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HIV-Negative Partnered Men's Willingness to Use Non-Occupational Post-Exposure Prophylaxis and Associated Factors in a U.S. Sample of HIV-Negative and HIV-Discordant Male Couples. LGBT Health 2016 Apr;3(2):146-52

Date

01/21/2016

Pubmed ID

26789400

Pubmed Central ID

PMC4994053

DOI

10.1089/lgbt.2015.0065

Scopus ID

2-s2.0-85020355870 (requires institutional sign-in at Scopus site)   14 Citations

Abstract

PURPOSE: Non-occupational post-exposure prophylaxis (nPEP) is an underutilized biomedical option for HIV prevention. Few studies have assessed male couples' knowledge of and willingness to use nPEP.

METHODS: Cross-sectional dyadic data from 275 HIV-negative and 58 HIV-discordant male couples were used to describe HIV-negative, partnered men's awareness and willingness to use nPEP, and factors associated with their willingness to use nPEP. Data were analyzed with the use of multivariate multilevel modeling.

RESULTS: Less than a third of the men were aware of nPEP, yet 73% were very-to-extremely likely to use nPEP. Partnered men's willingness to use nPEP was positively associated with having an individual income less than $30,000 USD and serosorting within the relationship. Willingness to use nPEP was negatively associated with greater age difference between primary partners and with higher scores on measures of couples' investment in their relationship.

CONCLUSION: Efforts should be made to increase male couples' awareness of nPEP and how to access nPEP. Uptake of nPEP has the potential to help avert new HIV infections among male couples.

Author List

Mitchell JW, Sophus AI, Petroll AE

Author

Andrew Petroll MD Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Aged
Cross-Sectional Studies
Family Characteristics
HIV Infections
Health Knowledge, Attitudes, Practice
Homosexuality, Male
Humans
Male
Middle Aged
Multivariate Analysis
Post-Exposure Prophylaxis
Socioeconomic Factors
United States
Young Adult