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Becoming PrEPared: How Stigma and Resources Influence PrEP Uptake among Gay and Bisexual Men

Moore, Brandon James

Abstract Details

2019, Master of Arts, Ohio State University, Sociology.
Gay and bisexual men (GBM) make up only 3.9% of the United States population (LGBTStats 2019) but continue to account for a disproportionately high share (66%) of the new HIV infections each year (CDC 2019, CDC B 2017). Even after the FDA approval of HIV Pre-Exposure Prophylaxis (PrEP) in 2012, an HIV prevention medication marketed heavily to men who have sex with men, this pattern of high HIV incidence among GBM has not seen any discernible changes. While the previous literature on PrEP has examined usage trends and speculated about barriers to widespread uptake, these studies have not often explored the origin of these barriers and how GBM might be able to overcome them. Using a lens of stigma as a fundamental cause of health disparities, this study examines interview data from 25 individual interviews with GBM from a large Midwestern city – 13 GBM who had ever used PrEP and 12 GBM who had never used PrEP – to explore the barriers and resources these men faced that impacted their decision to use PrEP or not. Results show that users and non-users alike often face barriers, some of which are rooted in stigma, which can be overcome if they have access to social support or cultural health capital-based resources. These findings provide new insight into the causes of low uptake of PrEP among GBM as being attributable to experiencing barriers based in various forms of stigma and provides an explanation as to why some GBM are able to overcome such barriers while others are not.
Sarah Hayford (Advisor)
Cynthia Colen (Committee Member)
Hollie Nyseth Brehm (Committee Member)
67 p.

Recommended Citations

Citations

  • Moore, B. J. (2019). Becoming PrEPared: How Stigma and Resources Influence PrEP Uptake among Gay and Bisexual Men [Master's thesis, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1562776093484791

    APA Style (7th edition)

  • Moore, Brandon. Becoming PrEPared: How Stigma and Resources Influence PrEP Uptake among Gay and Bisexual Men. 2019. Ohio State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1562776093484791.

    MLA Style (8th edition)

  • Moore, Brandon. "Becoming PrEPared: How Stigma and Resources Influence PrEP Uptake among Gay and Bisexual Men." Master's thesis, Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1562776093484791

    Chicago Manual of Style (17th edition)