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Monkeypox-Related Stigma and Vaccine Challenges as a Barrier to HIV Pre-Exposure Prophylaxis among Black Sexual Minority Men

Background: The U.S. monkeypox (mpox) outbreak of 2022 was a unique emergent public health crisis disproportionately affecting Black sexual minority men (BSMM). Similar to other stigmas, mpox-related stigma may have adverse effects on BSMM, including deterring HIV prevention such as PrEP. Methods: O...

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Autores principales: Turpin, Rodman E., Mandell, CJ, Camp, Aaron D., Davidson Mhonde, Rochelle R., Dyer, Typhanye V., Mayer, Kenneth H., Liu, Hongjie, Coates, Thomas, Boekeloo, Bradley O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378858/
https://www.ncbi.nlm.nih.gov/pubmed/37510557
http://dx.doi.org/10.3390/ijerph20146324
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author Turpin, Rodman E.
Mandell, CJ
Camp, Aaron D.
Davidson Mhonde, Rochelle R.
Dyer, Typhanye V.
Mayer, Kenneth H.
Liu, Hongjie
Coates, Thomas
Boekeloo, Bradley O.
author_facet Turpin, Rodman E.
Mandell, CJ
Camp, Aaron D.
Davidson Mhonde, Rochelle R.
Dyer, Typhanye V.
Mayer, Kenneth H.
Liu, Hongjie
Coates, Thomas
Boekeloo, Bradley O.
author_sort Turpin, Rodman E.
collection PubMed
description Background: The U.S. monkeypox (mpox) outbreak of 2022 was a unique emergent public health crisis disproportionately affecting Black sexual minority men (BSMM). Similar to other stigmas, mpox-related stigma may have adverse effects on BSMM, including deterring HIV prevention such as PrEP. Methods: Our study investigated the experiences and perceptions of BSMM related to mpox, including mpox-associated stigma, and PrEP engagement among BSMM. We conducted qualitative interviews of 24 BSMM attending HIV prevention-related events in the greater D.C. Metropolitan area. In-depth interviews were conducted via phone, and responses to questions specific to the mpox outbreak were analyzed using thematic analysis. Results: We identified three key themes from the analysis: Mpox-related stigma, Mpox vaccine availability concerns, and Mpox vaccine hesitancy. Participants also described relationships between each of these three themes and PrEP use. Mpox stigma was particularly relevant as it is related to sexual stigma and is a deterrent to PrEP use. A sense of health system neglect of BSMM, especially related to low mpox vaccine availability, was also described. Conclusions: We identified mpox stigma and challenges related to mpox vaccination as key themes among BSMM, with implications for PrEP use. Future research exploring medical mistrust among BSMM, particularly related to HIV prevention, is recommended.
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spelling pubmed-103788582023-07-29 Monkeypox-Related Stigma and Vaccine Challenges as a Barrier to HIV Pre-Exposure Prophylaxis among Black Sexual Minority Men Turpin, Rodman E. Mandell, CJ Camp, Aaron D. Davidson Mhonde, Rochelle R. Dyer, Typhanye V. Mayer, Kenneth H. Liu, Hongjie Coates, Thomas Boekeloo, Bradley O. Int J Environ Res Public Health Article Background: The U.S. monkeypox (mpox) outbreak of 2022 was a unique emergent public health crisis disproportionately affecting Black sexual minority men (BSMM). Similar to other stigmas, mpox-related stigma may have adverse effects on BSMM, including deterring HIV prevention such as PrEP. Methods: Our study investigated the experiences and perceptions of BSMM related to mpox, including mpox-associated stigma, and PrEP engagement among BSMM. We conducted qualitative interviews of 24 BSMM attending HIV prevention-related events in the greater D.C. Metropolitan area. In-depth interviews were conducted via phone, and responses to questions specific to the mpox outbreak were analyzed using thematic analysis. Results: We identified three key themes from the analysis: Mpox-related stigma, Mpox vaccine availability concerns, and Mpox vaccine hesitancy. Participants also described relationships between each of these three themes and PrEP use. Mpox stigma was particularly relevant as it is related to sexual stigma and is a deterrent to PrEP use. A sense of health system neglect of BSMM, especially related to low mpox vaccine availability, was also described. Conclusions: We identified mpox stigma and challenges related to mpox vaccination as key themes among BSMM, with implications for PrEP use. Future research exploring medical mistrust among BSMM, particularly related to HIV prevention, is recommended. MDPI 2023-07-08 /pmc/articles/PMC10378858/ /pubmed/37510557 http://dx.doi.org/10.3390/ijerph20146324 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Turpin, Rodman E.
Mandell, CJ
Camp, Aaron D.
Davidson Mhonde, Rochelle R.
Dyer, Typhanye V.
Mayer, Kenneth H.
Liu, Hongjie
Coates, Thomas
Boekeloo, Bradley O.
Monkeypox-Related Stigma and Vaccine Challenges as a Barrier to HIV Pre-Exposure Prophylaxis among Black Sexual Minority Men
title Monkeypox-Related Stigma and Vaccine Challenges as a Barrier to HIV Pre-Exposure Prophylaxis among Black Sexual Minority Men
title_full Monkeypox-Related Stigma and Vaccine Challenges as a Barrier to HIV Pre-Exposure Prophylaxis among Black Sexual Minority Men
title_fullStr Monkeypox-Related Stigma and Vaccine Challenges as a Barrier to HIV Pre-Exposure Prophylaxis among Black Sexual Minority Men
title_full_unstemmed Monkeypox-Related Stigma and Vaccine Challenges as a Barrier to HIV Pre-Exposure Prophylaxis among Black Sexual Minority Men
title_short Monkeypox-Related Stigma and Vaccine Challenges as a Barrier to HIV Pre-Exposure Prophylaxis among Black Sexual Minority Men
title_sort monkeypox-related stigma and vaccine challenges as a barrier to hiv pre-exposure prophylaxis among black sexual minority men
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10378858/
https://www.ncbi.nlm.nih.gov/pubmed/37510557
http://dx.doi.org/10.3390/ijerph20146324
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