Acceptability of prep uptake among racially/ethnically diverse young men who have sex with men: The p18 study

Rafael E. Pérez-Figueroa, Farzana Kapadia, Staci C. Barton, Jessica A. Eddy, Perry N. Halkitis

Research output: Contribution to journalArticle


Pre-exposure prophylaxis (PrEP) is considered an effective biomedical approach for HIV prevention. However, there is limited understanding of PrEP uptake among racially/ethnically and socioeconomically diverse young men who have sex with men (YMSM). This study examined attitudes and perceptions toward PrEP uptake among YMSM by conducting semistructured interviews with a sample (N 100) of YMSM in New York City. Thematic analysis was employed to explore key issues related to attitudes and perceptions toward PrEP utilization. Findings suggest that self-perceived risk for HIV transmission, enjoying unprotected sex, and being in a romantic relationship were associated with PrEP uptake. The most prominent barriers to PrEP uptake included costs, adherence regimen, and access. In summary, these findings underscore the importance of addressing behavioral and structural factors in maximizing the effectiveness of PrEP. In addition, PrEP implementation programs ought to consider the role of social and structural challenges to PrEP uptake and adherence among YMSM.

Original languageEnglish (US)
Pages (from-to)112-125
Number of pages14
JournalAIDS Education and Prevention
Issue number2
StatePublished - Apr 1 2015


ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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