Abstract
To assess the potential for decreased condom use as pre-exposure prophylaxis (PrEP) is scaled-up in Latin America, we examined HIV prevention method preferences (neither PrEP nor condoms, condoms only, PrEP only, or PrEP with condoms) within 1302 sexual partnerships reported by 397 HIV-negative men who have sex with men (MSM) and transgender women (TW) in Tijuana, Mexico. Using PrEP with condoms (56%) was preferred to using condoms only (24%), using PrEP only (17%), and using neither PrEP nor condoms (3%). Compared to using condoms only, using PrEP only was preferred within primary (adjusted odds ratio [AOR] = 4.13, 95% confidence interval [CI] 1.92, 8.90) and condomless sex practicing (AOR = 6.97, 95% CI 3.92, 12.40) partnerships, suggesting PrEP use may not displace condom use among MSM and TW in Tijuana and other similar settings.
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Acknowledgements
The authors thank the study participants and staff without whom this study would not have been possible.
Funding
This work was supported by grants from the National Institute on Drug Abuse: K01DA040543 (HAP), R01DA037811 (TLP), and T32DA023356 (RP).
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Pines, H.A., Patrick, R., Smith, D.M. et al. HIV Prevention Method Preferences Within Sexual Partnerships Reported by HIV-Negative MSM and TW in Tijuana, Mexico. AIDS Behav 24, 839–846 (2020). https://doi.org/10.1007/s10461-019-02492-x
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DOI: https://doi.org/10.1007/s10461-019-02492-x