Knowledge and Use of HIV Pre-Exposure Prophylaxis Among Attendees of Minority Gay Pride Events, 2004

Kellerman, Scott E.; Hutchinson, Angela B.; Begley, Elin; Boyett, Brian; Clark, Hollie; Sullivan, Patrick S.

doi:10.1097/01.qai.0000234085.18914.d5

Cited by 53 publications

(36 citation statements)

References 4 publications

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“…The findings from this analysis suggest it may be necessary to enhance specialized HIV prevention and educational efforts within bars/ clubs and on the Internet in an effort to more effectively reach those few men whom engage in sexual risk behavior; and in particular barebackers. For barebackers, emerging medical technologies, such as Pre-exposure Prophylaxis (PrEP), might be a necessary harm reduction strategy worthy of exploring (Cohen, 2006;Costello, 2005;Kellerman et al, 2005;Youle & Wainberg, 2003).…”

Section: Discussionmentioning

confidence: 99%

Sexual Risk Behavior and Venues for Meeting Sex Partners: An Intercept Survey of Gay and Bisexual Men in LA and NYC

2007

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Understanding the link between venues for meeting sex partners and sexual risk behavior is critical to developing and placing effective sexual health education and HIV prevention services. Non-monogamous gay and bisexual men (n = 886) were surveyed in New York and Los Angeles about the venues that they met recent sex partners: bathhouses, private sex parties, gay bars/clubs, the gym, via public cruising, and the Internet. Bars/clubs, bathhouses, and the Internet were the most endorsed venues for meeting partners. Men having met a majority of their partners (i.e., "preference") via these three venues were compared/contrasted. Those having preference for bars/clubs were dissimilar from men with preference for bathhouses or the Internet on multiple levels (e.g. age, number of sex partners, temptation for unsafe sex). However, these men were proportionally similar in whether they had engaged in a recent episode of unprotected anal intercourse (UAI). Logistic regressions predicting UAI suggested venues might not play a role in differentiating men who had preference for bars/clubs, bathhouses or the Internet. Additional regression analyses utilizing all six venues to predict UAI suggested other person-factors such as identity as a barebacker and temptation for unsafe sex better explain UAI. This research suggests HIV prevention and educational campaigns targeted within venues need also address socio-psychological person-factors in addition to environmental/venue contexts.

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Section: Discussionmentioning

confidence: 99%

Sexual Risk Behavior and Venues for Meeting Sex Partners: An Intercept Survey of Gay and Bisexual Men in LA and NYC

2007

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“…While Phase II/III clinical trials of PREP are currently underway in five countries, including the United States, there have been anecdotal newspaper reports that some individuals are already experimenting with PREP, buying or selling antiretrovirals at clubs or bars immediately prior to high-risk sex (Cohen 2006;Costello 2005). Data collected from a sample of attendees of minority gay pride events in four cities in 2004 revealed that 25% of participants had heard of PREP, and seven-percent of attendees in San Francisco and Baltimore reported having used PREP at least once (Kellerman et al 2006). In order to meet the continued challenge of combining emerging biomedical prevention strategies with behavioral interventions that will enable and support them, it is imperative to understand the psychosocial and behavioral vulnerabilities that might be associated with high-risk sexual behavior in the context of NPEP.…”

Section: Introductionmentioning

confidence: 98%

Determinants of High-Risk Sexual Behavior during Post-Exposure Prophylaxis to Prevent HIV Infection

et al. 2007

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Men who have sex with men (MSM) receiving non-occupational post-exposure prophylaxis (NPEP) to prevent HIV transmission completed interview-assisted questionnaires regarding high-risk behavior in the 6 months prior to NPEP and during the 28-day NPEP period. 21% of participants reported unprotected sex during NPEP, and 11% reported unprotected sex with HIV-positive or HIV status unknown partners. In univariate analyses, unprotected sex during NPEP was associated with prevention fatigue, depression, loss of loved ones to HIV, and a history of engagement with HIV/AIDS service organizations, e.g., receiving services from an HIV-related agency, donating money to HIV-related causes, and reading HIV-related magazines. Logistic regression analyses revealed that the strongest predictor of risk-taking during NPEP was HIV engagement. These data underscore the importance of combining chemoprophylaxis with behavioral interventions that support risk-reduction. Such interventions should not assume that those most engaged with HIV/AIDS service organizations are less likely to engage in risk behavior.

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“…Although PrEP trials have shown efficacy for both MSM and heterosexual women and men, eight of the ten published surveys assessing awareness and attitudes toward the use of PrEP in U.S. populations were conducted exclusively with men who have sex with men (MSM) (Barash & Golden, 2010;Golub, Kowalczyk, Weinberger, & Parsons, 2010;Koblin et al, 2008;Liu et al, 2008;Mansergh et al, 2010;Mehta et al, 2011;Mimiaga, Case, Johnson, Safren, & Mayer, 2009;Voetsch, Heffelfinger, Begley, Jafa-Bhushan, & Sullivan, 2007); one with a primarily, but not exclusively, homosexual/bisexual male population (Kellerman et al, 2006), and only one with a largely heterosexual STD clinic population (Whiteside, Harris, Scanlon, Clarkson, & Duffus, 2011). These surveys elicited responses to discrete choice questions about anticipated use of PrEP and awareness of PrEP and were all conducted while trials were underway and efficacy results were not yet known.…”

Section: Introductionmentioning

confidence: 99%

Attitudes and Program Preferences of African-American Urban Young Adults About Pre-Exposure Prophylaxis (PrEP)

Smith

Toledo²,

Smith³

et al. 2012

AIDS Education and Prevention

171

154

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Knowledge and Use of HIV Pre-Exposure Prophylaxis Among Attendees of Minority Gay Pride Events, 2004

Cited by 53 publications

References 4 publications

Sexual Risk Behavior and Venues for Meeting Sex Partners: An Intercept Survey of Gay and Bisexual Men in LA and NYC

Sexual Risk Behavior and Venues for Meeting Sex Partners: An Intercept Survey of Gay and Bisexual Men in LA and NYC

Determinants of High-Risk Sexual Behavior during Post-Exposure Prophylaxis to Prevent HIV Infection

Attitudes and Program Preferences of African-American Urban Young Adults About Pre-Exposure Prophylaxis (PrEP)

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