HIV leadership programming attendance is associated with PrEP and PEP awareness among young, gay, bisexual, and other men who have sex with men in Vancouver, Canada

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dc.contributor.authorClosson, Kalysha
dc.contributor.authorChown, Sarah
dc.contributor.authorArmstrong, Heather L.
dc.contributor.authorWang, Lu
dc.contributor.authorBacani, Nicanor
dc.contributor.authorHo, Darren
dc.contributor.authorJollimore, Jody
dc.contributor.authorOlarewaju, Gbolahan
dc.contributor.authorMoore, David M.
dc.contributor.authorRoth, Eric A.
dc.contributor.authorHogg, Robert S.
dc.contributor.authorLachowsky, Nathan J.
dc.date.accessioned2020-10-30T23:37:31Z
dc.date.available2020-10-30T23:37:31Z
dc.date.copyright2019en_US
dc.date.issued2019
dc.description.abstractBackground Young gay, bisexual, and other men who have sex with men (YGBM) may have reduced engagement and knowledge of HIV care and biomedical HIV prevention strategies, such as pre-exposure prophylaxis (PrEP), post-exposure prophylaxis (PEP), and Treatment as Prevention (TasP), compared with adult GBM. We sought to understand differences in HIV prevention awareness, health care access, and service utilization between youth (16–29 years) and adult (≥30 year) GBM, as well as factors associated with attendance in HIV leadership programming among YGBM living in the publicly funded PrEP setting of Vancouver, Canada. Methods Sexually-active GBM were recruited using respondent-driven sampling (RDS) from February 2012 to February 2015. Participants completed an in-person computer-assisted self-interview every 6 months, up to February 2017, with questions on sociodemographic factors, awareness of biomedical HIV prevention strategies, and an HIV treatment optimism-skepticism scale. Participants were asked if they had ever attended either of two HIV-leadership programs designed for YGBM. Both programs involve multiple GBM-led education and social networking sessions operated by community-based organizations in Vancouver. Multivariable Glimmix confounder models assessed differences between youth and adult GBM. Among younger men, bivariate analyses examined factors associated with HIV-leadership program attendance. Results Of 698 GBM who enrolled in the longitudinal study, 36.8% were less than 30 years old at the first study visit. After controlling for gender identification, sexual orientation, HIV status, and income in the past 6 months, younger GBM (n = 257/698) had lower awareness of biomedical HIV prevention strategies and less HIV treatment optimism compared with older GBM (n = 441/698). Among younger GBM who attended HIV-leadership programs (n = 50), greater awareness of biomedical HIV prevention strategies and higher HIV treatment optimism were reported, compared with non-attendees. Conclusion Younger GBM, who are disproportionately affected by the HIV epidemic, are less aware of new prevention technologies than older GBM, but attending peer-based HIV-leadership programs ameliorates age-disparities in HIV-prevention knowledge and treatment optimism. Peer Review reportsen_US
dc.description.reviewstatusRevieweden_US
dc.description.scholarlevelFacultyen_US
dc.description.sponsorshipMomentum is funded through the National Institute on Drug Abuse (R01DA031055-01A1) and the Canadian Institutes for Health Research (MOP-107544, FDN-143342, PJT-153139). KC is supported by the Vanier Canadian Graduate Scholarship funded by the Canadian Institutes of Health Research. DMM and NJL are supported by Scholar Awards from the Michael Smith Foundation for Health Research (#5209, #16863). HLA is supported by a Postdoctoral Fellowship Award from the Canadian Institutes of Health Research (Grant # MFE-152443). The funding bodies had no role in data collection, analysis, interpretation, the design of the study, or the writing of the manuscripten_US
dc.identifier.citationClosson, K., Chown, S., Armstrong, H. L., Wang, L., Bacani, N., Ho, D., … Jollimore, J. (2019) HIV leadership programming attendance is associated with PrEP and PEP awareness among young, gay, bisexual, and other men who have sex with men in Vancouver, Canada. BMC Public Health, 19. https://doi.org/10.1186/s12889-019-6744-yen_US
dc.identifier.urihttps://doi.org/10.1186/s12889-019-6744-y
dc.identifier.urihttp://hdl.handle.net/1828/12285
dc.language.isoenen_US
dc.publisherBMC Public Healthen_US
dc.subjectGay
dc.subjectbisexual
dc.subjectother men who have sex with men
dc.subjectYouth
dc.subjectLeadership
dc.subjectHealth promotion
dc.subject.departmentDepartment of Anthropology
dc.subject.departmentSchool of Public Health and Social Policy
dc.titleHIV leadership programming attendance is associated with PrEP and PEP awareness among young, gay, bisexual, and other men who have sex with men in Vancouver, Canadaen_US
dc.typeArticleen_US

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