Sexual satisfaction with daily oral HIV pre-exposure prophylaxis (PrEP) among gay and bisexual men at two urban PrEP clinics in the United States: an observational study
| Autor: | Jacob J. van den Berg, Philip A. Chan, Madeline C. Montgomery, Laura C. Harrison, Jacqueline Ellison |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male business.industry Sexual Behavior Public Health Environmental and Occupational Health Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause United States Men who have sex with men Sexual and Gender Minorities Pre-exposure prophylaxis Cross-Sectional Studies Infectious Diseases Quality of life Quality of Life Health insurance Humans Medicine Pre-Exposure Prophylaxis Observational study Homosexuality Male Orgasm business Demography |
| Zdroj: | Sexual Health. 18:319-326 |
| ISSN: | 1449-8987 1448-5028 |
| DOI: | 10.1071/sh20207 |
| Popis: | Background Pre-exposure prophylaxis (PrEP) is highly effective in preventing HIV infection among men who have sex with men (MSM). However, limited data are available on the effect of PrEP use and sexual satisfaction among MSM taking PrEP. Methods: We conducted a one-time, cross-sectional survey of MSM receiving PrEP care at two hospital-based PrEP clinics in Providence, Rhode Island and Boston, Massachusetts, USA (April–September 2017). We oversampled Black and Hispanic/Latino individuals. Participants completed the 20-item New Sexual Satisfaction Scale (NSSS) twice, once for before and once for after starting PrEP. Participants reported sexual behaviours, PrEP adherence, PrEP attitudes, and quality of life with PrEP. Results: A total of 108 gay and bisexual men (GBM) participated. Overall, 15.7% were Black (non-Hispanic/Latino) and 23.1% were Hispanic/Latino, with an average age of 36.6 years. Most participants reported private health insurance coverage (71.3%), and 88.9% identified as homosexual, gay, or same gender-loving. The mean NSSS score before PrEP initiation across all 20 items was 3.94 (maximum = 5; 95% CI: 4.22, 4.43), and increased significantly after PrEP initiation (4.33, 95% CI: 4.22, 4.43; P < 0.001). Most participants (73.2%) reported that PrEP increased quality of life. This was associated with significant change in pre- to post-PrEP NSSS scores (linear regression coefficient = 1.21; 95% CI: 0.585, 1.84). Conclusions: Initiating PrEP and reporting improved quality of life were significantly associated with an increase in sexual satisfaction. PrEP implementation efforts should consider sexual satisfaction to promote PrEP engagement and retention, and researchers and providers should adopt a sex-positive approach with PrEP patients, especially among MSM. |
| Databáze: | OpenAIRE |
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