{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:38:08Z","timestamp":1792787888436,"version":"4.5.0"},"reference-count":37,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T00:00:00Z","timestamp":1670371200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T00:00:00Z","timestamp":1670371200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"TN CFAR Administrative Supplement","award":["P30 AI110527"],"award-info":[{"award-number":["P30 AI110527"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Health Serv Res"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Promotion, uptake, and adherence of pre-exposure prophylaxis (PrEP) is paramount to ending the HIV epidemic among young Black men who have sex with men in the South. The purpose of this study was to explore strategies needed for and barriers to PrEP uptake needed to achieve HIV prevention goals identified in the U.S. Department of Health &amp; Human Services initiative to reduce new HIV infections in the United States by 90 percent by 2030.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      Young adults (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200925) between the ages of 15\u201334 were recruited from community-based organizations in Memphis to participate in four focus group discussions. Discussion topics included motivations, barriers, and facilitators to PrEP use. Data were analyzed using thematic analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All (100%) of participants self-identified as HIV-negative, Black (96%), men who have sex with men (96%), and currently prescribed PrEP\/Truvada (60%). Themes identified for increasing uptake included 1) trusted peers, 2) relatable healthcare provider (e.g., Historically Black College and University (HBCU) trained, LGBTQ), and 3) use of social media. Mislabeling of PrEP as promiscuity promoting and limitations with PrEP marketing (e.g., solely LGBTQ) were recognized as barriers that perpetuated stigma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Findings suggest the importance of increasing awareness among health professions students matriculating at HBCUs of their perceived role as relatable healthcare providers by Black MSM; working closely with couples; and crafting of PrEP messaging that is non-stigmatizing. Findings will inform public health interventions for young Black MSM and facilitate HIV prevention efforts with other groups disproportionally affected by HIV in the South.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12913-022-08914-2","type":"journal-article","created":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T05:03:59Z","timestamp":1670389439000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Engaging Black men who have sex with men (MSM) in the South in identifying strategies to increase PrEP uptake"],"prefix":"10.1186","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2035-8267","authenticated-orcid":false,"given":"Latrice C.","family":"Pichon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Teti","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanell","family":"McGoy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Velma McBride","family":"Murry","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul D.","family":"Juarez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,12,7]]},"reference":[{"key":"8914_CR1","unstructured":"Centers for Disease\nControl and Prevention. 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We obtained verbal informed consent from participants at least 15\u00a0years of age prior to conducting focus groups. All IRBs determined if written consent was obtained, this would be the only document linking the participant to the focus group discussion. The participants were given the informed consent document to read along with the focus group moderator and provided an opportunity to ask the moderator questions. Following questions and clarifications, the participant proceeded with participating in the discussion. A copy of the consent form was given to the participants for reference. The principal risk of a signed consent document would be the potential harm resulting from a breach of confidentiality. Therefore, we did not obtain written informed consent to maintain the anonymity of participants. Tennessee Department of Health approved the protocol for PrEP navigators to recruit persons 15\u201318 into Project PrIDE without parental consent for the purpose of referring them for PrEP due to the public health epidemic of HIV among young Black men who have sex with men. This determination is supported by the \u201cmature minor\u201d doctrine in Tennessee permitting healthcare providers to treat certain minors without parental consent. [Citation:\n                      \n                      ] The Tennessee Law \u201c<i>Minors\u2019 Access to STI and HIV Testing and Treatment<\/i>\u201d governs the rights of minors to consent to testing and\/or treatment for sexually transmitted infections (STIs) and HIV. [Citation:\n                      \n                      ] Consent to participate was not obtained from the parents\/guardians of minors included in this study, as informed by the TN mature minor doctrine which guided IRB review\/approval. Emancipated minors were not included.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"1491"}}