AIDS and Behavior

, Volume 23, Issue 7, pp 1964–1973 | Cite as

Experiences of Anticipated and Enacted Pre-exposure Prophylaxis (PrEP) Stigma Among Latino MSM in Los Angeles

  • Ronald A. BrooksEmail author
  • Amanda Landrian
  • Omar Nieto
  • Anne Fehrenbacher
Original Paper


Latino men who have sex with men (MSM) are a group critically affected by HIV. Pre-exposure Prophylaxis (PrEP) is a biomedical prevention strategy that can help reduce new infections in this population. However, PrEP use may expose users to experiences of PrEP-related stigma. In-depth interviews conducted with Latino MSM PrEP users (N = 29) were analyzed using thematic analysis to explore experiences of PrEP stigma. Six themes emerged related to anticipated and enacted PrEP stigma: (1) Perception that PrEP users engage in risky sexual behaviors; (2) PrEP-induced conflict in relationships; (3) Perception that PrEP users are HIV-positive; (4) Generational differences in attitudes toward HIV prevention; (5) Experiences of discomfort, judgment, or homophobia from medical providers; and (6) Gay stigma related to PrEP disclosure to family. Manifestations of stigma included disapproving judgment, negative labeling, rejection, and devaluing individuals. The social consequences associated with using PrEP may deter uptake and persistence among Latino MSM.


Latino Hispanic Men who have sex with men Pre-exposure prophylaxis Stigma 



The content is solely the responsibility of the authors and does not necessarily reflect the official views of the National Institutes of Health. We thank the participants for graciously sharing their views and experiences for this study. This work was supported by the National Institute of Mental Health [Grant Nos: R21MH107339 and T32MH109205] and by the UCLA Center for HIV Identification, Prevention, and Treatment (CHIPTS) [Grant P30MH058107].

Compliance with Ethical Standards

Conflict of interest

All authors declare having no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Ronald A. Brooks
    • 1
    • 2
    • 5
    Email author
  • Amanda Landrian
    • 1
    • 3
  • Omar Nieto
    • 1
  • Anne Fehrenbacher
    • 1
    • 2
    • 4
  1. 1.Department of Family MedicineUniversity of CaliforniaLos AngelesUSA
  2. 2.Center for HIV Identification, Prevention, and Treatment Services (CHIPTS)University of CaliforniaLos AngelesUSA
  3. 3.Department of Community Health Sciences, Fielding School of Public HealthUniversity of CaliforniaLos AngelesUSA
  4. 4.Department of Psychiatry and Biobehavioral Sciences, Semel InstituteUniversity of CaliforniaLos AngelesUSA
  5. 5.Department of Family MedicineUCLALos AngelesUSA

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