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Using Participatory Methods to Assess PrEP Interest and Uptake Among Young People Living in the Southeastern US: A Mixed Methods Assessment

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Abstract

Adolescents and young adults (AYA; 13–24 years-old) comprise 22% of new HIV infections in the United States (US), most of whom live in the South. We used the situated-Information, Motivation, Behavioral skills (sIMB) model to identify priorities for intervention on multi-level factors that influence HIV preventive care among Black AYA in Durham, North Carolina. We conducted two participatory workshops (ages 13–17, N = 6; ages 18–24, N = 7) to engage youth about how to discuss HIV. We also assessed sIMB constructs from a separate quantitative sample of youth to contextualize the workshop findings (N = 80). HIV knowledge was low overall, but lower among younger Black AYA, suggesting a need for comprehensive sexual education. Trusted adults provided sexual health information, motivation for health maintenance, and behavioral skills support. HIV prevention interventions should provide comprehensive sexual health education to Black AYA, be age-specific, and include social supporters like parents, teachers, and community members.

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Data Availability

Data are available by contacting the corresponding author.

Code Availability

Code for this project is available by contacting the corresponding author.

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Acknowledgements

We would like to thank our partners at the Durham Housing Authority, members of the Adolescent Health Working Group and participants in the study. We received support from the UNC CFAR Social and Behavioral Science Research Core. Dr. Stoner received support from RTI international and from Dr. Megan Lewis.

Funding

Funding was provided by the Duke and UNC CFARs (UNC CFAR P30 AI50410 and the Duke CFAR P30 AI064518). NLB was supported by the National Institute of Allergy and Infectious Diseases (T32 AI00700140).

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Authors and Affiliations

  1. Women’s Global Health Imperative, RTI International, 2150 Shattuck Avenue, Berkeley, CA, USA

    Marie C. D. Stoner

  2. University of North Carolina, Chapel Hill, NC, USA

    Nivedita L. Bhushan, Linda Riggins, Maleka Walker, Katherine LeMasters, Summer Debnam, Carol Golin, Alexandra F. Lightfoot & Audrey Pettifor

  3. FHI 360, Durham, NC, USA

    Allysha C. Maragh-Bass

  4. Duke University, Durham, NC, USA

    Allysha C. Maragh-Bass & John T. Mitchell

  5. SHIFT NC, Durham, NC, USA

    Bianka Reese

  6. Howard University, Washington, DC, USA

    Aissa Dearing

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  1. Marie C. D. Stoner
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Contributions

MCDS, NLB, AMB, JTM and KL contributed to the conception, design and writing of the paper. MCDS and NLB did analyses for the paper. KL, MW, SD were involved in implementation and documentation of participatory workshops. BR, AD provided framing of discussion section and input on writing. All authors were involved in data collection, study management and design of the original study. All authors have reviewed the paper, provided comments and edits to the manuscript and have read and approved the final manuscript.

Corresponding author

Correspondence to Marie C. D. Stoner.

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Conflict of interest

JTM has received royalties from Guilford Press in the past 12 months.

Ethical Approval

The study protocol was approved by the ethics review committee at UNC, RTI and FHI 360.

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All participants provided written informed consent.

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Stoner, M.C.D., Bhushan, N.L., Maragh-Bass, A.C. et al. Using Participatory Methods to Assess PrEP Interest and Uptake Among Young People Living in the Southeastern US: A Mixed Methods Assessment. AIDS Behav 26, 1672–1683 (2022). https://doi.org/10.1007/s10461-021-03519-y

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