Low Self-perceived Need for PrEP and Behavioral Indications of MSM who Recently Refused Daily PrEP: A Mixed Methods Study in Three U.S. Cities

Details

• Alternative Title:
  AIDS Behav
• Personal Author:
  Kota, Krishna Kiran ; Gelaude, Deborah ; Carnes, Neal ; Schoua-Glusberg, Alisu ; Frew, Paula M. ; Randall, Laura ; Gale, Bryan ; Betley, Valerie ; Mansergh, Gordon
• Description:
  Pre-exposure prophylaxis (PrEP) reduces sexual risk for HIV transmission by 99% when used appropriately, but remains underutilized among gay, bisexual, and other men who have sex with men (MSM). In this mixed-method study, we describe reasons for PrEP refusal associated with low self-perceived need for PrEP among MSM who recently declined daily oral PrEP when offered by a provider. Data are from a quantitative behavioral survey of MSM (N = 93) living in Atlanta, Chicago, and Raleigh-Durham, who also either responded to an in-depth interview (n = 51) or participated in one of 12 focus groups (n = 42). Themes of low self-perceived need for PrEP were: low self-perceived risk for HIV acquisition (33% of respondents); confidence in remaining HIV-negative (35%); using condoms (81%); limiting number of partners and choosing partners carefully (48%); asking partners about their HIV status before having sex (45%); engaging in safer sexual positions or oral sex (28%); being in a monogamous relationship or exclusivity with one partner (26%); and regular HIV testing (18%). Low self-perceived risk for HIV acquisition and high confidence in other prevention strategies were important factors related to low self-perceived need in MSM refusing daily oral PrEP when offered. Providers should continue to discuss the benefits of PrEP as a safe and highly effective option for HIV prevention.
• Subjects:
  Adult Anti-HIV Agents Chicago Focus Groups Health Knowledge, Attitudes, Practice HIV Infections Homosexuality, Male Humans Interviews As Topic Male Middle Aged Pre-Exposure Prophylaxis Qualitative Research Risk-Taking Self Concept Sexual And Gender Minorities Sexual Behavior Sexual Partners Treatment Refusal United States Young Adult

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• Keywords:
  Confidence In Condom Use HIV Prevention Strategies Perceived HIV Risk
• Source:
  AIDS Behav. 28(6):1845-1857
• Pubmed ID:
  38457051
• Pubmed Central ID:
  PMC11216258
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; 200-2013-57341/CC/CDC HHSUnited States/
• Volume:
  28
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:c9173092317f6a87865c7ea476f8b2459a35066f0d6df18f7c9c0a56d9f6f01a
• Download URL:
  https://stacks.cdc.gov/view/cdc/158481/cdc_158481_DS1.pdf
• File Type:
  [PDF - 375.22 KB ]