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Exploration of the Complex Relationship among Multilevel Predictors of PrEP Use among Men Who Have Sex with Men in the United States
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3 2021
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Source: AIDS Behav. 25(3):798-808
[PDF-369.23 KB]
Details:
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Alternative Title:AIDS Behav
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Personal Author:
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Description:Objective:
To explore the relationships among individual-, social-, and contextual- (state-level characteristics, including LBGTQ+ and racial inequality) level factors and PrEP use.
Methods:
A cross-sectional survey was conducted in 2015–2016 among a geographically diverse group of men who have sex with men (MSM). Survey data was linked to publicly available state-level data based on participant zip code. Multivariable multilevel logistic regression was used to explore the association between multilevel variables and PrEP use.
Results:
Of 4,165 HIV-negative MSM, 13.4% were taking PrEP. In the regression analysis, several demographic and behavioral factors were associated with higher odds of PrEP use. Importantly, after adjusting for individual- and social-level factors, residents of states with high LGBTQ+ equality had significantly higher odds of taking PrEP (OR=1.57; 95%CI: 1.119,2.023) compared to low equality states.
Conclusions:
LGBTQ+ inequality between states may hinder PrEP use. States may need to take proactive measures to reduce LGBTQ+ inequality as this may negatively impact the ability to reach the federal administration’s stated goal to end the HIV epidemic in the US.
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Pubmed ID:32948921
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Pubmed Central ID:PMC7886950
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Volume:25
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Issue:3
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