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Description:Retention and adherence are the ultimate goal of successful PrEP implementation, but engaging highest priority individuals in PrEP programs is a necessary first step toward prevention goals. A better understanding of the ways in which Black and Latino MSM differ from their White counterparts may allow us to identify potential targets for intervention to meaningfully increase PrEP access across the continuum of care for these high priority individuals. Like other scholars, we do not fully know what makes black family life distinctive in these ways. These factors, which we explored previously in our work, 34 [blinded for review] were informed by literature reviews and consultation with PrEP experts; the response options were on a 5-point Likert scale which we dichotomized for analyses into low versus high scores. So what does account for the relative fragility of African American families? When it comes to nonmarital childbearing and divorce, we are able to identify some structural factors, such as income and education, and some cultural factors, such as attitudes and sexual behavior, that account for a substantial share of the racial divide. Religion is generally a force for family harmony, and African Americans attend church more often than anyone.
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