Post-exposure prophylaxis awareness and use among men who have sex with men in London who use geosocial-networking smartphone applications.

Autor: Goedel WC; a Spatial Epidemiology Lab, Department of Population Health, School of Medicine , New York University , New York , NY , USA.; b College of Global Public Health , New York University , New York , NY , USA.; c Department of Sociology, College of Arts and Science , New York University , New York , NY , USA., Hagen D; a Spatial Epidemiology Lab, Department of Population Health, School of Medicine , New York University , New York , NY , USA.; b College of Global Public Health , New York University , New York , NY , USA.; d Center for Health, Identity, Behavior, and Prevention Studies , New York University , New York , NY , USA., Halkitis PN; b College of Global Public Health , New York University , New York , NY , USA.; d Center for Health, Identity, Behavior, and Prevention Studies , New York University , New York , NY , USA.; e Center for Drug Use and HIV Research, Rory Meyers College of Nursing , New York University , New York , NY , USA.; f Population Center, College of Arts and Science , New York University , New York , NY , USA., Greene RE; d Center for Health, Identity, Behavior, and Prevention Studies , New York University , New York , NY , USA.; g Department of Medicine, School of Medicine , New York University , New York , NY , USA., Griffin-Tomas M; b College of Global Public Health , New York University , New York , NY , USA.; d Center for Health, Identity, Behavior, and Prevention Studies , New York University , New York , NY , USA., Brooks FA; a Spatial Epidemiology Lab, Department of Population Health, School of Medicine , New York University , New York , NY , USA., Hickson D; i Department of Medicine, School of Medicine , University of Mississippi Medical Center , Jackson , MS , USA.; j Center for Research, Evaluation, and Environmental Policy Change , My Brother's Keeper, Inc. , Jackson , MS , USA., Duncan DT; a Spatial Epidemiology Lab, Department of Population Health, School of Medicine , New York University , New York , NY , USA.; b College of Global Public Health , New York University , New York , NY , USA.; d Center for Health, Identity, Behavior, and Prevention Studies , New York University , New York , NY , USA.; e Center for Drug Use and HIV Research, Rory Meyers College of Nursing , New York University , New York , NY , USA.; f Population Center, College of Arts and Science , New York University , New York , NY , USA.; h Center for Data Science , New York University , New York , NY , USA.
Jazyk: angličtina
Zdroj: AIDS care [AIDS Care] 2017 May; Vol. 29 (5), pp. 579-586. Date of Electronic Publication: 2016 Dec 02.
DOI: 10.1080/09540121.2016.1259455
Abstrakt: The number of new HIV infections continues to be on the rise in many high-income countries, most notably among men who have sex with men (MSM). Despite recent attention to the use of antiretroviral medications as pre-exposure prophylaxis (PrEP) among MSM, considerably less research has been devoted to examining the awareness and use of post-exposure prophylaxis (PEP). Based on a convenience sample of 179 self-reported HIV-uninfected MSM using a geosocial-networking smartphone application, this study is among the first to examine the awareness and use of PEP and their demographic and behavioral correlates among MSM in London. Most respondents (88.3%) had heard of PEP, where 27.4% reported having used it. In multivariable models, the disclosure of one's sexual orientation to their general practitioner (Prevalence ratio [PR]: 3.49; 95% confidence interval (CI): 1.14, 10.70; p = .029) and reporting one's HIV status as negative (rather than unknown) (PR: 11.49; 95% CI: 1.68, 76.92; p = .013) were associated with having heard of PEP; while the recent use of club drugs (PR: 3.02; 95% CI: 1.42, 6.43; p = .004) was associated with having ever used PEP. High awareness and use in this sample suggest that PEP is a valuable risk-reduction strategy that should be capitalized on, be it in addition to or in the absence of PrEP.
Databáze: MEDLINE
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