Are Anal Sex Roles Associated with Preferences for Pre-Exposure Prophylaxis Administration Modalities Among Men Who Have Sex with Men

Details

• Alternative Title:
  Arch Sex Behav
• Personal Author:
  Goedel, William C. ; Schneider, John A. ; Hambrick, H. Rhodes ; Kreski, Noah T. ; Morganstern, Jace G. ; Park, Su Hyun ; Mgbako, Ofole ; Duncan, Dustin T.
• Description:
  The current study sought to examine awareness of, willingness to use, and preferences for available and theoretical administration modalities for HIV pre-exposure prophylaxis (PrEP) and the association of anal sex roles with these concepts among a sample of men who have sex with men (MSM) in Paris, France. Broadcast advertisements were placed on a popular geosocial-networking smartphone application for MSM to direct users to complete a Web-based survey. MSM answered questions on their recent engagement in condomless anal intercourse and awareness of and willingness to use PrEP in the form of once daily and event-driven pill regimens, long-acting injections, and penile and rectal microbicides as well as sexual roles. Multinomial regression models were fit to assess the association between behaviorally classified anal sexual role and preferences for one of these biomedical prevention modalities. A total of 482 HIV-uninfected MSM completed the survey, 48.1% of whom engaged in some form of condomless anal intercourse in the preceding 3 months. Most respondents (85.3%) had heard of once daily PrEP, but fewer respondents had heard of other prevention strategies. Assuming equal effectiveness, long-acting injections were the most commonly preferred (21.8%). Behaviorally defined "bottom" and "versatile" MSM more frequently preferred long-acting injections (32.9% of "bottoms" and 25.3% of "versatiles"). The development of long-acting injections to deliver antiretroviral drugs and topical microbicides may offer more convenient and acceptable options for HIV prevention among MSM, as MSM in this sample were willing to use them and would prefer to use them over currently available pill regimens.
• Subjects:
  Article Gay Men’s Health Men Who Have Sex With Men Pre-Exposure Prophylaxis
• Source:
  Arch Sex Behav. 47(7):2123-2133
• Pubmed ID:
  29192368
• Pubmed Central ID:
  PMC6008239
• Document Type:
  Journal Article
• Funding:
  R01 MH112406/MH/NIMH NIH HHS/United States ; R21 MH110190/MH/NIMH NIH HHS/United States ; U01 PS005122/PS/NCHHSTP CDC HHS/United States
• Volume:
  47
• Issue:
  7
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:324ecbbd652f7bad2e0e229aac00c23838250025de305954306068a5f8eeaf56
• Download URL:
  https://stacks.cdc.gov/view/cdc/79766/cdc_79766_DS1.pdf
• File Type:
  [PDF - 365.66 KB ]