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.
Department of Sociology, University of South Florida, 4202 East Fowler Ave CPR 107, Tampa, FL, 33630, USA.
AIDS Behav. 2021 May;25(5):1636-1645. doi: 10.1007/s10461-020-03080-0. Epub 2021 Jan 2.
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.
暴露前预防 (PrEP) 是 HIV 预防的重要组成部分；然而，在与男性发生性关系的拉丁裔男同性恋者 (LMSM) 中，PrEP 的使用及其使用情况的披露对 condom 使用的影响尚不清楚。本研究探讨了 LMSM 使用 PrEP 和披露 PrEP 使用情况与过去 6 个月内的一致性对偶 condom 使用之间的关联。参与者为年龄在 20-39 岁的 130 名 HIV 阴性的 PrEP 和非 PrEP 使用的 LMSM。使用 R 拟合了评估个人和对偶水平预测因子对 condom 使用的两水平逻辑回归模型。参与者报告的平均性伴侣数为 4 个（n=507 对）。报告使用 PrEP 或有更多性伴侣的参与者更有可能使用 condom；然而，报告披露 PrEP 使用情况的参与者更不可能使用 condom。未来的纵向研究应使用网络方法，描述增加关于 PrEP、 condom 使用和其他 HIV 降低风险策略的知情个人健康选择和对话的方法。
