Back to Search
Start Over
Sexual Behavior Patterns and PrEP Dosing Preferences in a Large Sample of North American Men Who Have Sex With Men.
- Source :
-
Journal of acquired immune deficiency syndromes (1999) [J Acquir Immune Defic Syndr] 2016 Jan 01; Vol. 71 (1), pp. 94-101. - Publication Year :
- 2016
-
Abstract
- Introduction: Pre-exposure prophylaxis (PrEP), taken as a single daily coformulated pill containing tenofovir -emtricitabine, is a promising intervention to reduce the likelihood of HIV acquisition in at-risk individuals, including men who have sex with men. Little is known about the acceptability of less than daily, intermittent PrEP regimens.<br />Methods: We conducted an online survey of North American men who have sex with men to characterize their sexual frequency and planning behaviors and correlate these with PrEP dosing preferences.<br />Results: Of the 3217 respondents who completed the survey, 46% reported engaging in unplanned condomless anal intercourse (CAI) at least once in previous 3 months and 8% reported engaging in CAI more than once per week. In multivariable analysis, reporting unplanned CAI was associated with lower educational level, identifying as homosexual/gay as compared with bisexual, being in a monogamous relationship, having a higher self-perceived risk of HIV acquisition, reporting higher income, engaging in CAI more than five times in the last 3 months, and not having visited a health care provider in the previous year. Frequent CAI (>1 time per week) was associated with being younger, identifying as homosexual/gay as compared with bisexual, being in a monogamous relationship, and having a higher self-perceived risk of HIV. Having only planned sex over the last 3 months was associated with a preference for event-based PrEP, whereas having frequent or unplanned CAI was associated with a preference for daily or time-driven PrEP regimens, respectively.<br />Conclusion: Our findings suggest that preferences for different PrEP regimens are associated with the sexual frequency and planning behaviors of potential users.
- Subjects :
- Adult
Educational Status
Health Knowledge, Attitudes, Practice
Humans
Male
Middle Aged
Multivariate Analysis
Risk Factors
Sexual Partners
United States
Young Adult
Anti-HIV Agents administration & dosage
HIV Infections prevention & control
Homosexuality, Male psychology
Homosexuality, Male statistics & numerical data
Patient Acceptance of Health Care statistics & numerical data
Pre-Exposure Prophylaxis methods
Unsafe Sex statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1944-7884
- Volume :
- 71
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Journal of acquired immune deficiency syndromes (1999)
- Publication Type :
- Academic Journal
- Accession number :
- 26371786
- Full Text :
- https://doi.org/10.1097/QAI.0000000000000816