Reporting pre-exposure prophylaxis use in Craigslist personal advertisements among men seeking sex with men in the United States

Sexual Health ◽  
2017 ◽  
Vol 14 (4) ◽  
pp. 397 ◽  
Author(s):  
Brandon J. Hill ◽  
Trevor Bak ◽  
Alicia VandeVusse ◽  
Kris Rosentel
Keyword(s):  
United States ◽  
Healthcare Providers ◽  
The United States ◽  
Personal Ads ◽  
Personal Advertisements ◽  
Bareback Sex ◽  
Sex With Men ◽  
Prep Awareness ◽  
Exposure Prophylaxis ◽  
Sexual Risk Behaviours

This study describes the self-reported use of pre-exposure prophylaxis (PrEP) in the personal advertisements of men seeking sex with men in the United States on the online classified advertisement site, Craigslist. Overall self-reported PrEP use was low (0.20%; 95% confidence interval (CI) = 0.18–0.22). However, PrEP use in personal ads was described in conjunction with seeking sexual risk behaviours including ‘bareback’ sex (22.7%; 95% CI = 17.7–27.7%) and sex with substance use (26.8%; 95% CI = 21.5–32.1%). Only 4.0% of personal ads sought safe sex (3.3%; 95% CI = 1.2–5.4%) or required condoms (0.7%; 95% CI = –0.3–1.7%). Our findings underscore the need for increased public PrEP awareness, particularly among men seeking sex with men, as well as the importance of healthcare providers emphasising sexually transmissible infection prevention behaviours (i.e. condom use) used in conjunction with PrEP.

scholarly journals 1275. Factors Associated with Patient-Provider Discussions about Preexposure Prophylaxis Among Young Men Who Have Sex with Men in Washington, DC

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S459-S460
Author(s):  
Chelsea Ware ◽  
Hannah Yellin ◽  
Paige Kulie ◽  
Matthew E Levy ◽  
Manya Magnus ◽  
...  
Keyword(s):  
United States ◽  
Living Arrangements ◽  
Healthcare Providers ◽  
The United States ◽  
Sociodemographic Characteristics ◽  
Washington Dc ◽  
Factors Associated ◽  
Preexposure Prophylaxis ◽  
Sex With Men ◽  
Exposure Prophylaxis

Abstract Background The CDC estimates that 1.2 million people in the United States are eligible for HIV pre-exposure prophylaxis (PrEP). However, only about 120,000 people have received PrEP prescriptions through 2017. Healthcare providers’ (HCP) willingness to engage patients in discussions regarding sexual health, including PrEP, is integral to increasing PrEP uptake in the United States. Our objective was to identify factors associated with patients having discussions about PrEP with their HCP. Methods Men who have sex with men (MSM) aged 16–25 in the Washington, DC metro area recruited from the community completed a web-based survey in 2016 about their perceptions of and experiences with PrEP. We used multivariable logistic regression to calculate adjusted odds ratios (aOR) for associations between sociodemographic characteristics (including: age, race/ethnicity, insurance, student/employment status, education, income, living arrangements, social support, depressive symptoms) and patient-provider discussions, including willingness to have or ever having a discussion about PrEP. Results Among 239 MSM, 51% were Black, 25% were White, and 16% were Hispanic. 154 participants (65%) were willing to ask a HCP about PrEP without their HCP bringing it up. 159 participants (67%) reported that a HCP had never talked to them about PrEP, although 100 of the 159 (63%) expressed interest in discussing PrEP with a HCP. Participants aged <21 were less willing to ask a HCP about PrEP (aOR: 0.49, 95% CI 0.28–0.85) and insured participants were more willing to ask their HCP about PrEP (aOR: 3.64, 95% CI 1.42–9.33). In multivariable analyses, no sociodemographic characteristics were associated with having talked to a HCP about PrEP, and among those who had never talked to a HCP about PrEP, no characteristics were associated with wanting to do so. Conclusion There is a need to increase PrEP uptake in populations at high risk for HIV exposure. While MSM >21 and those with health insurance were more willing to ask their HCP about PrEP, there were no other differences across multiple demographic groups. Our study suggests that a wide PrEP engagement strategy that encourages HCPs to address PrEP with their patients regardless of their demographics would be beneficial to increase PrEP uptake. Disclosures All authors: No reported disclosures.

scholarly journals Pre-Exposure Prophylaxis Training among Medical Schools in the United States

2021 ◽  
Vol 12 ◽  
pp. 215013272110287
Author(s):  
Robert L. Cooper ◽  
Mohammad Tabatabai ◽  
Paul D. Juarez ◽  
Aramandla Ramesh ◽  
Matthew C. Morris ◽  
...  
Keyword(s):  
United States ◽  
Hiv Prevention ◽  
Injection Drug Users ◽  
Drug Users ◽  
Healthcare Providers ◽  
Medical Schools ◽  
The United States ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Exposure Prophylaxis

Pre-Exposure Prophylaxis (PrEP) has been shown to be an effective method of HIV prevention for men who have sex with-men (MSM) and -transgender women (MSTGWs), serodiscordant couples, and injection drug users; however fewer than 50 000 individuals currently take this regimen. Knowledge of PrEP is low among healthcare providers and much of this lack of knowledge stems from the lack or exposure to PrEP in medical school. We conducted a cross sectional survey of medical schools in the United States to assess the degree to which PrEP for HIV prevention is taught. The survey consisted Likert scale questions assessing how well the students were prepared to perform each skill associated with PrEP delivery, as well as how PrEP education was delivered to students. We contacted 141 medical schools and 71 responded to the survey (50.4%). PrEP education was only reported to be offered at 38% of schools, and only 15.4% reported specific training for Lesbian, Gay, Bisexual, and Transgender (LGBT) patients. The most common delivery methods of PrEP content were didactic sessions with 11 schools reporting this method followed by problem-based learning, direct patient contact, workshops, and small group discussions. Students were more prepared to provide PrEP to MSM compared to other high-risk patients. Few medical schools are preparing their students to prescribe PrEP upon graduation. Further, there is a need to increase the number of direct patient contacts or simulations for students to be better prepared.

scholarly journals Qualitative Consumer Research on Acceptance of Long-Acting Pre-Exposure Prophylaxis Products Among Men Having Sex with Men and Medical Practitioners in the United States

2018 ◽  
Vol 34 (10) ◽  
pp. 849-856 ◽  
Author(s):  
Bobby J. Calder ◽  
Robert J. Schieffer ◽  
Ewa Bryndza Tfaily ◽  
Richard D'Aquila ◽  
George J. Greene ◽  
...  
Keyword(s):  
United States ◽  
Consumer Research ◽  
The United States ◽  
Medical Practitioners ◽  
Sex With Men ◽  
Long Acting ◽  
Exposure Prophylaxis

scholarly journals Prevalence and Correlates of PrEP Awareness and Use Among Black Men Who Have Sex with Men and Women (MSMW) in the United States

2019 ◽  
Vol 23 (10) ◽  
pp. 2694-2705 ◽  
Author(s):  
M. Reuel Friedman ◽  
Jordan M. Sang ◽  
Leigh A. Bukowski ◽  
Cristian J. Chandler ◽  
James E. Egan ◽  
...  
Keyword(s):  
United States ◽  
Black Men ◽  
The United States ◽  
Men And Women ◽  
Sex With Men ◽  
Prep Awareness

scholarly journals Estimated Impact of Targeted Pre-Exposure Prophylaxis: Strategies for Men Who Have Sex with Men in the United States

2019 ◽  
Vol 16 (9) ◽  
pp. 1592 ◽  
Author(s):  
Richard A. Elion ◽  
Mina Kabiri ◽  
Kenneth H. Mayer ◽  
David A. Wohl ◽  
Joshua Cohen ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Black Msm ◽  
Number Needed To Treat ◽  
Latino Msm ◽  
Sex With Men ◽  
Young Black Msm ◽  
Exposure Prophylaxis ◽  
The Impact ◽  
Black And Latino

Pre-exposure prophylaxis (PrEP) effectively reduces human immunodeficiency virus (HIV) transmission. We aimed to estimate the impact of different PrEP prioritization strategies among Black and Latino men who have sex with men (MSM) in the United States, populations most disproportionately affected by HIV. We developed an agent-based simulation to model the HIV epidemic among MSM. Individuals were assigned an HIV incidence risk index (HIRI-MSM) based on their sexual behavior. Prioritization strategies included PrEP use for individuals with HIRI-MSM ≥10 among all MSM, all Black MSM, young (≤25 years) Black MSM, Latino MSM, and young Latino MSM. We estimated the number needed to treat (NNT) to prevent one HIV infection, reductions in prevalence and incidence, and subsequent infections in non-PrEP users avoided under these strategies over 5 years (2016–2020). Young Black MSM eligible for PrEP had the lowest NNT (NNT = 10) followed by all Black MSM (NNT = 33) and young Latino MSM (NNT = 35). All Latino MSM and all MSM had NNT values of 63 and 70, respectively. Secondary infection reduction with PrEP was the highest among young Latino MSM (53.2%) followed by young Black MSM (37.8%). Targeting all MSM had the greatest reduction in prevalence (14.7% versus 2.9%–3.9% in other strategies) and incidence (49.4% versus 9.4%–13.9% in other groups). Using data representative of the United States MSM population, we found that a strategy of universal PrEP use by MSM was most effective in reducing HIV prevalence and incidence of MSM. Targeted use of PrEP by Black and Latino MSM, however, especially those ≤25 years, had the greatest impact on HIV prevention.

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