{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T18:58:17Z","timestamp":1787684297118,"version":"build-2784847793"},"reference-count":52,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["K01DA047912"],"award-info":[{"award-number":["K01DA047912"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R34DA060078"],"award-info":[{"award-number":["R34DA060078"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000060","name":"National Institute of Allergy and Infectious Diseases","doi-asserted-by":"publisher","award":["P30AI161943"],"award-info":[{"award-number":["P30AI161943"]}],"id":[{"id":"10.13039\/100000060","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Assoc Provid AIDS Care"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:p>\n                    We examined factors influencing the intention of Black and Hispanic gay and bisexual men aged 18-34 years in Texas to discuss starting long-acting injectable pre-exposure prophylaxis (LAI-PrEP) with healthcare providers. Participants were recruited through geosocial apps and community locations, completed online surveys measuring attitudes, subjective norms, perceived behavioral control (Theory of Planned Behavior), internalized homophobia, medical mistrust, HIV risk, and medical mistrust. Among the final sample (\n                    <jats:italic toggle=\"yes\">N<\/jats:italic>\n                    \u2009=\u2009190), 63.5% intended to discuss LAI-PrEP. Poisson regression models indicated that higher attitudinal concerns [adjusted prevalence ratio (aPR): 0.80, 95% confidence interval (CI): 0.70, 0.92;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009&lt;\u20090.01) and higher medical mistrust (aPR: 0.98, 95% CI: 0.97, 0.99;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u20090.01) were linked to lower prevalence of intentions. Seeing a doctor in the past 12 months was associated with higher prevalence of discussing LAI-PrEP (aPR: 1.46, 95% CI: 1.00, 2.13;\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u20090.05). Addressing concerns and reducing discrimination are crucial for improving LAI-PrEP uptake in this population.\n                  <\/jats:p>","DOI":"10.1177\/23259582251336662","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T22:15:43Z","timestamp":1746051343000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Understanding Intentions to Discuss Long-Acting Injectable Pre-Exposure Prophylaxis with Healthcare Providers Among Black and Hispanic Gay and Bisexual Men in Texas"],"prefix":"10.1177","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6080-4866","authenticated-orcid":false,"given":"Chukwuemeka N","family":"Okafor","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases, Long School of Medicine, University of Texas Health Science Center San Antonio, San Antonio, Texas, USA"},{"name":"Be Well Institute for Substance Use and Related Disorders, Long School of Medicine, University of Texas Health Science Center San Antonio, San Antonio, Texas, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin","family":"Yoon","sequence":"additional","affiliation":[{"name":"McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Heads","sequence":"additional","affiliation":[{"name":"McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joy","family":"Schmitz","sequence":"additional","affiliation":[{"name":"McGovern Medical School, University of Texas Health Science Center, Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,4,30]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"CDC. Centers for disease control and prevention. HIV surveillance report. 2020 http:\/\/www.cdc.gov\/hiv\/library\/reports\/hiv-surveillance.html."},{"key":"e_1_3_4_3_2","unstructured":"Centers for Disease Control and Prevention. HIV surveillance report 2019. Centers for Disease Control and Prevention. HIV Surveillance Report 2019. https:\/\/www.cdc.gov\/hiv\/library\/reports\/hiv-surveillance\/vol-32\/index.html."},{"key":"e_1_3_4_4_2","unstructured":"dshs.texas.gov. Texas HIV surveillance report and the Texas HIV quarterly report c. 2021 https:\/\/www.dshs.state.tx.us\/hivstd\/reports\/HIVSurveillanceReport.pdf"},{"key":"e_1_3_4_5_2","unstructured":"HIV Surveillance Data Tables: Diagnoses deaths and prevalence of HIV in the United States and 6 territories and freely associated states tables 2022. 2022."},{"key":"e_1_3_4_6_2","unstructured":"CDC. Expanding PrEP coverage in the United States to achieve EHE Goals. National Center for HIV Viral Hepatitis STD and Tuberculosis Prevention. 2024 https:\/\/www.cdc.gov\/nchhstp\/director-letters\/expanding-prep-coverage.html"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/ofid\/ofab293"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2101016"},{"key":"e_1_3_4_9_2","unstructured":"FDA. FDA approves first injectable treatment for HIV pre-exposure prevention. 2021 https:\/\/www.fda.gov\/news-events\/press-announcements\/fda-approves-first-injectable-treatment-hiv-pre-exposure-prevention2\/5\/2022."},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2019.0093"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-083837"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-024-04314-1"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.26077"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2024.04.005"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1521\/aeap.2022.34.3.195"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2019.1695734"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.3390\/tropicalmed8090436"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000002719"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2019.04.042"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-018-2375-z"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-024-04387-y"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-015-1129-4"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000002571"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/1090198115599398"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1080\/19359705.2019.1688216"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/0749-5978(91)90020-T"},{"key":"e_1_3_4_27_2","volume-title":"Understanding Attitudes and Predicting Social Behavior","author":"Ajzen I","year":"1980","unstructured":"Ajzen I, Fishbein M. 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