Seasons of Risk: Anticipated Behavior on Vacation and Interest in Episodic Antiretroviral Pre-exposure Prophylaxis (PrEP) Among a Large National Sample of U.S. Men Who have Sex with Men (MSM)

Steven A. Elsesser, Catherine E. Oldenburg, Katie B. Biello, Matthew J. Mimiaga, Steven A. Safren, James E. Egan, David S. Novak, Douglas S. Krakower, Ron Stall, Kenneth H. Mayer

Research output: Contribution to journalArticle

44 Scopus citations

Abstract

The current analysis evaluates interest in and acceptability of daily PrEP during short episodes of anticipated increased risk (i.e. Epi-PrEP). In 2013, U.S. members of an internet-based MSM sexual networking site were invited to complete a survey about HIV prevention practices in the context of vacationing. 7305 MSM responded to the survey. Of respondents who had vacationed in the past year, 25.6 % reported condomless anal sex (CAS) with new male sex partners while vacationing. Most (92.6 %) respondents agreed that having to use PrEP every day was a barrier to PrEP use and 74.3 % indicated they would take PrEP if they knew it would be helpful for short periods of anticipated increased risk. MSM who reported increased CAS while on vacation in the past year were more likely to indicate that they would take PrEP if it were helpful when used for short periods than respondents who did not (aOR = 2.02, 95 % CI 1.59–2.56, p < 0.001). Studies designed to evaluate uptake, adherence, and protective benefit of short PrEP courses are warranted.

Original languageEnglish (US)
Pages (from-to)1400-1407
Number of pages8
JournalAIDS and Behavior
Volume20
Issue number7
DOIs
StatePublished - Jul 1 2016

Keywords

  • Epi-PrEP
  • Episodic PrEP
  • HIV
  • MSM
  • PrEP

ASJC Scopus subject areas

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

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