Knowledge and Attitudes about Pre-Exposure Prophylaxis among Young Adults Experiencing Homelessness in Seven U.S. Cities

Diane Santa Maria, Charlene A. Flash, Sarah Narendorf, Anamika Barman-Adhikari, Robin Petering, Hsun Ta Hsu, Jama Shelton, Kimberly Bender, Kristin Ferguson-Colvin

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: Evidence suggests that young adults experiencing homelessness (YEH) are at elevated risk of HIV compared to housed youth. Given the limited research on pre-exposure prophylaxis (PrEP) awareness among YEH, this study examined their PrEP knowledge and attitudes. Methods: Data from a cross-sectional survey among YEH (ages 18–26) (n = 1,427) in seven U.S. cities were used to assess their knowledge and attitudes regarding PrEP to inform HIV prevention efforts. Results: Participants were primarily male youth of color. The mean age was 20.9 years. While 66% felt at risk for HIV, only 14% strongly agreed that they try to protect themselves from getting infected with HIV. Most (84%) were eligible for PrEP based on risk, yet only 29% had knowledge of PrEP. Despite this, 59% reported they were likely/extremely likely to take PrEP. Access to free PrEP (55%), HIV testing (72%), healthcare (68%), and one-on-one (62%), and text messaging support (57%) were rated as very/extremely important for PrEP uptake and adherence. Conclusions: The results of this study suggest missed opportunities to prevent new HIV infections among YEH. Efforts to increase PrEP uptake among this population should consider provider- and system-level interventions to increase PrEP awareness, decrease PrEP-associated healthcare costs, improve access to PrEP providers, and provide in-person and text messaging support.

Original languageEnglish (US)
JournalJournal of Adolescent Health
DOIs
StateAccepted/In press - Jan 1 2018

Fingerprint

Homeless Persons
Young Adult
HIV
Text Messaging
Pre-Exposure Prophylaxis
Health Care Costs
HIV Infections

Keywords

  • HIV
  • Homeless youth
  • Pre-exposure prophylaxis (PrEP)
  • Prevention
  • Young adults

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health

Cite this

Knowledge and Attitudes about Pre-Exposure Prophylaxis among Young Adults Experiencing Homelessness in Seven U.S. Cities. / Santa Maria, Diane; Flash, Charlene A.; Narendorf, Sarah; Barman-Adhikari, Anamika; Petering, Robin; Hsu, Hsun Ta; Shelton, Jama; Bender, Kimberly; Ferguson-Colvin, Kristin.

In: Journal of Adolescent Health, 01.01.2018.

Research output: Contribution to journalArticle

Santa Maria, Diane ; Flash, Charlene A. ; Narendorf, Sarah ; Barman-Adhikari, Anamika ; Petering, Robin ; Hsu, Hsun Ta ; Shelton, Jama ; Bender, Kimberly ; Ferguson-Colvin, Kristin. / Knowledge and Attitudes about Pre-Exposure Prophylaxis among Young Adults Experiencing Homelessness in Seven U.S. Cities. In: Journal of Adolescent Health. 2018.
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abstract = "Purpose: Evidence suggests that young adults experiencing homelessness (YEH) are at elevated risk of HIV compared to housed youth. Given the limited research on pre-exposure prophylaxis (PrEP) awareness among YEH, this study examined their PrEP knowledge and attitudes. Methods: Data from a cross-sectional survey among YEH (ages 18–26) (n = 1,427) in seven U.S. cities were used to assess their knowledge and attitudes regarding PrEP to inform HIV prevention efforts. Results: Participants were primarily male youth of color. The mean age was 20.9 years. While 66{\%} felt at risk for HIV, only 14{\%} strongly agreed that they try to protect themselves from getting infected with HIV. Most (84{\%}) were eligible for PrEP based on risk, yet only 29{\%} had knowledge of PrEP. Despite this, 59{\%} reported they were likely/extremely likely to take PrEP. Access to free PrEP (55{\%}), HIV testing (72{\%}), healthcare (68{\%}), and one-on-one (62{\%}), and text messaging support (57{\%}) were rated as very/extremely important for PrEP uptake and adherence. Conclusions: The results of this study suggest missed opportunities to prevent new HIV infections among YEH. Efforts to increase PrEP uptake among this population should consider provider- and system-level interventions to increase PrEP awareness, decrease PrEP-associated healthcare costs, improve access to PrEP providers, and provide in-person and text messaging support.",
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AU - Petering, Robin

AU - Hsu, Hsun Ta

AU - Shelton, Jama

AU - Bender, Kimberly

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AB - Purpose: Evidence suggests that young adults experiencing homelessness (YEH) are at elevated risk of HIV compared to housed youth. Given the limited research on pre-exposure prophylaxis (PrEP) awareness among YEH, this study examined their PrEP knowledge and attitudes. Methods: Data from a cross-sectional survey among YEH (ages 18–26) (n = 1,427) in seven U.S. cities were used to assess their knowledge and attitudes regarding PrEP to inform HIV prevention efforts. Results: Participants were primarily male youth of color. The mean age was 20.9 years. While 66% felt at risk for HIV, only 14% strongly agreed that they try to protect themselves from getting infected with HIV. Most (84%) were eligible for PrEP based on risk, yet only 29% had knowledge of PrEP. Despite this, 59% reported they were likely/extremely likely to take PrEP. Access to free PrEP (55%), HIV testing (72%), healthcare (68%), and one-on-one (62%), and text messaging support (57%) were rated as very/extremely important for PrEP uptake and adherence. Conclusions: The results of this study suggest missed opportunities to prevent new HIV infections among YEH. Efforts to increase PrEP uptake among this population should consider provider- and system-level interventions to increase PrEP awareness, decrease PrEP-associated healthcare costs, improve access to PrEP providers, and provide in-person and text messaging support.

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