Post-exposure prophylaxis awareness and use among men who have sex with men in London who use geosocial-networking smartphone applications

William C. Goedel, Daniel Hagen, Perry N. Halkitis, Richard E. Greene, Marybec Griffin-Tomas, Forrest A. Brooks, De Marc Hickson, Dustin Duncan

Research output: Contribution to journalArticle

Abstract

The number of new HIV infections continues to be on the rise in many high-income countries, most notably among men who have sex with men (MSM). Despite recent attention to the use of antiretroviral medications as pre-exposure prophylaxis (PrEP) among MSM, considerably less research has been devoted to examining the awareness and use of post-exposure prophylaxis (PEP). Based on a convenience sample of 179 self-reported HIV-uninfected MSM using a geosocial-networking smartphone application, this study is among the first to examine the awareness and use of PEP and their demographic and behavioral correlates among MSM in London. Most respondents (88.3%) had heard of PEP, where 27.4% reported having used it. In multivariable models, the disclosure of one’s sexual orientation to their general practitioner (Prevalence ratio [PR]: 3.49; 95% confidence interval (CI): 1.14, 10.70; p = .029) and reporting one’s HIV status as negative (rather than unknown) (PR: 11.49; 95% CI: 1.68, 76.92; p = .013) were associated with having heard of PEP; while the recent use of club drugs (PR: 3.02; 95% CI: 1.42, 6.43; p = .004) was associated with having ever used PEP. High awareness and use in this sample suggest that PEP is a valuable risk-reduction strategy that should be capitalized on, be it in addition to or in the absence of PrEP.

Original languageEnglish (US)
Pages (from-to)1-8
Number of pages8
JournalAIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
DOIs
StateAccepted/In press - Dec 3 2016

Fingerprint

Post-Exposure Prophylaxis
prophylaxis
networking
Confidence Intervals
confidence
HIV
Disclosure
Risk Reduction Behavior
Sexual Behavior
General Practitioners
HIV Infections
Smartphone
sexual orientation
general practitioner
club
Demography
medication
drug
Research
income

Keywords

  • Men who have sex with men (MSM)
  • post-exposure prophylaxis
  • smartphone application
  • United Kingdom

ASJC Scopus subject areas

  • Health(social science)
  • Social Psychology
  • Public Health, Environmental and Occupational Health

Cite this

Post-exposure prophylaxis awareness and use among men who have sex with men in London who use geosocial-networking smartphone applications. / Goedel, William C.; Hagen, Daniel; Halkitis, Perry N.; Greene, Richard E.; Griffin-Tomas, Marybec; Brooks, Forrest A.; Hickson, De Marc; Duncan, Dustin.

In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, 03.12.2016, p. 1-8.

Research output: Contribution to journalArticle

Goedel, William C. ; Hagen, Daniel ; Halkitis, Perry N. ; Greene, Richard E. ; Griffin-Tomas, Marybec ; Brooks, Forrest A. ; Hickson, De Marc ; Duncan, Dustin. / Post-exposure prophylaxis awareness and use among men who have sex with men in London who use geosocial-networking smartphone applications. In: AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV. 2016 ; pp. 1-8.
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