Griff Tester (Sociology)
In the U.S., gay and other men who have sex with men (G/MSM), especially young Black and Latino men of color, are disproportionately impacted by the human immunodeficiency virus (HIV), representing a large percentage of the HIV-positive population and accounting for the bulk of new infections. Pre-exposure prophylaxis (PrEP) is a highly effective HIV-prevention method that includes HIV-negative individuals taking a daily anti-retroviral medication and visiting a medical provider quarterly to test for sexually transmitted infections. Since 2012, when the FDA approved the fixed-dose combination of tenofovir disproxil fumarate and emtricitabine (TDF-FTC), or Truvada, for PrEP, uptake has been increasing, but is still low, and access and use disparities exist among racial and ethnic minority G/MSM. The aim of this systematic literature review is to identify useful qualitative methods for recruiting and studying PrEP among queer men of color. To do this, I examine scientific articles, published between 2010 and 2020, that meet the following criteria: (1) Focus on HIV-prevention, specifically PrEP; (2) Use samples of G/MSM; and (3) Use qualitative data collection approaches. My research questions are: (1) What strategies do PrEP researchers use to recruit and qualitatively study G/MSM? (2) How do the approaches used, and methodological limitations discussed, differ among studies using samples that include white G/MSM and those focused exclusively on G/MSM of color? The findings of this review will help researchers identify methodological barriers to accessing these understudied populations and develop strategies for overcoming these difficulties.
Keywords: PrEP (Pre-Exposure Prophylaxis), HIV-Prevention, Methods