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Social determinants of self-reported pre-exposure prophylaxis use among a national sample of US men who have sex with men
- Source :
- Sexually Transmitted Infections. 96:368-374
- Publication Year :
- 2019
- Publisher :
- BMJ, 2019.
-
Abstract
- PurposeVarious disparities exist in HIV transmission among men who have sex with men (MSM). Pre-exposure prophylaxis (PrEP) has been shown to decrease the acquisition of HIV, but there is variation in uptake within the MSM population. We aim to characterise PrEP use and correlates of self-reported PrEP use in a large national sample of urban MSM in the USA.MethodsUsing data from a geosocial-networking application, a national sample (n=3744) from the largest 50 metropolitan centres in the USA was obtained.ResultsWe found 18.1% (95% CI 16.8 to 19.3) of profiles reported using PrEP, with decreased reported PrEP use in younger MSM aged 18–24 years (adjusted OR (aOR)=0.5, 95% CI 0.3 to 0.7), obese MSM (aOR=0.5, 95% CI 0.3 to 0.9), black MSM (aOR=0.6, 95% CI 0.4 to 0.9) and MSM in the South (aOR=0.7, 95% CI 0.5 to 0.9).ConclusionSignificant disparities exist in PrEP reporting by age and among black, Southern US and obese MSM. More research is needed to better understand these disparities.
- Subjects :
- Adult
Male
Adolescent
Anti-HIV Agents
Social Determinants of Health
Population
Human immunodeficiency virus (HIV)
HIV Infections
Sample (statistics)
Dermatology
medicine.disease_cause
White People
Men who have sex with men
Sexual and Gender Minorities
Young Adult
03 medical and health sciences
Pre-exposure prophylaxis
0302 clinical medicine
Ethnicity
Odds Ratio
Humans
Medicine
Obesity
030212 general & internal medicine
Social determinants of health
Hiv transmission
education
education.field_of_study
030505 public health
Asian
business.industry
Age Factors
Hispanic or Latino
Overweight
Southeastern United States
United States
Black or African American
Logistic Models
Infectious Diseases
Multivariate Analysis
Pre-Exposure Prophylaxis
Self Report
0305 other medical science
business
Demography
Subjects
Details
- ISSN :
- 14723263 and 13684973
- Volume :
- 96
- Database :
- OpenAIRE
- Journal :
- Sexually Transmitted Infections
- Accession number :
- edsair.doi.dedup.....57eb3c7417dc18b95729d187c3f60eab