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Medical News

Awareness of Post-Exposure HIV Prophylaxis in High-Risk Men Who Have Sex With Men in New York City

August 4, 2011

The team designed the current study to assess factors associated with knowledge of non-occupational post-exposure prophylaxis (nPEP) and pre-exposure prophylaxis (PrEP) for HIV. The study's subjects were 554 MSM clients of two New York City (NYC) bathhouses; the men were given a standardized survey on nPEP and PrEP at the time of HIV testing.

Sixty-three percent of the men reported unprotected sex with a male partner in the preceding 90 days, while 7 percent reported any sex with a known HIV-positive male partner. Fewer than half the men reported having a primary care provider who was aware of their MSM behavior. Awareness of nPEP or PrEP was reported by 201 men (36 percent).

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In univariate analyses, the following factors were each significantly associated with being aware of nPEP or PrEP: race/ethnicity; previous HIV testing; self-identifying as gay; higher education level; having a primary care provider who was aware of their MSM behavior; reported interaction with the health care system; use of the Internet for meeting sex partners; reporting unprotected sex in the previous 90 days; reporting any sex with an HIV-positive male partner in the previous 90 days; and having a higher number of sex partners.

Multivariate analyses found that having a higher number of sex partners was significantly associated (odds ratio 5.10, p=0.02) with post-exposure prophylaxis/PrEP knowledge. Disclosure to a primary care provider also was associated, though less robustly (OR 2.10, p=0.06).

"Knowledge of nPEP or PrEP among sexually active MSM in NYC is low and is associated with having a primary provider aware of their patient's same-sex behaviors," the authors concluded. "These findings show the need for improving education about nPEP among high-risk MSM in NYC and the role of providers in these efforts."

Back to other news for August 2011

Adapted from:
Sexually Transmitted Infections
06.2011; Vol. 87: P. 344-348; Sapna A. Mehta; Richard Silvera; Kyle Bernstein; Robert S. Holzman; Judith A. Aberg; Demetre C. Daskalakis


This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.
 
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