Human Immunodeficiency Virus/Sexually Transmitted Infection Counseling and Testing Services Received by Gay and Bisexual Men Using Preexposure Prophylaxis at Their Last PrEP Care Visit. Sex Transm Dis 2018 Dec;45(12):798-802
Date
11/14/2018Pubmed ID
30422969Pubmed Central ID
PMC6247810DOI
10.1097/OLQ.0000000000000880Scopus ID
2-s2.0-85055268068 (requires institutional sign-in at Scopus site) 12 CitationsAbstract
BACKGROUND: Preexposure prophylaxis (PrEP) reduces risk of human immunodeficiency virus infection for many gay and bisexual men (GBM); however, bacterial sexually transmitted infections associated with decreasing condom use among users is of concern. Center for Disease Control and Prevention's guidelines for PrEP use recommend bacterial sexually transmitted infection screening every 6 months. We sought to investigate comprehensive PrEP care, defined as: (1) discussion of sexual behavior, (2) blood sample, (3) urine sample, (4) rectal sample (rectal swab), and (5) throat sample (throat swab), provided at the user's last PrEP appointment.
METHODS: The PrEP-using GBM in New York City (n = 104) were asked about their last PrEP care visit. We examined associations of demographics (age, race/ethnicity, and education), recent number of condomless anal sex events, time on PrEP, and health care provider type on receiving comprehensive care at last visit using fully adjusted binary logistic regression.
RESULTS: At their last visit, nearly all men (94%) gave blood for testing, 88% provided a urine sample, and 77% discussed sexual behavior with their provider. However, only 51% reported having a rectal swab, and 48% an oral swab. Only 32% of men received comprehensive PrEP care at their last PrEP visit. Odds of receiving comprehensive care were significantly higher among younger men, men with a bachelor's degree or more education, and those who reported more condomless anal sex.
CONCLUSIONS: Less than one third of GBM received comprehensive human immunodeficiency virus/sexually transmitted infection counseling and testing at their last visit. These findings indicate further efforts are needed to prepare health care providers for prescribing and managing patients on PrEP.
Author List
Parsons JT, John SA, Whitfield THF, Cienfuegos-Szalay J, Grov CAuthor
Steven A. John PhD Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdultAnti-HIV Agents
Bacterial Infections
Bisexuality
Clinical Laboratory Techniques
Counseling
HIV
HIV Infections
Homosexuality, Male
Humans
Male
Middle Aged
New York City
Pre-Exposure Prophylaxis
Sexually Transmitted Diseases
Young Adult
