Determinants of Potential HIV Vaccine Uptake Among Young Sexual Minoritized Men 17-24 Year Old. J Acquir Immune Defic Syndr 2024 Dec 15;97(5):482-488
Date
08/22/2024Pubmed ID
39171988Pubmed Central ID
PMC11723810DOI
10.1097/QAI.0000000000003517Scopus ID
2-s2.0-85201916246 (requires institutional sign-in at Scopus site) 1 CitationAbstract
BACKGROUND: Failures in prior rollout of HIV prevention efforts have widened disparities in HIV incidence by race/ethnicity among young sexual minoritized men (YSMM). We hypothesized greater perceptions of medical mistrust would be associated with lower willingness to get an HIV vaccine, mediating the relationship between race/ethnicity and willingness to accept a future HIV vaccine.
METHODS: HIV-negative and unknown-status YSMM 17-24 years old (n = 229) recruited through social media and men-for-men networking apps completed online surveys from September 2021 to March 2022. Participants were asked about demographics, medical mistrust (health care-related sexual orientation stigma, health care-related race stigma, global medical mistrust, and trust in health care providers), and willingness to accept a future HIV vaccine.
RESULTS: Vaccine willingness was highest among White YSMM (96.0%) and lower among Black (71.0%), Latino (83.6%), and multiracial or another race/ethnicity YSMM (80.0%). Even after accounting for medical mistrust constructs as mediators, compared with White participants, Black participants had lower odds of being willing to accept a future HIV vaccine. Participants with greater trust in health care providers had higher odds of willingness to accept a future HIV vaccine.
DISCUSSION: Gaps in willingness to get an HIV vaccine are evident among YSMM by race/ethnicity, indicating potential further widening of disparities in HIV incidence when a vaccine becomes available without intervention.
Author List
John SA, Walsh JL, Doherty RM, Rine SR, O'Neil AM, Dang M, Quinn KGAuthors
Madeline Camille Dang BS, MD, MPH Assistant Professor in the Family and Community Medicine department at Medical College of WisconsinKatherine Quinn PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
Jennifer L. Walsh PhD Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
AIDS VaccinesAdolescent
HIV Infections
Health Knowledge, Attitudes, Practice
Homosexuality, Male
Humans
Male
Patient Acceptance of Health Care
Sexual and Gender Minorities
Surveys and Questionnaires
Trust
Young Adult
