TY - JOUR
T1 - Behavioral Changes Following Uptake of HIV Pre-exposure Prophylaxis Among Men Who Have Sex with Men in a Clinical Setting
AU - Oldenburg, Catherine E.
AU - Nunn, Amy S.
AU - Montgomery, Madeline
AU - Almonte, Alexi
AU - Mena, Leandro
AU - Patel, Rupa R.
AU - Mayer, Kenneth H.
AU - Chan, Philip A.
N1 - Publisher Copyright:
© 2017, Springer Science+Business Media New York.
PY - 2018/4/1
Y1 - 2018/4/1
N2 - We describe changes in sexual behaviors among men who have sex with men (MSM) following initiation of pre-exposure prophylaxis (PrEP) in a clinic-based sample of MSM initiating PrEP in Providence, Rhode Island. Data were collected at baseline, 3, and 6 months following PrEP initiation including total number of anal sex partners and condom use. A longitudinal mixed effects model assessed changes in number of partners and condom use over time, adjusting for age, race, and education. There was no statistically significant difference in total number of partners over time. There was a significant increase in number of condomless anal sex partners at the 6-month visit compared to baseline (mean change +1.31 partners, 95% confidence interval 0.09–2.53, P = 0.035). As condomless anal sex may increase following PrEP uptake, adherence counseling and efforts to retain patients in PrEP care, especially during periods of non-condom use, are important as PrEP is more widely implemented.
AB - We describe changes in sexual behaviors among men who have sex with men (MSM) following initiation of pre-exposure prophylaxis (PrEP) in a clinic-based sample of MSM initiating PrEP in Providence, Rhode Island. Data were collected at baseline, 3, and 6 months following PrEP initiation including total number of anal sex partners and condom use. A longitudinal mixed effects model assessed changes in number of partners and condom use over time, adjusting for age, race, and education. There was no statistically significant difference in total number of partners over time. There was a significant increase in number of condomless anal sex partners at the 6-month visit compared to baseline (mean change +1.31 partners, 95% confidence interval 0.09–2.53, P = 0.035). As condomless anal sex may increase following PrEP uptake, adherence counseling and efforts to retain patients in PrEP care, especially during periods of non-condom use, are important as PrEP is more widely implemented.
KW - Behavioral compensation
KW - HIV
KW - Implementation
KW - Men who have sex with men
KW - Pre-exposure prophylaxis
UR - https://www.scopus.com/pages/publications/85011277204
U2 - 10.1007/s10461-017-1701-1
DO - 10.1007/s10461-017-1701-1
M3 - Article
C2 - 28150120
AN - SCOPUS:85011277204
SN - 1090-7165
VL - 22
SP - 1075
EP - 1079
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 4
ER -