Sex Venue-Based Network Analysis to Identify HIV Prevention Dissemination Targets for Men Who Have Sex with Men

Rupa R. Patel, Douglas A. Luke, Enola K. Proctor, William G. Powderly, Philip A. Chan, Kenneth H. Mayer, Laura C. Harrison, Amar Dhand

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Purpose: The aim of this study was to identify sex venue-based networks among men who have sex with men (MSM) to inform HIV preexposure prophylaxis (PrEP) dissemination efforts. Methods: Using a cross-sectional design, we interviewed MSM about the venues where their recent sexual partners were found. Venues were organized into network matrices grouped by condom use and race. We examined network structure, central venues, and network subgroups. Results: Among 49 participants, the median age was 27 years, 49% were Black and 86% reported condomless anal sex (ncAS). Analysis revealed a map of 54 virtual and physical venues with an overlap in the ncAS and with condom anal sex (cAS) venues. In the ncAS network, virtual and physical locations were more interconnected. The ncAS venues reported by Blacks were more diffusely organized than those reported by Whites. Conclusion: The network structures of sex venues for at-risk MSM differed by race. Network information can enhance HIV prevention dissemination efforts among subpopulations, including PrEP implementation.

Original languageEnglish
Pages (from-to)78-85
Number of pages8
JournalLGBT Health
Volume5
Issue number1
DOIs
StatePublished - Jan 2018

Keywords

  • PrEP
  • dissemination
  • implementation
  • men who have sex withmen
  • network analysis
  • preexposure prophylaxis for HIV

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