Prevalence and characteristics of users of pre-exposure prophylaxis (PrEP) amongst men who have sex with men, San Francisco, 2014 in a cross-sectional survey: Implications for disparities
Published Date:Jun 28 2016
Source:Sex Transm Infect. 93(1):52-55.
Pubmed Central ID:PMC5241245
Funding:K99 HD079658/HD/NICHD NIH HHS/United States
R00 HD079658/HD/NICHD NIH HHS/United States
U1B PS003247/PS/NCHHSTP CDC HHS/United States
Pre-exposure prophylaxis (PrEP) has gained a central role in prevention of HIV infection amongst men who have sex with men (MSM), particularly in San Francisco, California, USA. Programmes to enroll men in PrEP are being undertaken by a range of public and private organisations. PrEP will have the largest population impact if it reaches men who are most at risk for HIV infection, and is used in a manner that enables maximal efficacy. Access to PrEP also needs to be equitable. We report on the characteristics of men eligible for and using PrEP.
Data were from the 2014 implementation of National HIV Behavioural Surveillance (NHBS) amongst MSM in San Francisco. NHBS uses venue-based sampling as the national standard for sampling MSM. We compare proportions of demographic characteristics of MSM using versus not using PrEP who are HIV-negative and meet CDC guidelines to recommend PrEP.
Overall, 64.1 % of HIV-negative MSM in San Francisco would meet guidelines for PrEP use, while 9.2 % of MSM overall and 14.5 % of MSM eligible were using PrEP as of 2014. Men using PrEP are more likely to be White and older age. There were no differences between men using and not using PrEP in terms of education, income and health insurance.
PrEP roll-out efforts should attempt to increase reach for young, Black and Hispanic MSM. Failure to equitably provide access to PrEP could exacerbate the US disparity in new HIV infections for men of colour.
Supporting Files:No Additional Files
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