Changes in Sexual Behaviour Following PrEP Initiation Among Australian Gay and Bisexual Men in Relationships: Results from a Prospective Observational Study.

Autor: Bavinton BR; Kirby Institute, UNSW Sydney, Level 6, Wallace Wurth Building, Sydney, NSW, 2052, Australia. bbavinton@kirby.unsw.edu.au., Hammoud MA; Kirby Institute, UNSW Sydney, Level 6, Wallace Wurth Building, Sydney, NSW, 2052, Australia., Holt M; Centre for Social Research in Health, UNSW Sydney, Sydney, NSW, Australia., Saxton P; Department of Social and Community Health, School of Population Health, University of Auckland, Auckland, New Zealand., Bourne A; Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Vic, Australia., MacGibbon J; Centre for Social Research in Health, UNSW Sydney, Sydney, NSW, Australia., Jin F; Kirby Institute, UNSW Sydney, Level 6, Wallace Wurth Building, Sydney, NSW, 2052, Australia., Maher L; Kirby Institute, UNSW Sydney, Level 6, Wallace Wurth Building, Sydney, NSW, 2052, Australia., Prestage GP; Kirby Institute, UNSW Sydney, Level 6, Wallace Wurth Building, Sydney, NSW, 2052, Australia.
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2021 Nov; Vol. 25 (11), pp. 3704-3711. Date of Electronic Publication: 2021 Mar 29.
DOI: 10.1007/s10461-021-03232-w
Abstrakt: Few studies have examined changes in sexual behaviour following HIV pre-exposure prophylaxis (PrEP) initiation among gay, bisexual and other men who have sex with men (GBM) in relationships. In a national, online, prospective study of GBM in Australia, we compared sexual behaviours prior to and after PrEP initiation among HIV-negative and unknown-HIV-status men (recruited 2014-2017) not taking PrEP at baseline and who completed at least one six-monthly follow-up by July 2018. Among men in relationships who did not initiate PrEP (n = 339), we compared their most recent survey to their prior one, while among men in relationships who initiated PrEP (n = 81), we compared follow-ups before and after PrEP initiation. Among the 81 PrEP-initiators who were in a relationship both before and after initiation, the proportion reporting their regular partner was on PrEP increased from 8.3 to 44.4% (p < 0.001) and the proportion reporting receptive CLAIC increased from 27.2 to 44.4% (p = 0.009). Overall, men who initiated PrEP were more likely to be in a relationship with a partner on PrEP, and it appeared they started PrEP around the same time. Receptive CLAIC also became more common.
(© 2021. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE