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Publication Profiles

Social identity support, descriptive norms, and economic instability in PrEP engagement for emerging adult MSM in the United States

Citation

Bonett S, Bauermeister J, Meanley S. Social identity support, descriptive norms, and economic instability in PrEP engagement for emerging adult MSM in the United States. AIDS Care. 2022;34(11):1452-1460. doi:10.1080/09540121.2022.2075821

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Adoption

Continuum target addressed:

Not reported

Geography:

Non-priority jurisdiction

Study Participant Classification:

Recipients of care

Plain Language Objectives

The researchers wanted to understand how community support, perceptions of peer use, and financial instability were connected with HIV-prevention medicine engagement among young adult men who have sex with men in a Mid-Atlantic metropolitan area.

Plain Language Abstract

Use of pre-exposure prophylaxis, or PrEP, has increased among men who have sex with men, but gains have been slower among younger men. The researchers analyzed a cross-sectional survey of 281 men ages 18–25 in a Mid-Atlantic metropolitan area. They used statistical models to examine how PrEP engagement was related to social identity support, perceptions that peers use PrEP, and economic instability. Stronger perceptions that peers used PrEP were directly associated with greater PrEP engagement. Social identity support had an indirect association: participants with more support tended to perceive stronger peer-use norms, which were then linked with engagement. Economic instability was not significantly associated with PrEP engagement, although the estimate suggested a possible negative relationship. The authors concluded that PrEP engagement among emerging adults should be considered within a broader social environment, including community support, peer norms, and economic needs. Because all information was collected at one point in time, the study cannot determine the direction of these relationships or show that support or norms caused greater engagement.

Key Takeaways

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