AIDS and Behavior

, Volume 17, Issue 6, pp 2180–2184

Knowledge and Use of Pre-Exposure Prophylaxis Among an Online Sample of Young Men Who Have Sex with Men in New York City

  • Katherine B. Rucinski
  • Nana P. Mensah
  • Kent A. Sepkowitz
  • Blayne H. Cutler
  • M. Monica Sweeney
  • Julie E. Myers
Brief Report

Abstract

Understanding prior knowledge and experience with pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) is critical to its implementation. In fall 2011, NYC MSM were recruited via banner advertisements on six popular dating websites and asked questions about their knowledge and use of PrEP (n = 329). Overall, 123 (38 %) respondents reported knowledge of PrEP, of whom two (1.5 %) reported PrEP use in the past 6 months. Knowledge of PrEP was associated with high educational attainment, gay identity and recent HIV testing, suggesting an uneven dissemination of information about PrEP and missed opportunities for education. To avoid disparities in use during scale-up, MSM should be provided with additional information about PrEP.

Keywords

Pre-exposure prophylaxis MSM HIV prevention 

Resumen

Es importante entender el conocimiento y las experiencias previas que los hombres que tienen relaciones sexuales con otros hombres (HSH) tienen sobre profilaxis de pre-exposición (PrEP) para su implementación. En el otoño del 2011 fue reclutado un grupo de HSH en la ciudad de Nueva York a través de anuncios en seis sitios en el Internet que son populares entre HSH y se les preguntó acerca de su conocimiento y uso de PrEP (n = 329). En total, 123 (38 %) participantes contestaron tener conocimiento acerca de PrEP y dos de estos (1.5 %) reportaron haberlo usado en los pasados seis meses. El conocimiento sobre PrEP estuvo relacionado con un alto nivel educativo, el identificarse como gay y el haberse hecho la prueba del VIH recientemente, lo cuál sugiere que existe una desigualdad en la distribución de la información y la perdida de oportunidades para educar sobre PrEP. Para evitar desigualdades durante la expansión en el uso de PrEP es necesario proveer más información sobre éste entre los HSH.

References

  1. 1.
    Tsai CC, Follis KE, Sabo A, et al. Prevention of SIV infection in macaques by (R)-9-(2-phosphonylmethoxypropyl)adenine. Science. 1995;270(5239):1197–9.PubMedCrossRefGoogle Scholar
  2. 2.
    Kellerman SE, Hutchinson AB, Begley EB, Boyett BC, Clark HA, Sullivan P. Knowledge and use of HIV pre-exposure prophylaxis among attendees of minority gay pride events, 2004. J Acquir Immune Defic Syndr. 2006;43(3):376–7.PubMedCrossRefGoogle Scholar
  3. 3.
    Grant RM, Lama JR, Anderson PL, et al. Preexposure chemoprophylaxis for HIV prevention in men who have sex with men. N Engl J Med. 2010;363(27):2587–99.PubMedCrossRefGoogle Scholar
  4. 4.
    Centers for Disease Control and Prevention. Interim Guidance: Preexposure prophylaxis for the prevention of HIV infection in men who have sex with men. MMWR. 2011;60(3):65–68.Google Scholar
  5. 5.
    US Food and Drug Administration. FDA approves first drug for reducing the risk of sexually acquired HIV infection. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm312210.htm. Accessed 5 Sept 2012.
  6. 6.
    Barash EA, Golden M. Awareness and use of HIV pre-exposure prophylaxis among attendees of a seattle gay pride event and sexually transmitted disease clinic. AIDS Patient Care and STDs. 2010;24(11):689–91.PubMedCrossRefGoogle Scholar
  7. 7.
    Mimiaga MJ, Case P, Johnson CV, Safren SA, Mayer KH. Preexposure antiretroviral prophylaxis attitudes in high-risk Boston area men who report having sex with men: limited knowledge and experience but potential for increased utilization after education. J Acquir Immune Defic Syndr. 2009;50(1):77–83.PubMedCrossRefGoogle Scholar
  8. 8.
    Liu AY, Kittredge PV, Vittinghoff E, et al. Limited knowledge and use of HIV post- and pre-exposure prophylaxis among gay and bisexual men. J Acquir Immune Defic Syndr. 2008;47(2):241–7.PubMedCrossRefGoogle Scholar
  9. 9.
    Mehta SA, Silvera R, Bernstein K, Holzman RS, Aberg JA, Daskalakis DC. Awareness of post-exposure HIV prophylaxis in high-risk men who have sex with men in New York City. Sex Transm Infect. 2011;87(4):344–8.PubMedCrossRefGoogle Scholar
  10. 10.
    Leonardi M, Lee E, Tan DH. Awareness of, usage of and willingness to use HIV pre-exposure prophylaxis among men in downtown Toronto, Canada. Int J STD AIDS. 2011;22(12):738–41.PubMedCrossRefGoogle Scholar
  11. 11.
    Thigpen MC, Kebaabetswe PM, Paxton LA, et al. Antiretroviral preexposure prophylaxis for heterosexual HIV transmission in Botswana. N Engl J Med. 2012;367(5):423–34.PubMedCrossRefGoogle Scholar
  12. 12.
    Baeten JM, Donnell D, Ndase P, et al. Antiretroviral prophylaxis for HIV prevention in heterosexual men and women. N Engl J Med. 2012;367(5):399–410.PubMedCrossRefGoogle Scholar
  13. 13.
    Centers for Disease Control and Prevention. National HIV Behavioral Surveillance. http://www.cdc.gov/hiv/bcsb/nhbs/index.htm. Accessed 7 Sept 2012.
  14. 14.
    Krakower DS, Mimiaga MJ, Rosenberger JG, et al. Limited awareness and low immediate uptake of pre-exposure prophylaxis among men who have sex with men using an internet social networking site. PLoS ONE. 2012;7(3):e33119.PubMedCrossRefGoogle Scholar
  15. 15.
    Jay JS, Gostin LO. Ethical challenges of preexposure prophylaxis for HIV. JAMA. 2012;308(9):867–8.PubMedCrossRefGoogle Scholar
  16. 16.
    Leibowitz AA, Parker KB, Rotheram-Borus MJ. A US policy perspective on oral preexposure prophylaxis for HIV. Am J Public Health. 2011;101(6):982–5.PubMedCrossRefGoogle Scholar
  17. 17.
    Bernstein KT, Liu KL, Begier EM, Koblin B, Karpati A, Murrill C. Same-sex attraction disclosure to health care providers among New York City men who have sex with men: implications for HIV testing approaches. Arch Intern Med. 2008;168(13):1458–64.PubMedCrossRefGoogle Scholar
  18. 18.
    Torrone EA, Thomas JC, Maman S, et al. Risk behavior disclosure during HIV test counseling. AIDS Patient Care and STDs. 2010;24(9):551–61.PubMedCrossRefGoogle Scholar
  19. 19.
    Wimberly YH, Hogben M, Moore-Ruffin J, Moore SE, Fry-Johnson Y. Sexual history-taking among primary care physicians. J Natl Med Assoc. 2006;98(12):1924–9.PubMedGoogle Scholar
  20. 20.
    New York City Department of Health and Mental Hygiene. New York City HIV/AIDS Annual Surveillance Statistics. http://www.nyc.gov/html/doh/downloads/pdf/ah/surveillance2010-tables-all.pdf. Accessed 5 Sept 2012.

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  • Katherine B. Rucinski
    • 1
  • Nana P. Mensah
    • 1
  • Kent A. Sepkowitz
    • 1
    • 2
  • Blayne H. Cutler
    • 1
  • M. Monica Sweeney
    • 1
  • Julie E. Myers
    • 1
    • 3
  1. 1.Bureau of HIV/AIDS Prevention and ControlNew York City Department of Health and Mental HygieneLong Island CityUSA
  2. 2.Department of MedicineMemorial Sloan-Kettering Cancer CenterNew YorkUSA
  3. 3.Division of Infectious Diseases, Department of MedicineColumbia University Medical CenterNew YorkUSA

Personalised recommendations