Disciplines

Community Health and Preventive Medicine | Health Services Research | Public Health and Community Nursing | Public Health Education and Promotion

Abstract (300 words maximum)

Background: Black/African American males that identify as gay or bisexual are more affected than any other ethnicity. Countless amounts of young adults who have contracted HIV have below standard medication adherence.

Aim: The purpose of this study is to explore accessibility and adherence to pre-exposure prophylactic medications for young African American gay adults who have contracted HIV.

Methods: The Johns Hopkins Evidence-Based Practice Model and Guidelines were used in the literature review, critical analysis, leveling of evidence, and quality rating. The PRISMA flow diagram was used to map out the number of records for inclusion and exclusion. PubMed, CINAHL plus, and MEDLINE in the last 5 years.

Results: Five articles were included for the review. Stigma and discrimination were main factors influencing readiness to access testing and treatment services. Studies also revealed that African American gay adults were willing to take pre-prophylactic medication like PrEP if provided proper education and access to resources that provide the medication. Moreover, research further uncovered licensed physician’s lack of awareness in factors contributing to the disproportionate gap in medication adherence amongst African American gay males and knowledge of PrEP.

Conclusion: This population of young black gay men are at a higher risk for developing HIV and it is imperative health professionals not only recognize this but put action to this issue.

Academic department under which the project should be listed

WCHHS - Nursing

Primary Investigator (PI) Name

Mary Dioise Ramos

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The Continual Prevalence of HIV/AIDS within the African American Gay Male Population

Background: Black/African American males that identify as gay or bisexual are more affected than any other ethnicity. Countless amounts of young adults who have contracted HIV have below standard medication adherence.

Aim: The purpose of this study is to explore accessibility and adherence to pre-exposure prophylactic medications for young African American gay adults who have contracted HIV.

Methods: The Johns Hopkins Evidence-Based Practice Model and Guidelines were used in the literature review, critical analysis, leveling of evidence, and quality rating. The PRISMA flow diagram was used to map out the number of records for inclusion and exclusion. PubMed, CINAHL plus, and MEDLINE in the last 5 years.

Results: Five articles were included for the review. Stigma and discrimination were main factors influencing readiness to access testing and treatment services. Studies also revealed that African American gay adults were willing to take pre-prophylactic medication like PrEP if provided proper education and access to resources that provide the medication. Moreover, research further uncovered licensed physician’s lack of awareness in factors contributing to the disproportionate gap in medication adherence amongst African American gay males and knowledge of PrEP.

Conclusion: This population of young black gay men are at a higher risk for developing HIV and it is imperative health professionals not only recognize this but put action to this issue.

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