Characterizing the PrEP Continuum for Black and Latinx Sexual and Gender Minority Youth

the PUSH Study Group

Research output: Contribution to journalArticlepeer-review


Pre-exposure prophylaxis (PrEP) rollout efforts thus far have inadequately reached young people from underrepresented backgrounds. This study explores PrEP engagement among young Black and Latinx men who have sex with men, transgender women, and gender diverse individuals in three U.S. cities using an adapted PrEP continuum measure. We analyze data from the recruitment phase of an ongoing PrEP engagement intervention (n = 319) using partial proportional odds logistic regression. Participants reported high willingness and intention to use PrEP, yet most (82%) were not currently taking PrEP. Being insured (aOR = 2.95, 95%-CI = 1.60–5.49), having one or more PrEP users in one’s sexual network (aOR = 4.19, 95%-CI = 2.61–6.79), and higher individual HIV risk scores (aOR = 1.62, 95%-CI = 1.34–1.97) were each associated with being further along the PrEP continuum. Strategies are needed to address barriers to healthcare access and leverage connections within social and sexual networks in order to bolster PrEP engagement among marginalized young people from diverse backgrounds.

Original languageEnglish
Pages (from-to)1211-1221
Number of pages11
JournalAIDS and Behavior
Issue number4
StatePublished - Apr 2022

Bibliographical note

Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.


  • Adolescents
  • Networks
  • PrEP
  • Young adults

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology


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