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Misclassification of sexual health risks in a self-identified low risk cohort of men who have sex with men (MSM) enrolled in a community based PrEP program.
- Source :
-
AIDS Care . Feb2020, Vol. 32 Issue 2, p230-237. 8p. 1 Diagram, 3 Charts, 3 Graphs. - Publication Year :
- 2020
-
Abstract
- The CDC recommends PrEP for MSM at substantial risk of HIV acquisition, leaving clinicians unsure whether to prescribe PrEP to MSM who do not disclose HIV risk factors. A longitudinal cohort of MSM requesting PrEP despite reporting during a clinical visit either 100% condom use or participation in oral sex only and no other risk factors was followed over 13 months at a community clinic in San Francisco to assess the accuracy of their HIV risk perception. Participants completed a sexual and substance use behavior questionnaire at baseline, outside of the clinical visit and were followed by quarterly HIV/STI testing and condom use change questionnaires. Condomless sex increased from 0% at baseline to 12% at month 1, peaked at 34% at month 7, and then decreased again to 8% at month 13. Rates of pharyngeal GC/CT varied from 7% at baseline to 12% at month 13, while rectal GC/CT decreased from 6% at baseline to 0% at month 13. The rate of syphilis was 1% both at baseline and at month 13, however, 11% and 15% of clients tested positive for syphilis at months 1 and 7 respectively. [ABSTRACT FROM AUTHOR]
- Subjects :
- *DIAGNOSIS of HIV infections
*HIV prevention
*HIV infection risk factors
*SEXUALLY transmitted disease diagnosis
*PREVENTION of sexually transmitted diseases
*SEXUALLY transmitted disease risk factors
*ATTITUDE (Psychology)
*COMMUNITY health services
*CONDOMS
*LONGITUDINAL method
*MEDICAL appointments
*PREVENTIVE medicine
*ORAL sex
*QUESTIONNAIRES
*RISK assessment
*RISK perception
*SYPHILIS
*COMMUNITY-based social services
*UNSAFE sex
*MEN who have sex with men
*DISEASE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 09540121
- Volume :
- 32
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- AIDS Care
- Publication Type :
- Academic Journal
- Accession number :
- 140955817
- Full Text :
- https://doi.org/10.1080/09540121.2019.1620167