PrEP Use and PrEP Use Disclosure are Associated with Condom Use During Sex: A Multilevel Analysis of Latino MSM Egocentric Sexual Networks.

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Tytuł:: PrEP Use and PrEP Use Disclosure are Associated with Condom Use During Sex: A Multilevel Analysis of Latino MSM Egocentric Sexual Networks.
Autorzy:: Shrader CH; Division of Prevention Science and Community Health, Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 NW 14th St, Suite 1006, Miami, FL, 33132, USA. .
Arroyo-Flores J; Division of Prevention Science and Community Health, Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 NW 14th St, Suite 1006, Miami, FL, 33132, USA.
Skvoretz J; Department of Sociology, University of South Florida, 4202 East Fowler Ave CPR 107, Tampa, FL, 33630, USA.
Fallon S; Latinos Salud, 2330 Wilton Dr, Wilton Manors, FL, 33305, USA.
Gonzalez V; Latinos Salud, 2330 Wilton Dr, Wilton Manors, FL, 33305, USA.
Safren S; Department of Psychology, University of Miami, 5665 Ponce De Leon Blvd, Room 463, Coral Gables, FL, 33146, USA.
Algarin A; Department of Medicine, University of California San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.
Johnson A; Division of Epidemiology, Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 NW 14th St, Suite 1006, Miami, FL, 33136, USA.
Doblecki-Lewis S; Division of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, 1120 NW 14th Street #853, Miami, FL, 33136, USA.
Kanamori M; Division of Prevention Science and Community Health, Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 NW 14th St, Suite 1006, Miami, FL, 33132, USA.
Źródło:: AIDS and behavior [AIDS Behav] 2021 May; Vol. 25 (5), pp. 1636-1645. Date of Electronic Publication: 2021 Jan 02.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: 2005- : New York, NY : Springer Science + Business Media
Original Publication: New York, NY : Plenum Press, 1997-
MeSH Terms:: Anti-HIV Agents*/therapeutic use
HIV Infections*/drug therapy
HIV Infections*/prevention & control
Pre-Exposure Prophylaxis*
Sexual and Gender Minorities*
Adult ; Condoms ; Disclosure ; Hispanic or Latino ; Homosexuality, Male ; Humans ; Male ; Multilevel Analysis ; Sexual Behavior ; Sexual Partners ; Young Adult
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Grant Information:: P30 AI050409 United States AI NIAID NIH HHS; R00DA041494 United States DA NIDA NIH HHS; F31 MD015988 United States MD NIMHD NIH HHS; R00 DA041494 United States DA NIDA NIH HHS; K99 DA041494 United States DA NIDA NIH HHS; #P30MH116867 United States MH NIMH NIH HHS; U54 MD002266 United States MD NIMHD NIH HHS; P30 MH116867 United States MH NIMH NIH HHS; K99DA041494 United States DA NIDA NIH HHS; R01 MH125727 United States MH NIMH NIH HHS
Contributed Indexing:: Keywords: Condoms; Hispanic Americans; Men who have sex with men; PrEP; Risk reduction behavior
Local Abstract: [Publisher, Spanish; Castilian] La pastilla PrEP es un nuevo método profiláctico para prevenir el contagio del VIH. Aun no se ha determinado la manera en que el consumo de PrEP y las conversaciones sobre el uso de PrEP puedan influenciar en el uso de condones entre los hombres Latinos que tienen relaciones sexuales con otros hombres (HLSH). Este estudio exploró las asociaciones entre el uso y la divulgación del uso de PrEP con el uso de condones durante las relaciones sexuales que los HLSH tuvieron en los últimos 6 meses. En este estudio participaron un total 130 HLSH que eran VIH-negativos usuarios. Los participantes podían ser usuarios o no usuarios de PrEP, pero todos debían tener entre 20 y 39 años. Estimamos modelos de regresión logística de dos niveles, utilizando el programa R, para identificar factores individuales y diádicos asociados con el uso de condones. Los participantes reportaron un promedio de cuatro parejas sexuales (n = 507 diadas). Encontramos que los participantes que reportaron usar PrEP o tenían un promedio mayor de parejas sexuales tenían una mayor probabilidad de haber usando condones. Sin embargo, la probabilidad de haber usados condones se redujo en los participantes que comunicaron a sus parejas sexuales que usaban PrEP. Es necesario implementar otros estudios longitudinales para entender como diseñar estrategias basadas en redes sociales que promuevan conversaciones sobre PrEP y el uso de condones.
Substance Nomenclature:: 0 (Anti-HIV Agents)
Entry Date(s):: Date Created: 20210102 Date Completed: 20210427 Latest Revision: 20240404
Update Code:: 20240404
PubMed Central ID:: PMC8667162
DOI:: 10.1007/s10461-020-03080-0
PMID:: 33387134
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Pre-exposure prophylaxis (PrEP) is integral to HIV prevention; however, the influence of PrEP use and PrEP use disclosure on condom use is unclear among Latinx men who have sex with men (LMSM). This study explored associations of LMSM PrEP use and use disclosure on consistent dyadic condom use in the past 6 months. Participants were 130 HIV-negative PrEP and non-PrEP using LMSM ages 20-39 years. Two-level logistic regression models assessing individual- and dyadic-level predictors on condom use were fitted using R. Participants reported a mean of four sexual partners (n = 507 dyads). Participants who reported using PrEP or having more sexual partners were more likely to use condoms; however, participants who reported disclosing PrEP use were less likely to use condoms. Future longitudinal studies should characterize approaches to increase informed personal health choices and conversations about PrEP, condom use, and other HIV risk-reduction strategies using network methodologies.

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