Individual and Partner Characteristics Associated With Intentions to Use PrEP Among Partnered Men, Trans Men, and Trans Women in Sero-Concordant and -Discordant Relationships in the United States

AIDS Educ Prev. 2020 Oct;32(5):367-377. doi: 10.1521/aeap.2020.32.5.367.

Abstract

Despite proven effectiveness in reducing HIV transmission, pre-exposure prophylaxis (PrEP) use remains low among those who meet the recommended CDC guidance for PrEP use. Data are from a U.S. national cohort of men and trans persons who have sex with men (2017-2018). Logistic regression analyses were used to determine individual and partner factors associated with intentions to use PrEP among non-PrEP-using participants reporting a main partner (n = 1,671). Prior PrEP use among participants (14.2%) and their partners (7.7%) was low. Participants' prior PrEP use and main partner's HIV-positive status were both positively associated with intentions to use PrEP. HIV prevention interventions incorporating main partners may be effective in increasing PrEP use.

Keywords: HIV; PrEP; dyads; partner characteristics; sero-discordant.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Female
  • HIV Infections / ethnology
  • HIV Infections / prevention & control*
  • HIV Infections / psychology
  • HIV Seronegativity
  • HIV Seropositivity
  • HIV Serosorting
  • Homosexuality, Male / ethnology
  • Homosexuality, Male / psychology*
  • Homosexuality, Male / statistics & numerical data
  • Humans
  • Intention*
  • Male
  • Middle Aged
  • Pre-Exposure Prophylaxis / statistics & numerical data*
  • Safe Sex
  • Sexual Behavior / psychology
  • Sexual Behavior / statistics & numerical data
  • Sexual Partners / psychology*
  • Socioeconomic Factors
  • Transgender Persons*
  • United States
  • Young Adult