Changes in HIV Pre-exposure Prophylaxis Awareness and Use Among Males Who Inject Drugs Who Have Sex with Men by Sexual Identity, 19 US Urban Areas, 2018 & 2022

Details

• Alternative Title:
  AIDS
• Personal Author:
  Eustaquio, Patrick C. ; Burnett, Janet ; Prejean, Joseph ; Chapin-Bardales, Johanna ; Cha, Susan
• Description:
  Background:
  
  Males who inject drugs who have sex with men (MWIDSM) may acquire HIV through injecting drugs or sex. Interventions to increase awareness of HIV pre-exposure prophylaxis (PrEP) have focused on gay/bisexual men who have sex with men (MSM) and may not be reaching heterosexual-identifying men or people who inject drugs (PWID). We explored changes in PrEP awareness and use among MWIDSM from 2018 to 2022 by sexual identity.
  
  Methods:
  
  We used data from the 2018 and 2022 National HIV Behavioral Surveillance among PWID recruited via respondent-driven sampling in 19 urban areas in the US. We examined changes in PrEP awareness and use over time by sexual identity among HIV-negative males who inject drugs and who had sex with another man in the past 12 months using log-linked Poisson regression models with robust standard errors with an interaction term between year and sexual identity.
  
  Results:
  
  Among 758 HIV-negative MWIDSM (463 in 2018; 295 in 2022), nearly all sample participants were likely indicated for PrEP (94.2% and 92.9%, respectively). PrEP awareness increased from 2018 to 2022 among gay/bisexual-identifying MWIDSM (45.5% to 65.5%; aPR=1.49, 95%CI=1.30-1.70) but remained stable for heterosexual-identifying MWIDSM (39.4% to 40.8%; aPR=1.01, 95%CI 0.75-1.36). PrEP use remained low among all MWIDSM (2.5% to 7.7%, among heterosexually-identifying; 15.3% to 10.2% among gay/bisexual-identifying).
  
  Conclusions:
  
  PrEP awareness increased among gay/bisexual-identifying MWIDSM but not among heterosexual-identifying. PrEP use was low for all MWIDSM. Public health initiatives catered to MWIDSM should focus on improved campaigns and expanding PrEP accessibility in existing healthcare, harm reduction, and social services.
  
  
• Subjects:
  Adolescent Adult Disease Transmission, Infectious Health Knowledge, Attitudes, Practice HIV Infections Homosexuality, Male Humans Male Middle Aged Pre-Exposure Prophylaxis Sexual And Gender Minorities Substance Abuse, Intravenous United States Urban Population Young Adult

  More +
• Keywords:
  Harm Reduction HIV Men Who Have Sex With Men Persons Who Inject Drugs PrEP PrEP Awareness PrEP Use
• Source:
  AIDS. 38(15):2086-2092
• Pubmed ID:
  39229761
• Pubmed Central ID:
  PMC11666408
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  38
• Issue:
  15
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:e8b89cbc4c0e44cabbdabd5c987077323b126de795d01fc9b0482d7dca88cbcf44ec894c08b2f2e23538e0ba711422b9642ec2e856b466cc617a8eb1ec0b6968
• Download URL:
  https://stacks.cdc.gov/view/cdc/175246/cdc_175246_DS1.pdf
• File Type:
  [PDF - 114.81 KB ]