"You Don't Want Your Parents Knowing That You're Taking Pre-exposure Prophylaxis": Pre-exposure Prophylaxis Stigma Among Black and Latinx Adolescents

Authors

Sharanya Rao, Sharanya Rao, MA, is a Doctoral Candidate in Clinical Psychology, Department of Psychological and Brain Sciences, George Washington University, Washington, DC, USA. Tashuna Albritton, PhD, MSW, is an Assistant Medical Professor, Department of Community Health and Social Medicine, City University of New York School of Medicine, New York, New York, USA. Paulo Pina, MD, MPH, is a Clinical Assistant Professor, Department of Pediatrics, New York University Grossman School of Medicine, New York, New York, USA. Yilin Liang, MPH, is a Medical Student, Loyola University Chicago Stritch School of Medicine, Maywood, Illinois, USA. Tamara Taggart, PhD, MPH, is an Assistant Professor, Department of Prevention and Community Health, George Washington University Milken Institute School of Public Health, Washington, DC, and is also an Assistant Professor Adjunct of Public Health, Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut, USA.
Tashuna Albritton
Paulo Pina
Yilin Liang
Tamara Taggart

Document Type

Journal Article

Publication Date

7-1-2022

Journal

The Journal of the Association of Nurses in AIDS Care : JANAC

Volume

33

Issue

4

DOI

10.1097/JNC.0000000000000313

Abstract

Pre-exposure prophylaxis (PrEP) stigma is an understudied barrier to PrEP uptake among Black and Latinx adolescents. U.S. Black and Latinx adolescents (13-17 years) completed an online survey or participated in focus groups/interviews. Associations between PrEP stigma, PrEP disclosure, and provider-initiated PrEP discussion preferences were examined using logistic-regression models. Qualitative data provided further context to quantitative findings. The survey sample included 208 adolescents (53% female; 58% Latinx; M = 15 years), with 98% endorsing PrEP stigma. The qualitative sample included 26 adolescents (54% female; 34% Latinx; M = 15 years). PrEP stigma was associated with lower odds of PrEP disclosure to parents/guardians, and preference for health care providers to initiate PrEP-related discussions only with patients the provider judged to be at high risk for HIV. Qualitative data supported quantitative results: Adolescents endorsed multiple negative stereotypes about PrEP users. Mitigating PrEP stigma among Black and Latinx adolescents is an important step in overcoming challenges related to PrEP uptake.

APA Citation

Rao, Sharanya; Albritton, Tashuna; Pina, Paulo; Liang, Yilin; and Taggart, Tamara, ""You Don't Want Your Parents Knowing That You're Taking Pre-exposure Prophylaxis": Pre-exposure Prophylaxis Stigma Among Black and Latinx Adolescents" (2022). GW Authored Works. Paper 1391.
https://hsrc.himmelfarb.gwu.edu/gwhpubs/1391

Department

Prevention and Community Health