| Literature DB >> 35098392 |
Justin Knox1,2, Bryan A Kutner3,4, Stephanie Shiau5, Frieda Sara Winterhalter6, Yingfeng Wu6, Yael Hirsch-Moverman6,7, Wafaa El-Sadr6,7, Paul W Colson6, Julie Franks6,8.
Abstract
The Information-Motivation-Behavioral Skills (IMB) Model has been used to understand adherence to medications and intentions to uptake pre-exposure prophylaxis (PrEP) to prevent HIV infection. In the current study, the IMB Model was used to understand factors that predict adherence to PrEP among a community-based cohort of 204 Black men who have sex with men (MSM) and transgender women (TGW) using structural equation modeling. PrEP motivation was directly associated with PrEP behavioral skills (β = 0.320, p = 0.009), and PrEP behavioral skills were directly associated with PrEP adherence (β = 0.416, p = 0.001). PrEP knowledge and PrEP motivation were not associated with PrEP adherence, directly or indirectly. The analysis identified intervenable factors that predicted PrEP adherence. Screening for motivation and behavioral skills could be used to identify where additional support to improve PrEP adherence is needed, or whether to offer alternative PrEP modalities or delivery strategies.Entities:
Keywords: Adherence; HIV; Information–motivation–behavioral skills (IMB) model; Men who have sex with men (MSM); Pre-exposure prophylaxis (PrEP); Transgender women (TGW)
Mesh：
Substances：
Year: 2022 PMID： 35098392 PMCID： PMC9167713 DOI： 10.1007/s10461-022-03588-7
Source DB: PubMed Journal: AIDS Behav ISSN： 1090-7165