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The Pre-exposure Prophylaxis (PrEP) Continuum of Care and Correlates to Initiation Among HIV-Negative Men Recruited at Miami Gay Pride 2018

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Abstract

While the national HIV infection rate is decreasing, the highest rates of infections continue among men who have sex with men (MSM), particularly minority MSM. It is important to understand attitudes, knowledge, and behaviors surrounding HIV prevention methods, such as pre-exposure prophylaxis (PrEP). In the present study, we created a snapshot of the PrEP continuum of care and identified participant demographic and sources of PrEP awareness factors that were associated with PrEP initiation. Data were collected using anonymous paper–based surveys employing a venue intercept procedure. A total of 188 HIV–negative men completed the survey at Miami Gay Pride 2018. Participants answered questions regarding demographics, PrEP use, and sources of PrEP awareness. The sample was majority Hispanic (55.4%), gay (83.0%), and single (57.7%). The constructed PrEP continuum revealed that a low proportion of those identified as PrEP naïve (n = 143) for HIV infection had PrEP interest (49/143). Moreover, among those who initiated PrEP (n = 45), a high proportion were retained in a PrEP program (37/45), with approximately half achieving medication adherence (25/45). Age group, PrEP knowledge, and source of PrEP awareness were all significantly associated with PrEP initiation. In areas with high HIV infection rates, studies like these offer crucial insight on how public health practitioners should proceed in the goal of decreasing HIV transmission rates. More research is needed to increase PrEP uptake and adherence.

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Acknowledgements

We would like to thank Isis Monzon for her assistance in the data collection of this study. We would also like to acknowledge the National Institute on Drug Abuse, grant number 1R01DA042069-01A1 (PI:Cook) for funding this study.

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Authors and Affiliations

  1. Department of Epidemiology; Robert Stempel College of Public Health & Social Work, Florida International University, 11200 SW 8th Street AHC5, Miami, FL, 33199, USA

    Angel B. Algarin

  2. Department of Public Health Sciences, University of Miami, Miami, FL, USA

    Cho Hee Shrader

  3. Department of Health Promotion and Disease Prevention; Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, USA

    Chintan Bhatt

  4. United Way of Broward County, Fort Lauderdale, Fort Lauderdale, FL, USA

    Benjamin T. Hackworth

  5. Department of Epidemiology, University of Florida, Gainesville, FL, USA

    Robert L. Cook

  6. Department of Epidemiology; Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, USA

    Gladys E. Ibañez

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  1. Angel B. Algarin
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  2. Cho Hee Shrader
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  3. Chintan Bhatt
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  6. Gladys E. Ibañez
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Correspondence to Angel B. Algarin.

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This study was approved by the Florida International University Institutional Review Board.

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Algarin, A.B., Shrader, C.H., Bhatt, C. et al. The Pre-exposure Prophylaxis (PrEP) Continuum of Care and Correlates to Initiation Among HIV-Negative Men Recruited at Miami Gay Pride 2018. J Urban Health 96, 835–844 (2019). https://doi.org/10.1007/s11524-019-00362-4

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  • DOI: https://doi.org/10.1007/s11524-019-00362-4

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