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Publication Profiles

Family Characteristics in Sex Communication and Social Support: Implications for Emerging Adult Men Who Have Sex with Men’s PrEP Engagement

Citation

Flores DD, Meanley SP, Wood SM, Bauermeister JA. Family Characteristics in Sex Communication and Social Support: Implications for Emerging Adult Men Who Have Sex with Men’s PrEP Engagement. Arch Sex Behav. 2020;49(6):2145-2153. doi:10.1007/s10508-020-01648-4

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Adoption

Continuum target addressed:

PrEP initiation, PrEP persistence

Geography:

Non-priority jurisdiction

Study Participant Classification:

Recipients of care

Plain Language Objectives

The researchers wanted to learn whether family relationships and communication were connected with current use of HIV-prevention medicine among young adult men who have sex with men. They examined parent-child conversations about sex, family support, openness, and family importance.

Plain Language Abstract

Parents can remain important sources of support during young adulthood, but their potential role in HIV prevention for young men who have sex with men is not well understood. The researchers recruited 222 PrEP-eligible men ages 18–25 through social media for an online survey. They examined current use of pre-exposure prophylaxis, or PrEP, in relation to comfort discussing sex with parents, family support, disclosure of sexual identity to family, and the importance placed on family. Thirty percent reported currently using PrEP. Only 20% felt moderately or highly comfortable discussing sex with a parent, while 80% had disclosed their sexual identity to at least one family member and 70% reported moderate or high family support. After adjustment for demographic factors, greater comfort with parent-child sexual communication was associated with current PrEP use (adjusted odds ratio 1.55); the other family measures were not. The findings point to supportive, nonjudgmental family communication as a possible area for future intervention research. This cross-sectional survey identifies an association but cannot show that family communication caused PrEP use.

Key Takeaways

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