1. Changes in Sexual Behaviour Following PrEP Initiation Among Australian Gay and Bisexual Men in Relationships: Results from a Prospective Observational Study.
- Author
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Bavinton, Benjamin R., Hammoud, Mohamed A., Holt, Martin, Saxton, Peter, Bourne, Adam, MacGibbon, James, Jin, Fengyi, Maher, Lisa, and Prestage, Garrett P.
- Subjects
HIV prevention ,HUMAN sexuality ,SURVEYS ,SEX customs ,DESCRIPTIVE statistics ,PREVENTIVE medicine ,MEN who have sex with men ,GAY men ,LONGITUDINAL method - Abstract
Few studies have examined changes in sexual behaviour following HIV pre-exposure prophylaxis (PrEP) initiation among gay, bisexual and other men who have sex with men (GBM) in relationships. In a national, online, prospective study of GBM in Australia, we compared sexual behaviours prior to and after PrEP initiation among HIV-negative and unknown-HIV-status men (recruited 2014–2017) not taking PrEP at baseline and who completed at least one six-monthly follow-up by July 2018. Among men in relationships who did not initiate PrEP (n = 339), we compared their most recent survey to their prior one, while among men in relationships who initiated PrEP (n = 81), we compared follow-ups before and after PrEP initiation. Among the 81 PrEP-initiators who were in a relationship both before and after initiation, the proportion reporting their regular partner was on PrEP increased from 8.3 to 44.4% (p < 0.001) and the proportion reporting receptive CLAIC increased from 27.2 to 44.4% (p = 0.009). Overall, men who initiated PrEP were more likely to be in a relationship with a partner on PrEP, and it appeared they started PrEP around the same time. Receptive CLAIC also became more common. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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