Exploration of the Complex Relationship among Multilevel Predictors of PrEP Use among Men Who Have Sex with Men in the United States

Details

• Alternative Title:
  AIDS Behav
• Personal Author:
  Rodriguez, Kristina ; Kelvin, Elizabeth A. ; Grov, Christian ; Meyers, Kathrine ; Nash, Denis ; Wyka, Katarzyna
• Description:
  Objective:
  
  To explore the relationships among individual-, social-, and contextual- (state-level characteristics, including LBGTQ+ and racial inequality) level factors and PrEP use.
  
  Methods:
  
  A cross-sectional survey was conducted in 2015–2016 among a geographically diverse group of men who have sex with men (MSM). Survey data was linked to publicly available state-level data based on participant zip code. Multivariable multilevel logistic regression was used to explore the association between multilevel variables and PrEP use.
  
  Results:
  
  Of 4,165 HIV-negative MSM, 13.4% were taking PrEP. In the regression analysis, several demographic and behavioral factors were associated with higher odds of PrEP use. Importantly, after adjusting for individual- and social-level factors, residents of states with high LGBTQ+ equality had significantly higher odds of taking PrEP (OR=1.57; 95%CI: 1.119,2.023) compared to low equality states.
  
  Conclusions:
  
  LGBTQ+ inequality between states may hinder PrEP use. States may need to take proactive measures to reduce LGBTQ+ inequality as this may negatively impact the ability to reach the federal administration’s stated goal to end the HIV epidemic in the US.
  
  
• Subjects:
  Adolescent Adult Anti-HIV Agents Attitude To Health Cross-Sectional Studies Health Services Accessibility HIV Infections Homosexuality, Male Humans Male Middle Aged Multilevel Analysis Patient Acceptance Of Health Care Pre-Exposure Prophylaxis Sexual And Gender Minorities Young Adult

  More +
• Keywords:
  Contextual And Individual Level Factors Men Who Have Sex With Men (MSM) Multilevel Modeling PrEP Use
• Source:
  AIDS Behav. 25(3):798-808
• Pubmed ID:
  32948921
• Pubmed Central ID:
  PMC7886950
• Document Type:
  Journal Article
• Funding:
  U48 DP005008/DP/NCCDPHP CDC HHSUnited States/ ; U48DP005008/ACL/ACL HHSUnited States/
• Place as Subject:
  United States
• Volume:
  25
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:75f4b5884c0312f25a6b402b1fc089decad606d1d3b4c686098805e7c88ae0b9
• Download URL:
  https://stacks.cdc.gov/view/cdc/103520/cdc_103520_DS1.pdf
• File Type:
  [PDF - 369.23 KB ]