دورية أكاديمية
أعرض في EDS

Behavior Change Among HIV-Negative Men Who Have Sex with Men Not Using PrEP in the United States.

التفاصيل البيبلوغرافية
العنوان: Behavior Change Among HIV-Negative Men Who Have Sex with Men Not Using PrEP in the United States.
المؤلفون: Goodreau SM; Department of Anthropology, University of Washington, Campus Box 353100, Seattle, WA, 98122, USA. goodreau@uw.edu.; Center for Studies in Demography and Ecology, University of Washington, Seattle, WA, USA. goodreau@uw.edu., Barry MP; Department of Epidemiology, University of Washington, Seattle, WA, USA.; Center for AIDS & STD, University of Washington, Seattle, WA, USA., Hamilton DT; Center for Studies in Demography and Ecology, University of Washington, Seattle, WA, USA., Williams AM; Division of STD Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA., Wang LY; Division of Adolescent and School Health, Centers for Disease Control and Prevention, Atlanta, GA, USA., Sanchez TH; Department of Epidemiology, Emory University, Atlanta, GA, USA., Katz DA; Department of Global Health, University of Washington, Seattle, WA, USA., Delaney KP; Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
المصدر: AIDS and behavior [AIDS Behav] 2024 May; Vol. 28 (5), pp. 1766-1780. Date of Electronic Publication: 2024 Feb 27.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural
اللغة: English
بيانات الدورية: Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9712133 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3254 (Electronic) Linking ISSN: 10907165 NLM ISO Abbreviation: AIDS Behav Subsets: MEDLINE
أسماء مطبوعة: Publication: 2005- : New York, NY : Springer Science + Business Media
Original Publication: New York, NY : Plenum Press, 1997-
مواضيع طبية MeSH: Condoms*/statistics & numerical data , HIV Infections*/prevention & control , HIV Infections*/epidemiology , Homosexuality, Male*/statistics & numerical data , Homosexuality, Male*/psychology , Pre-Exposure Prophylaxis*/statistics & numerical data , Sexual Partners* , Unsafe Sex*/statistics & numerical data , Unsafe Sex*/psychology, Adolescent ; Adult ; Humans ; Male ; Middle Aged ; Young Adult ; Cross-Sectional Studies ; Hispanic or Latino/statistics & numerical data ; Hispanic or Latino/psychology ; HIV Seronegativity ; Risk-Taking ; Sexual and Gender Minorities/statistics & numerical data ; Sexual and Gender Minorities/psychology ; Sexual Behavior/statistics & numerical data ; Surveys and Questionnaires ; United States/epidemiology ; White
مستخلص: This study measures changes in condomless anal sex (CAS) among HIV-negative men who have sex with men (MSM) who are not taking pre-exposure prophylaxis (PrEP). It considers the 2014-2019 cycles of the American Men's Internet Survey, a serial, cross-sectional web-based survey of US cisgender MSM aged ≥ 15 years, in which ~ 10% of each year's sample is drawn from the previous year. Among those surveyed for 2 years who remained HIV-negative and off PrEP, reports of having any CAS and of CAS partner number were compared across years. We disaggregated by partner HIV status, and considered demographic predictors. The overall population saw a significant 2.2 percentage-point (pp) increase in reports of any CAS year-over-year. Sub-populations with the largest year-on-year increases were 15-24-year-olds (5.0-pp) and Hispanic respondents (5.1-pp), with interaction (young Hispanic respondents = 12.8-pp). On the relative scale, these numbers correspond to 3.2%, 7.2%, 7.3% and 18.7%, respectively. Absolute increases were concentrated among partners reported as HIV-negative. Multivariable analyses for CAS initiation found effects concentrated among Hispanic and White youth and residents of fringe counties of large metropolitan areas. CAS partner number increases were similarly predicted by Hispanic identity and young age. Although condom use remains more common than PrEP use, increasing CAS among MSM not on PrEP suggests potential new HIV transmission pathways. Concentration of increases among 18-24-year-old MSM portends future increases in the proportion of newly diagnosed HIV that occur among youth. Concentration among young Hispanic MSM will likely expand existing disparities. Although reducing barriers to PrEP remains vital, condom promotion for MSM remains a key public health practice and appears to be missing key audiences. LGBTQ+-inclusive sex education is one avenue for enhancing these efforts.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
التعليقات: Erratum in: AIDS Behav. 2024 May;28(5):1781. doi: 10.1007/s10461-024-04327-w. (PMID: 38619654)
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معلومات مُعتمدة: U38-PS004646 National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention; R01-AI138783 National Institute of Allergy and Infectious Diseases; P30-AI027757 National Institute of Allergy and Infectious Diseases; P2C-HD042828 National Institute of Child Health and Human Development
فهرسة مساهمة: Keywords: Condoms; HIV-1; Men who have sex with men; Pre-exposure prophylaxis; United States
تواريخ الأحداث: Date Created: 20240227 Date Completed: 20240504 Latest Revision: 20240701
رمز التحديث: 20240702
DOI: 10.1007/s10461-024-04281-7
PMID: 38411799
قاعدة البيانات: MEDLINE
الوصف
تدمد:1573-3254
DOI:10.1007/s10461-024-04281-7