Relationships among Substance Use, Sociodemographics, Pre-Exposure Prophylaxis (PrEP) Awareness and Related Attitudes among Young Adult Men Who Have Sex with Men

Gebru, Nioud Mulugeta; Benvenuti, Maria Costanza; Rowland, Bonnie H P; Kalkat, Meher; Chauca, Patricia G; Leeman, Robert F.

doi:10.1080/10826084.2022.2040030

Cited by 8 publications

(6 citation statements)

References 72 publications

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“…In line with findings from previous studies conducted among MSM in Tennessee and New York [ 50 , 51 , 52 , 53 , 54 , 55 ], a high prevalence of substance use (e.g., alcohol, recreational drugs, and tobacco) and condomless anal sex (e.g., CIAS and CRAS) was observed among our study participants recruited in these areas. We also found comparable sexual risk portfolios between participants who never/rarely and mostly/always sought exposure-influenced HIV testing in the study, with those never/rarely seeking exposure-influenced HIV testing showing a higher prevalence in alcohol binging, recreational drug use before sex, and group sex—all established risk factors for HIV acquisition.…”

Section: Discussionsupporting

confidence: 92%

Assessing the Prevalence and Determinants of Exposure-Influenced HIV Testing among a Sample of Pre- and Post-Exposure Prophylaxis-Naïve Young Men Who Have Sex with Men in the United States

Liu

Hawkins²,

Osman³

et al. 2022

TropicalMed

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Self-initiated Human Immunodeficiency Virus (HIV) testing after potential sexual exposure to HIV (i.e., exposure-influenced HIV testing) has high utility in detecting individuals with the highest probabilities of HIV seroconversion. We conducted a cross-sectional study among a sample of sexually active, pre/post-exposure prophylaxis (PrEP/PEP)-naïve young men who have sex with men (YMSM) in two US cities to assess the determinants (e.g., demographic, psychosocial, sexual, substance use, and HIV prevention characteristics) of exposure-influenced HIV testing (never/rarely vs. mostly/always) in their lifetime. Of 261 YMSM, only 26.5% reported mostly/always seeking exposure-influenced prior to the study. Multivariable analyses showed that younger age, sexual orientation non-disclosure, perceived HIV stigma, internalized homophobia, lower general resilience, and lower social support were associated with a lower likelihood of mostly/always seeking exposure-influenced HIV testing. YMSM who never/rarely sought exposure-influenced HIV testing were more likely to use recreational drugs before sex, binge alcohol, and have group sex; while less likely to be aware of PrEP, test for sexually transmitted infections, or use condoms compared to those mostly/always seeking exposure-influenced HIV testing. Exposure-influenced HIV testing is suboptimal among YMSM with elevated risk for HIV. Our findings provide important implications for designing targeted interventions to promote exposure-influenced HIV testing among high-risk YMSM.

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Section: Discussionsupporting

confidence: 92%

Assessing the Prevalence and Determinants of Exposure-Influenced HIV Testing among a Sample of Pre- and Post-Exposure Prophylaxis-Naïve Young Men Who Have Sex with Men in the United States

Liu

Hawkins²,

Osman³

et al. 2022

TropicalMed

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“…However, extensive data quality checks were implemented including open‐text entry questions (e.g., a simple math word problem), filler questions to help conceal the purpose of the screener (e.g., whether a participant had taken various medications), and a question regarding whether they had been to Antarctica in the past month. These approaches have been used previously with online samples of MSM (Ballard et al, 2019; Gebru, Benvenuti, et al, 2022) and enhance confidence in the resulting data. In addition to self‐report measures, future research may corroborate PrEP prescription and PrEP use in other ways (e.g., blood testing).…”

Section: Discussionmentioning

confidence: 99%

“…Participants reported whether they had heard of PrEP before the current study on a questionnaire regarding PrEP awareness and related attitudes (Gebru, Benvenuti, et al, 2022). Those who had heard of PrEP also reported on perceived PrEP safety (i.e., “In your opinion, how safe do you think PrEP is?”) on a 5‐point Likert‐type scale, ranging from Not safe to Safe , and on their confidence in PrEP's efficacy (i.e., “How confident are you that taking PrEP every day would reduce the transmission of HIV?” ranging from Not confident to Confident ).…”

Section: Methodsmentioning

confidence: 99%

Section: Prep Awareness and Related Attitudesmentioning

confidence: 99%

“…Individuals, particularly those with increased risk for HIV and STIs (e.g., MSM), are encouraged to use various risk‐reduction approaches, including continued use of condoms even after PrEP uptake. Condoms are underused among MSM (Paz‐Bailey et al, 2016), and whereas a growing majority of MSM are aware of PrEP (Gebru, Benvenuti, et al, 2022; Sun et al, 2022), only about a third of those eligible for PrEP use it (CDC, 2022). Nevertheless, little is known about how PrEP use may affect condom use decisions (Grov et al, 2021).…”

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confidence: 99%

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Use of preexposure prophylaxis and condom purchasing decisions

Gebru,

Strickland,

Reed

et al. 2024

J Exper Analysis Behavior

Self Cite

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Preexposure prophylaxis (PrEP) prevents human immunodeficiency virus (HIV) but not other sexually transmitted infections (STIs). Men who have sex with men (MSM) who take PrEP tend to report reduced condom use, but little is known about the underlying mechanisms. For this study, MSM who take PrEP (i.e., PrEP experienced; n = 88) and MSM who do not (i.e., PrEP naïve; n = 113) completed an online study, including the condom purchase task (CoPT). The CoPT assesses decisions to purchase condoms across escalating prices (range: free–$55) for sex with different types of hypothetical partners: those least likely to have an STD (least STD) and those that participants most want to have sex with (most want sex with). When condoms were free, PrEP‐experienced MSM had a lower rate of condom purchasing than did PrEP‐naïve MSM. For both partner types, PrEP‐experienced MSM reached a price break point (i.e., would not buy condoms) at a lower price than did PrEP‐naïve pariticipants. For the most‐want‐sex‐with partner at the price at which participants elected not to buy condoms, only 23% of PrEP‐experienced MSM chose to abstain from sex when not purchasing condoms versus 53% among PrEP‐naïve MSM. Similar patterns were observed for the least‐STD partner. The results support the potential utility of the CoPT in identifying behavioral mechanisms related to condom use and PrEP.

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Barriers and Facilitators Along the PrEP Continuum of Care Among Latinx Sexual Minoritized Men and Transgender Women: A Systematic Review

Matos,

Janek,

Holt

et al. 2024

AIDS Behav

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Relationships among Substance Use, Sociodemographics, Pre-Exposure Prophylaxis (PrEP) Awareness and Related Attitudes among Young Adult Men Who Have Sex with Men

Cited by 8 publications

References 72 publications

Assessing the Prevalence and Determinants of Exposure-Influenced HIV Testing among a Sample of Pre- and Post-Exposure Prophylaxis-Naïve Young Men Who Have Sex with Men in the United States

Assessing the Prevalence and Determinants of Exposure-Influenced HIV Testing among a Sample of Pre- and Post-Exposure Prophylaxis-Naïve Young Men Who Have Sex with Men in the United States

Use of preexposure prophylaxis and condom purchasing decisions

Barriers and Facilitators Along the PrEP Continuum of Care Among Latinx Sexual Minoritized Men and Transgender Women: A Systematic Review

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