Demographic and behavioral characteristics of urban and non-urban PrEP-using MSM in the South

Jones, Jeb; Pampati, Sanjana; Emrick, Kayla

doi:10.1080/09540121.2022.2085864

Cited by 2 publications

(2 citation statements)

References 5 publications

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“…Nearly half of the study population reported recent PrEP use, a proportion higher than reported for other studies of MSM in the U.S. 12, 28 In addition, high levels of educational achievement and income among study participants may indicate higher levels of access to PrEP than for all MSM. The substantial frequency of PrEP use in the study population may have directly contributed to the observed low prevalence of HIV infection.…”

Section: Discussionmentioning

confidence: 59%

HIV Risk Behavior Profiles Among Men Who Have Sex with Men Interested in Donating Blood: The Assessing Donor Variability and New Concepts in Eligibility (ADVANCE) Study

Custer

Whitaker

Pollack

et al. 2023

Preprint

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Importance: Blood donor selection policies should be evidence-based. Individual risk assessment allows potential donors to be evaluated based on their own behaviors. Objective: The Assessing Donor Variability and New Concepts in Eligibility (ADVANCE) study examined behavioral and biomarkers of HIV risk in sexually active men who have sex with men (MSM) to estimate the proportion of the study population who would not be deferred for higher risk HIV sexual behaviors and might be eligible to donate. Design: A cross-sectional assessment of sexually active MSM interested in blood donation. Setting: An 8-city study of MSM aged 18-39 years assigned male sex at birth. Interventions or Exposures: Participants completed surveys during 2 study visits to define eligibility, self-reported sexual and HIV prevention behaviors. Blood was drawn at study visit 1 and tested for HIV and the presence of tenofovir, 1 of the drugs in oral HIV pre-exposure prophylaxis (PrEP). Main Outcomes and Measures: Associations between HIV infection status or HIV PrEP use and self-reported HIV risk behaviors, including number of male sex partners, new partners, and anal sex. Results: Among 1788 screened MSM, 1593 were eligible and 1566 completed the visit 1 HIV risk questionnaire and blood draw. A median of 22 days later, 1197 completed the visit 2 follow-up questionnaire. Four individuals tested HIV positive (0.25%). Among HIV-negative participants, 789 (50.4%) reported no PrEP use in the past 3 months. The number of sex partners in the past 3 months was significantly higher among PrEP users versus non-users, as was the number reporting a new male sex partner in the same period. Among HIV-negative, non-PrEP using participants, 66.2% reported only 1 sexual partner or no anal sex and 69% reported no new sexual partners or no anal sex with a new partner in the past 3 months. Conclusion and Relevance: Among sexually active MSM, there are subgroups who self-report no new sexual partners and only 1 sexual partner within the past 3 months. These individuals are likely at lower risk of HIV infection than other MSM and would meet proposed individual risk assessment criteria for blood donation in the U.S.

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Section: Discussionmentioning

confidence: 59%

HIV Risk Behavior Profiles Among Men Who Have Sex with Men Interested in Donating Blood: The Assessing Donor Variability and New Concepts in Eligibility (ADVANCE) Study

Custer

Whitaker

Pollack

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Nearly half of the study population reported recent PrEP use, a proportion higher than reported for other studies of MSM in the U.S.A. 14,30 In addition, high levels of educational achievement and income among study Those with higher numbers of sexual partners were far more likely to take PrEP than those with fewer partners.…”

Section: Discussionmentioning

confidence: 67%

HIV risk behavior profiles among men who have sex with men interested in donating blood: Findings from the Assessing Donor Variability and New Concepts in Eligibility study

Custer,

Whitaker,

Pollack

et al. 2023

Transfusion

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BackgroundIndividual risk assessment allows donors to be evaluated based on their own behaviors. Study objectives were to assess human immunodeficiency virus (HIV) risk behaviors in men who have sex with men (MSM) and estimate the proportion of the study population who would not be deferred for higher risk HIV sexual behaviors.Study Design and MethodsCross‐sectional survey and biomarker assessment were conducted in eight U.S. cities. Participants were sexually active MSM interested in blood donation aged 18–39 years, assigned male sex at birth. Participants completed surveys during two study visits to define eligibility, and self‐reported sexual and HIV prevention behaviors. Blood was drawn at study visit 1 and tested for HIV and the presence of tenofovir, one of the drugs in oral HIV pre‐exposure prophylaxis (PrEP). Associations were assessed between HIV infection status or HIV PrEP use and behaviors, including sex partners, new partners, and anal sex.ResultsA total of 1566 MSM completed the visit 1 questionnaire and blood draw and 1197 completed the visit 2 questionnaire. Among 1562 persons without HIV, 789 (50.4%) were not taking PrEP. Of those not taking PrEP, 66.2% reported one sexual partner or no anal sex and 69% reported no new sexual partners or no anal sex with a new partner in the past 3 months.ConclusionThe study found that questions were able to identify sexually active, HIV‐negative MSM who report lower risk sexual behaviors. About a quarter of enrolled study participants would be potentially eligible blood donors using individual risk assessment questions.

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Demographic and behavioral characteristics of urban and non-urban PrEP-using MSM in the South

Cited by 2 publications

References 5 publications

HIV Risk Behavior Profiles Among Men Who Have Sex with Men Interested in Donating Blood: The Assessing Donor Variability and New Concepts in Eligibility (ADVANCE) Study

HIV Risk Behavior Profiles Among Men Who Have Sex with Men Interested in Donating Blood: The Assessing Donor Variability and New Concepts in Eligibility (ADVANCE) Study

HIV risk behavior profiles among men who have sex with men interested in donating blood: Findings from the Assessing Donor Variability and New Concepts in Eligibility study

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