Mind the Gap: HIV Prevention Among Young Black Men Who Have Sex with Men.

Errol L Fields, Sophia A Hussen, David J Malebranche
Author Information
  1. Errol L Fields: Division of Adolescent/Young Adult Medicine, Johns Hopkins School of Medicine, 200 North Wolfe Street, Baltimore, MD, 21287, USA.
  2. Sophia A Hussen: Hubert Department of Global Health, Emory University Rollins School of Public Health, 1518 Clifton Road NE, Atlanta, GA, 30322, USA.
  3. David J Malebranche: Department of General Medicine, Morehouse School of Medicine, 720 Westview Drive, Atlanta, GA, 30310, USA. david.malebranche69@gmail.com.

Abstract

PURPOSE OF REVIEW: Young Black men who have sex with men (YBMSM) suffer profound health inequities in new HIV diagnoses and clinical outcomes. While the evolution of HIV prevention options has become increasingly biomedical, inequities in access and uptake of these modalities persist.
RECENT FINDINGS: Studies suggest that while YBMSM display interest and acceptability of varied HIV prevention options, uptake lags due to the lingering effects of intersectional oppression from racism and sexual prejudice, HIV stigma, institutional and provider bias, and unresolved health policy barriers. Promising avenues to address these barriers have yet to be fully explored. We have the tools to effectively prevent HIV transmission and acquisition among YBMSM, but we have not yet effectively implemented these tools for this priority population. To end the epidemic, we must tailor and adapt HIV prevention strategies to meet the unique intersecting needs, identities, and social contexts of YBMSM.

Keywords

References

  1. J Acquir Immune Defic Syndr. 2016 Dec 15;73(5):547-555 [PMID: 27454250]
  2. Pediatrics. 2013 Jul;132(1):198-203 [PMID: 23796746]
  3. J Int Assoc Provid AIDS Care. 2015 Mar-Apr;14(2):103-7 [PMID: 25331226]
  4. AIDS Res Hum Retroviruses. 2015 Jun;31(6):587-92 [PMID: 25719950]
  5. J Int Assoc Provid AIDS Care. 2019 Jan-Dec;18:2325958219853834 [PMID: 31159635]
  6. PLoS One. 2018 Jul 25;13(7):e0200560 [PMID: 30044845]
  7. Lancet HIV. 2019 May;6(5):e275-e278 [PMID: 30826281]
  8. Curr Pediatr Rep. 2018 Jun;6(2):114-122 [PMID: 30345163]
  9. J Adolesc Health. 2015 Oct;57(4):407-12 [PMID: 26318671]
  10. Lancet Infect Dis. 2020 Jul;20(7):781 [PMID: 32592669]
  11. JAMA Pediatr. 2017 Nov 1;171(11):1063-1071 [PMID: 28873128]
  12. Sex Transm Dis. 2019 Apr;46(4):271-277 [PMID: 30870326]
  13. JAMA. 2019 Jun 11;321(22):2214-2230 [PMID: 31184746]
  14. J Adolesc Health. 2016 Dec;59(6):725-728 [PMID: 27720357]
  15. Lancet HIV. 2018 Aug;5(8):e438-e447 [PMID: 30025681]
  16. Cult Health Sex. 2018 Feb;20(2):218-231 [PMID: 28662610]
  17. AIDS Educ Prev. 2016 Jun;28(3):202-15 [PMID: 27244189]
  18. MMWR Morb Mortal Wkly Rep. 2017 Aug 11;66(31):830-832 [PMID: 28796758]
  19. PLoS One. 2018 Feb 20;13(2):e0192936 [PMID: 29462156]
  20. Arch Sex Behav. 2015 Feb;44(2):487-97 [PMID: 25633499]
  21. J Acquir Immune Defic Syndr. 2018 Dec 15;79(5):535-542 [PMID: 30204722]
  22. BMC Public Health. 2020 Feb 18;20(1):248 [PMID: 32070318]
  23. AIDS Behav. 2017 May;21(5):1236-1246 [PMID: 28108878]
  24. J Empir Res Hum Res Ethics. 2016 Feb;11(1):3-14 [PMID: 26956988]
  25. J Adolesc Health. 2018 Oct;63(4):513-516 [PMID: 30286903]
  26. J Am Coll Health. 2020 Feb-Mar;68(2):119-123 [PMID: 30412038]
  27. Lancet. 2019 Jun 15;393(10189):2428-2438 [PMID: 31056293]
  28. Prev Sci. 2015 Nov;16(8):1147-58 [PMID: 26031542]
  29. J Adolesc Health. 2019 Sep;65(3):315-322 [PMID: 31227388]
  30. AIDS Educ Prev. 2016 Jun;28(3):191-201 [PMID: 27244188]
  31. Cult Health Sex. 2014 Jun;16(6):710-22 [PMID: 24784224]
  32. MMWR Recomm Rep. 2020 Apr 24;69(3):1-12 [PMID: 32324724]
  33. AIDS Behav. 2017 Jan;21(1):207-216 [PMID: 27233249]
  34. JAMA. 2019 Feb 5;321(5):451-452 [PMID: 30629090]
  35. Am J Mens Health. 2018 Mar;12(2):180-188 [PMID: 29161954]
  36. N Engl J Med. 2016 Sep 1;375(9):830-9 [PMID: 27424812]
  37. Pediatrics. 2019 Aug;144(2): [PMID: 31358665]
  38. J Sch Health. 2016 Dec;86(12):888-897 [PMID: 27866390]
  39. Trop Med Int Health. 2016 Mar;21(3):325-33 [PMID: 26681359]
  40. J Adolesc. 2013 Feb;36(1):111-9 [PMID: 23218485]
  41. AIDS Care. 2015;27(3):355-62 [PMID: 25300319]
  42. Health Psychol. 2015 Aug;34(8):841-6 [PMID: 25528178]
  43. AIDS Care. 2017 Nov;29(11):1351-1358 [PMID: 28286983]
  44. Pediatr Infect Dis J. 2009 Jul;28(7):633-4 [PMID: 19561426]
  45. Pediatr Clin North Am. 2016 Dec;63(6):1091-1106 [PMID: 27865335]
  46. Am J Public Health. 2018 Nov;108(S4):S284-S291 [PMID: 30383415]
  47. Curr Opin HIV AIDS. 2018 May;13(3):265-273 [PMID: 29528850]
  48. AIDS Behav. 2017 May;21(5):1315-1324 [PMID: 27475944]
  49. JMIR Mhealth Uhealth. 2017 Apr 13;5(4):e46 [PMID: 28408360]
  50. AIDS Educ Prev. 2015 Feb;27(1):58-71 [PMID: 25646730]
  51. AIDS Behav. 2010 Jun;14(3):493-503 [PMID: 19949848]
  52. J Public Health Manag Pract. 2019 Jul/Aug;25(4):408-410 [PMID: 31136517]
  53. Ann Intern Med. 2020 Jul 7;173(1):78 [PMID: 32628873]
  54. JAMA. 2011 Sep 7;306(9):971-7 [PMID: 21900137]
  55. Pediatrics. 2018 Oct;142(4): [PMID: 30224363]
  56. Arch Sex Behav. 2020 Jan;49(1):185-193 [PMID: 31950381]
  57. J Adolesc Health. 2016 Oct;59(4):443-9 [PMID: 27469192]
  58. Adolesc Health Med Ther. 2017 Nov 29;8:137-148 [PMID: 29238237]
  59. J Acquir Immune Defic Syndr. 2018 Feb 1;77(2):128-134 [PMID: 29135652]
  60. J Sch Health. 2017 Jul;87(7):513-523 [PMID: 28580671]
  61. J Acquir Immune Defic Syndr. 2018 Apr 15;77(5):459-466 [PMID: 29280767]
  62. J Acquir Immune Defic Syndr. 2010 Apr 1;53(4):537-43 [PMID: 19935075]
  63. Ann Intern Med. 2020 Jul 7;173(1):77-78 [PMID: 32628874]
  64. AIDS Educ Prev. 2020 Apr;32(2):152-168 [PMID: 32539478]
  65. Clin Infect Dis. 2015 Jul 15;61(2):281-7 [PMID: 25870333]
  66. AIDS Patient Care STDS. 2015 Sep;29(9):490-502 [PMID: 26121564]
  67. J Adolesc Health. 2015 Feb;56(2):251-3 [PMID: 25620310]
  68. Pediatrics. 2016 Feb;137(2):e20152700 [PMID: 26787047]
  69. AIDS Care. 2012;24(7):910-20 [PMID: 22272759]
  70. PLoS One. 2017 Jun 29;12(6):e0179688 [PMID: 28662170]
  71. JAMA. 2019 Jun 11;321(22):2203-2213 [PMID: 31184747]
  72. Am J Mens Health. 2018 Sep;12(5):1197-1214 [PMID: 29947563]
  73. J Assoc Nurses AIDS Care. 2018 Jan - Feb;29(1):10-19 [PMID: 28684224]
  74. AIDS Behav. 2018 May;22(5):1679-1687 [PMID: 28856456]
  75. J Urban Health. 2020 Oct;97(5):679-691 [PMID: 31214977]
  76. J Acquir Immune Defic Syndr. 2017 Nov 1;76(3):250-258 [PMID: 28708811]
  77. Int J STD AIDS. 2015 Dec;26(14):1040-8 [PMID: 25638214]
  78. AIDS Patient Care STDS. 2016 Jul;30(7):324-38 [PMID: 27410496]
  79. Pediatrics. 2020 Mar;145(3): [PMID: 32047100]
  80. Am J Public Health. 2015 Jan;105(1):122-131 [PMID: 24832150]
  81. AIDS. 2017 Jul 1;31 Suppl 3:S261-S265 [PMID: 28665884]
  82. J Adolesc Health. 2017 Dec;61(6):747-754 [PMID: 28967541]
  83. J Adolesc Health. 2013 Apr;52(4):506-10 [PMID: 23521897]
  84. JAMA. 2016 Jul 12;316(2):171-81 [PMID: 27404185]
  85. AIDS Behav. 2014 Feb;18(2):226-40 [PMID: 24366572]
  86. AIDS Patient Care STDS. 2015 Nov;29(11):617-24 [PMID: 26376029]
  87. J Acquir Immune Defic Syndr. 2020 Apr 1;83(4):334-339 [PMID: 31904704]
  88. AIDS Behav. 2018 Oct;22(10):3417-3428 [PMID: 29546468]
  89. MMWR Suppl. 2014 Apr 18;63(1):21-7 [PMID: 24743663]
  90. Am J Health Promot. 2020 Jan;34(1):42-51 [PMID: 31359764]
  91. J Urban Health. 2017 Jun;94(3):384-398 [PMID: 28409359]
  92. J Med Ethics. 2018 Jul;44(7):431-433 [PMID: 29895555]
  93. J Acquir Immune Defic Syndr. 2015 Oct 1;70(2):186-94 [PMID: 26102448]
  94. Am J Public Health. 2015 Mar;105(3):e95-102 [PMID: 25602889]
  95. AIDS Behav. 2017 May;21(5):1376-1382 [PMID: 28238119]
  96. J Empir Res Hum Res Ethics. 2016 Apr;11(2):115-21 [PMID: 27009303]
  97. Sex Transm Dis. 2018 Feb;45(2):118-126 [PMID: 28876283]
  98. AIDS Behav. 2012 Oct;16(7):1729-38 [PMID: 22760738]
  99. Healthcare (Basel). 2015 Dec;3(4):933-47 [PMID: 26705517]
  100. AIDS. 2007 Oct 1;21(15):2083-91 [PMID: 17885299]
  101. AIDS. 2017 Jul 1;31 Suppl 3:S267-S275 [PMID: 28665885]
  102. Arch Sex Behav. 2017 Jul;46(5):1393-1409 [PMID: 27469352]
  103. J Adolesc Health. 2002 Jan;30(1):35-43 [PMID: 11755799]
  104. LGBT Health. 2019 May-Jun;6(4):156-165 [PMID: 31145662]
  105. AIDS Care. 2018;30(sup4):51-58 [PMID: 30626207]
  106. AIDS Educ Prev. 2016 Jun;28(3):252-71 [PMID: 27244193]
  107. AIDS Behav. 2012 Oct;16(7):2051-61 [PMID: 21983695]
  108. AIDS Behav. 2009 Jun;13(3):532-44 [PMID: 19267264]
  109. Pediatrics. 2017 Nov;140(5): [PMID: 29061870]
  110. MMWR Morb Mortal Wkly Rep. 2009 Jun 26;58(24):665-8 [PMID: 19553902]
  111. AIDS Patient Care STDS. 2015 Aug;29(8):423-9 [PMID: 26083143]
  112. J Homosex. 2020 May 11;67(6):833-843 [PMID: 30633661]
  113. J Acquir Immune Defic Syndr. 2019 Jan 1;80(1):24-30 [PMID: 30365451]

Grants

  1. R25 MH067127/NIMH NIH HHS

MeSH Term

Adolescent
Black or African American
Anti-Retroviral Agents
HIV Infections
Homosexuality, Male
Humans
Male
Primary Prevention
Safe Sex
Sexual Behavior
Sexual and Gender Minorities
Social Stigma
Unsafe Sex
Young Adult

Chemicals

Anti-Retroviral Agents

Word Cloud

Created with Highcharts 10.0.0HIVYBMSMpreventionYoungBlackmenhealthinequitiesoptionsuptakebarriersyettoolseffectivelyMenSexualminorityPURPOSEOFREVIEW:sexsufferprofoundnewdiagnosesclinicaloutcomesevolutionbecomeincreasinglybiomedicalaccessmodalitiespersistRECENTFINDINGS:StudiessuggestdisplayinterestacceptabilityvariedlagsduelingeringeffectsintersectionaloppressionracismsexualprejudicestigmainstitutionalproviderbiasunresolvedpolicyPromisingavenuesaddressfullyexploredpreventtransmissionacquisitionamongimplementedprioritypopulationendepidemicmusttailoradaptstrategiesmeetuniqueintersectingneedsidentitiessocialcontextsMindGap:PreventionAmongSexAdolescentyoungadultLGBTQyouthMSM

Similar Articles

Cited By (15)