PrEP Use and PrEP Use Disclosure are Associated with Condom Use During Sex: A Multilevel Analysis of Latino MSM Egocentric Sexual Networks

Cho Hee Shrader, Juan Arroyo-Flores, John Skvoretz, Stephen Fallon, Victor Gonzalez, Steven Safren, Angel Algarin, Ariana Johnson, Susanne Doblecki-Lewis, Mariano Kanamori

Research output: Contribution to journalArticlepeer-review

Abstract

Pre-exposure prophylaxis (PrEP) is integral to HIV prevention; however, the influence of PrEP use and PrEP use disclosure on condom use is unclear among Latinx men who have sex with men (LMSM). This study explored associations of LMSM PrEP use and use disclosure on consistent dyadic condom use in the past 6 months. Participants were 130 HIV-negative PrEP and non-PrEP using LMSM ages 20–39 years. Two-level logistic regression models assessing individual- and dyadic-level predictors on condom use were fitted using R. Participants reported a mean of four sexual partners (n = 507 dyads). Participants who reported using PrEP or having more sexual partners were more likely to use condoms; however, participants who reported disclosing PrEP use were less likely to use condoms. Future longitudinal studies should characterize approaches to increase informed personal health choices and conversations about PrEP, condom use, and other HIV risk-reduction strategies using network methodologies.

Original languageEnglish (US)
Pages (from-to)1636-1645
Number of pages10
JournalAIDS and Behavior
Volume25
Issue number5
DOIs
StatePublished - May 2021

Keywords

  • Condoms
  • Hispanic Americans
  • Men who have sex with men
  • PrEP
  • Risk reduction behavior

ASJC Scopus subject areas

  • Social Psychology
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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