Preference for Condoms, Antiretroviral Preexposure Prophylaxis, or Both Methods to Reduce Risk for HIV Acquisition Among Uninfected US Black and Latino MSM

Herbst, Jeffrey H.; Mimiaga, Matthew J.; Holman, Jeremy

doi:10.1097/qai.0000000000000810

Cited by 17 publications

(12 citation statements)

References 4 publications

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“…In addition, those not willing to use condoms were more willing to use PrEP. In a study comparing preferences for PrEP, condoms, and both PrEP and condoms, MSM reporting recent risk behaviors were more likely to prefer PrEP compared with condoms only, and less likely to prefer both methods compared with condoms only [ 88 ].…”

Section: Discussionmentioning

confidence: 99%

Awareness of Prevention Strategies and Willingness to Use Preexposure Prophylaxis in Brazilian Men Who Have Sex With Men Using Apps for Sexual Encounters: Online Cross-Sectional Study

Torres

Boni

Vasconcellos

et al. 2018

JMIR Public Health Surveill

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BackgroundGeosocial networking (GSN) smartphone apps are becoming the main venue for sexual encounters among Brazilian men who have sex with men (MSM). To address the increased HIV incidence in this population, preexposure prophylaxis (PrEP) was recently implemented in the Brazilian public health system in the context of combined HIV prevention.ObjectiveThis study aimed to describe the characteristics of MSM using GSN apps for sexual encounters, their awareness of prevention strategies, and willingness to use PrEP.MethodsThis study was an online cross-sectional study conducted in 10 Brazilian state capitals from July 1 to July 31, 2016. The questionnaire was programmed on SurveyGizmo and advertised in two GSN apps used by MSM to find sexual partners (Hornet and Grindr). Inclusion criteria were >18 years of age, cisgender men, with an HIV-negative status. Eligible individuals answered questions on: demographics; behavior; and knowledge, preferences, and willingness to use PrEP, nonoccupational postexposure prophylaxis (nPEP), HIV self-testing (HIVST), and condoms. Logistic regression modeling was performed to assess the factors associated with daily oral PrEP willingness.ResultsDuring the study period, 8885 individuals provided consent and started the questionnaire. Of these, 23.05% (2048/8885) were ineligible, 6837 (6837/8885, 76.94%) initiated, and 5065 (5065/8885, 57.00%) completed the entire questionnaire and were included in the present analysis. Median age was 30 years (interquartile range: 25-36), most self-declared as MSM (4991/5065, 98.54%), white (3194/5065, 63.06%), middle income (2148/5065, 42.41%), and had 12 or more years of schooling (3106/5062, 61.36%). The majority of MSM (3363/5064, 66.41%) scored >10 points (high risk) on The HIV Incidence Risk for MSM Scale, but only 21.39% (1083/5064) had a low perceived likelihood of getting HIV in the next year. Daily use of apps for sex was reported by 35.58% (1798/5054). Most MSM (4327/5065, 85.43%) reported testing for HIV at least once in their lifetime and 9.16% (464/5065) used nPEP in the previous year. PrEP, nPEP, and HIVST awareness was reported by 57.89% (2932/5065), 57.39% (2907/5065), and 26.57% (1346/5065) of participants, respectively. Half of all respondents (2653/5065, 52.38%) were willing to use daily oral PrEP, and this finding was associated with higher numbers of male sexual partners (adjusted odds ratio [AOR] 1.26, 95% CI 1.09-1.47), condomless receptive anal intercourse (AOR 1.27, 95% CI 1.12-1.44), sex with HIV-positive partner versus no HIV-positive partner (one HIV-positive partner: AOR 1.36, 95% CI 1.11-1.67), daily use of apps for sexual encounters (AOR 1.48, 95% CI 1.17-1.87), high and unknown perceived likelihood of getting HIV in the next year (AOR 1.72, 95% CI 1.47-2.02 and AOR 1.39, 95% CI 1.13-1.70), sexually transmitted infection diagnosis (AOR 1.25, 95% CI 1.03-1.51), stimulant use (AOR 1.24, 95% CI 1.07-1.43), PrEP awareness (AOR 1.48, 95% CI 1.30-1.70), and unwillingness to use condoms (AOR 1.16, 95% CI 1.00-1.33).Conclusi...

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Section: Discussionmentioning

confidence: 99%

Awareness of Prevention Strategies and Willingness to Use Preexposure Prophylaxis in Brazilian Men Who Have Sex With Men Using Apps for Sexual Encounters: Online Cross-Sectional Study

Torres

Boni

Vasconcellos

et al. 2018

JMIR Public Health Surveill

View full text Add to dashboard Cite

show abstract

“…Men who have sex with men (MSM) continue to be disproportionately burdened by HIV in the United States. 1 According to the US Centers for Disease Control and Prevention (CDC), MSM accounted for 55% of estimated HIV diagnoses in the United States in 2013 despite representing only 2% of the population. 2 Reductions in HIV-related stigma and ongoing improvements in treatment options for persons living with HIV may lead to behavioral disinhibition that put MSM at increased risk of HIV.…”

Section: Manuscript Introductionmentioning

confidence: 99%

Characteristics and Risk Behaviors of Men Who Have Sex With Men and Women Compared With Men Who Have Sex With Men—20 US Cities, 2011 and 2014

Shadaker

Magee

Paz–Bailey

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…Upon such cross-validation, this tool could be used for the evaluation of intervention trials aimed at increasing condom use toward reducing the risk of HIV, since persistent condom use reduces the risk of contracting HIV (e.g. Mansergh et al, 2015 ; Ramjee et al, 2015 ; Smith et al, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

“…Studies show that persistent condom use reduces the risk of contracting human immunodeficiency virus (HIV) (Mansergh, Herbst, Mimiaga, & Holman, 2015 ; Ramjee, Abbai, & Naidoo, 2015 ; Smith, Herbst, Zhang, & Rose, 2015 ; Weller & Davis-Beaty, 2002 ); hence, this is a major way to prevent HIV, worldwide. However, the precise prevalence of condom use is hard to determine since studies differ in their method of assessment, sampling, culture, age, gender, risk group, and epoch, amongst other factors.…”

Section: Introductionmentioning

confidence: 99%

A new measurement of an indirect measure of condom use and its relationships with barriers

Levy

Gidron

Olley

2017

SAHARA-J: Journal of Social Aspects of HIV/AIDS

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One of the challenges facing researchers in the domain of human immunodeficiency virus prevention is the assessment of condom use in an unbiased self-reported manner. The current study presents the development and preliminary validation of an indirect condom use test (I-CUTE), designed to assess condom use tendencies and to overcome self-report biases. Two samples were included using correlational designs. In sample 1, 88 students from European university completed the I-CUTE with questionnaires of condom use barriers, social desirability, and condom use negotiation self-efficacy. In sample 2, 212 students from sub-Saharan universities completed the I-CUTE with questionnaires of condom use barriers and knowledge. The I-CUTE included 17 pictures of human figures in relation to condom use, where participants had to choose one of the four a-priori given sentences reflecting the figures’ thoughts. This represented a semi-projective, yet standardized test. In sample 1, I-CUTE scores were inversely related to barriers, positively correlated with condom use negotiation self-efficacy and unrelated to social desirability. In sample 2, I-CUTE scores were inversely related to barriers and unrelated to knowledge scores. In a multiple regression, condom use barriers had a unique contribution to explaining variance in I-CUTE scores, beyond the contribution of background variables and knowledge. These results support the preliminary reliability and validity of the I-CUTE tool in a variety of cultures, and reveal its lack of bias by social desirability and the importance of condom use barriers in condom use tendencies.

show abstract

Preference for Condoms, Antiretroviral Preexposure Prophylaxis, or Both Methods to Reduce Risk for HIV Acquisition Among Uninfected US Black and Latino MSM

Cited by 17 publications

References 4 publications

Awareness of Prevention Strategies and Willingness to Use Preexposure Prophylaxis in Brazilian Men Who Have Sex With Men Using Apps for Sexual Encounters: Online Cross-Sectional Study

Awareness of Prevention Strategies and Willingness to Use Preexposure Prophylaxis in Brazilian Men Who Have Sex With Men Using Apps for Sexual Encounters: Online Cross-Sectional Study

Characteristics and Risk Behaviors of Men Who Have Sex With Men and Women Compared With Men Who Have Sex With Men—20 US Cities, 2011 and 2014

A new measurement of an indirect measure of condom use and its relationships with barriers

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