Reported Preexposure Prophylaxis (PrEP) Use Among Male Sex Partners of HIV-Positive Men—2016–2018

Details

• Alternative Title:
  AIDS
• Personal Author:
  BEER, Linda ; TIE, Yunfeng ; SMITH, Dawn K. ; FAGAN, Jennifer L. ; SHOUSE, R. Luke
• 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.
  
  
• Subjects:
  Adult Article HIV HIV Infections Homosexuality, Male Human Immunodeficiency Virus Humans Male Men Who Have Sex With Men Pre-exposure Prophylaxis PrEP Sexual And Gender Minorities Sexual Behavior Sexual Partners United States

  More +
• Source:
  AIDS. 34(7):1081-1087
• Pubmed ID:
  32167972
• Pubmed Central ID:
  PMC8594371
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  34
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:831cae03ccee94b39b3e6453fbc88fc8d2bd483c7a03c1a130761fd4ae9b349a
• Download URL:
  https://stacks.cdc.gov/view/cdc/111726/cdc_111726_DS1.pdf
• File Type:
  [PDF - 105.35 KB ]