Details:

Alternative Title:
AIDS
Publisher's site:
http://dx.doi.org/10.1097/QAD.0000000000002517
Personal Author:
BEER, Linda ; TIE, Yunfeng ; SMITH, Dawn K. ; FAGAN, Jennifer L. ; SHOUSE, R. Luke
BEER, Linda ; TIE, Yunfeng ; SMITH, Dawn K. ; FAGAN, Jennifer L. ; SHOUSE, R. Luke Less -
Description:
Objective:

To estimate the proportion of U.S. HIV-positive men who report a male HIV-negative/unknown status (HIV-discordant) sexual partner taking PrEP, and the use of multiple HIV prevention strategies within partnerships.

Design:

The Medical Monitoring Project is a complex sample survey of U.S. adults with diagnosed HIV.

Methods:

We used data collected during June 2016—May 2018 among sexually-active HIV-positive men who had ≥1 HIV-discordant male partner (N=1,871) to estimate the weighted prevalence of reporting ≥1 partner taking PrEP. Among HIV-discordant partnerships (N=4,029), we estimated PrEP use, viral suppression among HIV-positive partners, and condomless anal sex. We evaluated significant (p<0.05) differences between groups using prevalence ratios with predicted marginal means.

Results:

Twenty-eight percent of sexually-active HIV-positive MSM reported ≥ 1 HIV-discordant male partner taking PrEP. Twenty percent of HIV-discordant partners were reported to be taking PrEP; 73% were taking PrEP or the HIV-positive partner was virally suppressed. PrEP use was lower among black and Hispanic partners compared with white partners (12% and 19% vs. 27%). Fewer black than white MSM were in partnerships in which PrEP was used or the HIV-positive partner had sustained viral suppression (69% vs. 77%). Condomless anal intercourse was more prevalent in partnerships involving PrEP use and in partnerships involving either PrEP use or sustained viral suppression among the HIV-positive partner.

Conclusions:

PrEP use was reported among 1 in 5 partners, with disparities between black and white partners. Increasing PrEP use and decreasing racial/ethnic disparities could reduce disparities in HIV incidence and help end the U.S. HIV epidemic.


Subject:
[+]
Adult
HIV Infections
Homosexuality, Male
Humans
Male
Pre-Exposure Prophylaxis
Sexual And Gender Minorities
Sexual Behavior
Sexual Partners

Source:
AIDS. 34(7):1081-1087
Pubmed ID:
32167972
Pubmed Central ID:
PMC8594371
Document Type:
Journal Article
Funding:
CC999999/ImCDC/Intramural CDC HHSUnited States/
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:831cae03ccee94b39b3e6453fbc88fc8d2bd483c7a03c1a130761fd4ae9b349a
File Type:

Supporting Files

• nihms-1753478.nxml

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