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PrEP Use and PrEP Use Disclosure are Associated with Condom Use During Sex: A Multilevel Analysis of Latino MSM Egocentric Sexual Networks
AIDS and Behavior ( IF 4.852 ) Pub Date : 2021-01-02 , DOI: 10.1007/s10461-020-03080-0
Cho-Hee Shrader 1 , Juan Arroyo-Flores 1 , John Skvoretz 2 , Stephen Fallon 3 , Victor Gonzalez 3 , Steven Safren 4 , Angel Algarin 5 , Ariana Johnson 6 , Susanne Doblecki-Lewis 7 , Mariano Kanamori 1
Affiliation  

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.



中文翻译:

PrEP 使用和 PrEP 使用披露与性行为时使用安全套相关:对拉丁裔 MSM 以自我为中心的性网络的多层次分析

暴露前预防 (PrEP) 是艾滋病毒预防的组成部分;然而,在男男性行为的拉丁裔男性 (LMSM) 中,PrEP 使用和 PrEP 使用披露对安全套使用的影响尚不清楚。本研究探讨了 LMSM PrEP 使用和使用披露与过去 6 个月持续使用二元安全套之间的关联。使用 LMSM 的参与者包括 130 名 HIV 阴性 PrEP 和非 PrEP,年龄为 20-39 岁。使用 R 拟合了评估安全套使用的个体和二元水平预测因素的两级逻辑回归模型。参与者报告平均有四个性伴侣(n = 507 二元)。报告使用 PrEP 或拥有更多性伴侣的参与者更有可能使用安全套;然而,报告披露 PrEP 使用情况的参与者使用安全套的可能性较小。未来的纵向研究应该采用网络方法来描述增加知情个人健康选择和关于 PrEP、安全套使用和其他艾滋病毒风险降低策略的对话的方法。

更新日期:2021-01-02
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