Sex Tourism and Pre-Exposure Prophylaxis Modality Preferences Among Men Who Have Sex With Men
Autor: | Dustin T. Duncan, Brandon Brooks, Samuel Dubin, Su Hyun Park, John A. Schneider, Vincent Guilamo-Ramos, Ofole Mgbako, Salem Harry-Hernandez |
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Rok vydání: | 2018 |
Předmět: |
Adult
Male Health Knowledge Attitudes Practice Sociology and Political Science Sexual Behavior Human immunodeficiency virus (HIV) MEDLINE medicine.disease_cause Men who have sex with men Gender Studies 03 medical and health sciences Pre-exposure prophylaxis 0302 clinical medicine History and Philosophy of Science Humans Medicine 030212 general & internal medicine General Psychology Travel 030505 public health Modality (human–computer interaction) business.industry Extramural virus diseases Increased risk Anti-Infective Agents Local Pre-Exposure Prophylaxis 0305 other medical science business human activities Tourism Demography |
Zdroj: | The Journal of Sex Research. 56:632-640 |
ISSN: | 1559-8519 0022-4499 |
Popis: | Sex tourism among men who have sex with men (MSM) has been associated with increased risk for human immunodeficiency virus (HIV) due to sexually scripted environments characterized by multiple sexual partners, increased availability of alcohol and drugs, and limited availability of HIV-prevention services. The current study examined the knowledge of and likelihood of using different modalities of pre-exposure prophylaxis (PrEP), an important biomedical HIV-prevention strategy, among MSM in Paris who have engaged in sex tourism. A sample of 580 MSM from a highly popular geosocial-networking smartphone application in Paris, France, participated in the survey. Of the 580 MSM, 444 participants reported an HIV-negative status and represent the analytic sample for this study. Approximately 27% reported engaging in sexual tourism. MSM who engaged in sex tourism were more likely to aware of on-demand PrEP and more likely to express interest in using on-demand PrEP (adjusted risk ratio [aRR] = 1.26; 95% confidence interval [CI] = 1.03-1.53, aRR = 1.29; 95% CI = 1.04-1.61, respectively) than MSM who never engaged in sex tourism. Moreover, participants who engaged in sex tourism were more likely to express interest in rectal microbicides or both rectal and penile microbicides (aRR = 1.34; 95% CI = 1.13-1.59, aRR = 1.26; 95% CI = 1.03-1.55, respectively) than participants who had not engaged in sex tourism. With the high likelihood of interest in using alternative forms of PrEP in MSM who engage in sex tourism, this study suggests potential benefits for these alternative forms of PrEP for this specific population and underscores the importance of their continued development. |
Databáze: | OpenAIRE |
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