
- Publication Type :
- Academic Journal
- Accession number :
- 174389775
- Full Text :
- https://doi.org/10.1080/13557858.2023.2259639