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Publication Profiles

LAI-ART Awareness, Willingness, Barriers and Facilitators among Black Sexual Minority Men Living with HIV in the US South

Citation

Campbell CK, Kielhold K, Reynolds HE, et al. LAI-ART Awareness, Willingness, Barriers and Facilitators among Black Sexual Minority Men Living with HIV in the US South. Int J Environ Res Public Health. 2024;21(5):602. doi:10.3390/ijerph21050602

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Acceptability, Appropriateness

Continuum target addressed:

ART adherence, Viral suppression

Geography:

Harris County-TX, Dallas County-TX

Study Participant Classification:

Recipients of care

Plain Language Objectives

The researchers asked Black gay, bisexual, and other sexual minority men with HIV in Texas what they knew and thought about long-acting injectable HIV treatment and what might affect their willingness to use it.

Plain Language Abstract

Black sexual minority men with HIV in the southern United States experience unequal HIV outcomes. Long-acting injectable treatment could reduce challenges associated with taking a daily pill, but patients’ views are important for implementation. Researchers conducted in-depth interviews with 27 Black sexual minority men living with HIV in the Houston and Dallas areas from July 2022 through September 2023. Most had heard of injectable treatment, although their understanding varied. Some were enthusiastic, some cautious, and others not interested. Reported barriers included lack of public insurance coverage, fear of needles or side effects, frequent clinic visits for injections, the requirement to have very low HIV levels before switching, and satisfaction with daily pills. Potential benefits included avoiding daily pills and worrying less about missed doses. These qualitative findings reflect the perspectives of the men interviewed, not the prevalence of views in the wider population. The authors concluded that injectable treatment may benefit some men, but additional research is needed to understand willingness and address access barriers across diverse communities.

Key Takeaways

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