{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T08:46:42Z","timestamp":1773218802826,"version":"3.50.1"},"reference-count":24,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"vor","delay-in-days":2391,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2019,4,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cisgender men and transgender individuals who have sex with men (MSM\/TG) and use methamphetamine are at elevated risk for HIV and have had limited pre-exposure prophylaxis (PrEP) uptake. The aim of this study was to quantify the knowledge and use of PrEP, identify barriers to PrEP use, and develop a targeted educational campaign to promote PrEP among MSM\/TG who use methamphetamine. Methods: We conducted three consultations with peer educators of Project Needle and Sex Education Outreach Network (NEON) to develop and disseminate educational materials. We surveyed the peers\u2019 HIV-negative contacts before and after this work to explore knowledge and opinions about PrEP and to assess the effect of our materials. Results: There were 221 respondents at baseline (August 2016) and 100 at follow-up (April\u2013May 2017). At baseline, nearly all participants had \u2018heard of PrEP\u2019 (96%) and were insured (97%). However, only 3% had ever used PrEP. Peers suggested educational cards that included a definition of PrEP, adherence tips and that PrEP does not prevent other sexually transmissible infections. Peers distributed approximately 2560 educational cards. At follow-up, approximately half the respondents (53%) had seen the cards, and those who did reported significantly more agreement with the majority of the card messages about PrEP. Significantly more participants reported ever receiving PrEP at follow-up (21%; P &amp;lt; 0.001). There was a trend between seeing the cards and PrEP use (P = 0.053). Conclusions: Although we cannot be certain that the effect was due to our intervention, a greater number of the peers\u2019 contacts reported receiving PrEP at follow-up, and those who saw our materials were more likely to agree with factual statements about PrEP. There is continued need for PrEP education for MSM\/TG who use methamphetamine.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh18060","type":"journal-article","created":{"date-parts":[[2019,2,10]],"date-time":"2019-02-10T20:56:22Z","timestamp":1549832182000},"page":"139-147","source":"Crossref","is-referenced-by-count":8,"title":["Development of a targeted educational intervention to increase pre-exposure prophylaxis uptake among cisgender men and transgender individuals who have sex with men and use methamphetamine in Seattle (WA, USA)"],"prefix":"10.1071","volume":"16","author":[{"given":"Vanessa M.","family":"McMahan","sequence":"first","affiliation":[{"name":"ADepartment of Medicine, University of Washington, 325 9th Avenue, Seattle, WA 98104, USA."},{"name":"GCorresponding author. Email: vmcmahan@uw.edu"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleks","family":"Martin","sequence":"additional","affiliation":[{"name":"BProject NEON, Seattle Counseling Service, 1216 Pine Street, Suite 300, Seattle, WA 98101, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsay","family":"Garske","sequence":"additional","affiliation":[{"name":"BProject NEON, Seattle Counseling Service, 1216 Pine Street, Suite 300, Seattle, WA 98101, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren R.","family":"Violette","sequence":"additional","affiliation":[{"name":"ADepartment of Medicine, University of Washington, 325 9th Avenue, Seattle, WA 98104, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele P.","family":"Andrasik","sequence":"additional","affiliation":[{"name":"CDepartment of Global Health, University of Washington, 1510 San Juan Road, Seattle, WA 98195, USA."},{"name":"DFred Hutch, HIV Vaccine Trials Network, 1100 Fairview Avenue N, Seattle, WA 98105, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jared M.","family":"Baeten","sequence":"additional","affiliation":[{"name":"ADepartment of Medicine, University of Washington, 325 9th Avenue, Seattle, WA 98104, USA."},{"name":"CDepartment of Global Health, University of Washington, 1510 San Juan Road, Seattle, WA 98195, USA."},{"name":"EDepartment of Epidemiology, University of Washington, 1959 NE Pacific Street, HSB F-262, Seattle, WA 98195, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caleb","family":"Banta-Green","sequence":"additional","affiliation":[{"name":"FAlcohol & Drug Abuse Institute, University of Washington, 1107 NE 45th Street, Suite 120, Seattle, WA 98105, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne D.","family":"Stekler","sequence":"additional","affiliation":[{"name":"ADepartment of Medicine, University of Washington, 325 9th Avenue, Seattle, WA 98104, USA."},{"name":"CDepartment of Global Health, University of Washington, 1510 San Juan Road, Seattle, WA 98195, USA."},{"name":"EDepartment of Epidemiology, University of Washington, 1959 NE Pacific Street, HSB F-262, Seattle, WA 98195, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2019,2,11]]},"reference":[{"key":"2025102617152388700_R1","unstructured":"Centers for Disease Control and Prevention (CDC). HIV\/AIDS: HIV among gay and bisexual men. Atlanta: CDC; 2017. Available online at: https:\/\/www.cdc.gov\/hiv\/group\/msm\/index.html [verified 17 February 2018]."},{"key":"2025102617152388700_R2","unstructured":"Centers for Disease Control and Prevention (CDC). HIV among transgender people. Atlanta: CDC; 2018. Available online at: https:\/\/www.cdc.gov\/hiv\/group\/gender\/transgender\/index.html [verified 17 February 2018]."},{"issue":"5","key":"2025102617152388700_R3","doi-asserted-by":"publisher","first-page":"731","DOI":"10.1097\/01.aids.0000216374.61442.55","article-title":"Risk factors for HIV infection among men who have sex with men.","volume":"20","author":"Koblin","year":"2006","journal-title":"AIDS"},{"issue":"1","key":"2025102617152388700_R4","doi-asserted-by":"publisher","first-page":"113","DOI":"10.2105\/AJPH.88.1.113","article-title":"Histories of substance use and risk behavior: precursors to HIV seroconversion in homosexual men.","volume":"88","author":"Chesney","year":"1998","journal-title":"Am J Public Health"},{"key":"2025102617152388700_R5","doi-asserted-by":"publisher","first-page":"S157","DOI":"10.2105\/AJPH.2006.098582","article-title":"Determinants of recent HIV infection among Seattle-area men who have sex with men.","volume":"99","author":"Thiede","year":"2009","journal-title":"Am J Public Health"},{"issue":"4","key":"2025102617152388700_R6","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1097\/01.olq.0000194595.90487.ed","article-title":"Unsafe sexual behavior and correlates of risk in a probability sample of men who have sex with men in the era of highly active antiretroviral therapy.","volume":"33","author":"Brewer","year":"2006","journal-title":"Sex Transm Dis"},{"issue":"2","key":"2025102617152388700_R7","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1177\/003335490612100205","article-title":"CDC consultation on methamphetamine use and sexual risk behavior for HIV\/STD infection: summary and suggestions.","volume":"121","author":"Mansergh","year":"2006","journal-title":"Public Health Rep"},{"issue":"3","key":"2025102617152388700_R8","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1111\/dar.12116","article-title":"Alcohol and substance use among transgender women in San Francisco: prevalence and association with human immunodeficiency virus infection.","volume":"33","author":"Santos","year":"2014","journal-title":"Drug Alcohol Rev"},{"key":"2025102617152388700_R9"},{"issue":"27","key":"2025102617152388700_R10","doi-asserted-by":"publisher","first-page":"2587","DOI":"10.1056\/NEJMoa1011205","article-title":"Preexposure chemoprophylaxis for HIV prevention in men who have sex with men.","volume":"363","author":"Grant","year":"2010","journal-title":"N Engl J Med"},{"issue":"5","key":"2025102617152388700_R11","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1056\/NEJMoa1108524","article-title":"Antiretroviral prophylaxis for HIV prevention in heterosexual men and women.","volume":"367","author":"Baeten","year":"2012","journal-title":"N Engl J Med"},{"issue":"5","key":"2025102617152388700_R12","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1056\/NEJMoa1110711","article-title":"Antiretroviral preexposure prophylaxis for heterosexual HIV transmission in Botswana.","volume":"367","author":"Thigpen","year":"2012","journal-title":"N Engl J Med"},{"issue":"1","key":"2025102617152388700_R13","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1001\/jamainternmed.2015.4683","article-title":"HIV pre-exposure prophylaxis integrated with municipal and community based sexual health services.","volume":"176","author":"Liu","year":"2016","journal-title":"JAMA Intern Med"},{"issue":"10","key":"2025102617152388700_R14","doi-asserted-by":"crossref","first-page":"1601","DOI":"10.1093\/cid\/civ778","article-title":"No new HIV infections with increasing use of HIV preexposure prophylaxis in a clinical practice setting.","volume":"61","author":"Volk","year":"2015","journal-title":"Clin Infect Dis"},{"key":"2025102617152388700_R15"},{"issue":"3","key":"2025102617152388700_R16","first-page":"515","article-title":"Dramatic increase in preexposure prophylaxis use among MSM in Washington state.","volume":"30","author":"Hood","year":"2016","journal-title":"AIDS"},{"issue":"7","key":"2025102617152388700_R17","doi-asserted-by":"publisher","first-page":"1451","DOI":"10.1007\/s10461-015-1226-4","article-title":"Differences in attitudes about HIV pre-exposure prophylaxis use among stimulant versus alcohol using men who have sex with men.","volume":"20","author":"Oldenburg","year":"2016","journal-title":"AIDS Behav"},{"issue":"6","key":"2025102617152388700_R18","doi-asserted-by":"publisher","first-page":"468","DOI":"10.1016\/S1473-3099(14)70025-8","article-title":"HIV pre-exposure prophylaxis in men who have sex with men and transgender women: a secondary analysis of a Phase 3 randomised controlled efficacy trial.","volume":"14","author":"Buchbinder","year":"2014","journal-title":"Lancet Infect Dis"},{"key":"2025102617152388700_R19"},{"issue":"8","key":"2025102617152388700_R20","doi-asserted-by":"publisher","first-page":"1589","DOI":"10.1007\/s10461-011-9963-5","article-title":"Are peer interventions for HIV efficacious? 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