Threefold Increase in PrEP Uptake Over Time with High Adherence Among Young Men Who Have Sex With Men in Chicago

Ethan Morgan*, Kevin Moran, Daniel T. Ryan, Brian Mustanski, Michael Newcomb

*Corresponding author for this work

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

The goal of this work is to better understand utilization and uptake of pre-exposure prophylaxis (PrEP) among young men who have sex with men (YMSM) and transgender women (TGW). We assessed trends and correlates of PrEP use and adherence across three time points of longitudinal data collection among 885 YMSM and TGW (aged 16–29) from the RADAR cohort in Chicago, 2015–2017. Past 6-month PrEP use increased across three visits: from 6.6 to 17.5%. In multivariable models, past 6-month PrEP use was significantly associated with participation in condomless sex, having more sexual partners, and older age. At least three-quarters of current PrEP users reported being ≥ 90% adherent to PrEP medication across all visits. Past 6-month PrEP use increased over time with those who participated in high-risk HIV behaviors also those most likely to have taken PrEP. As PrEP uptake continues to rise, more research will be needed to understand predictors of PrEP usage, as well as patterns of sexual behavior change following uptake.

Original languageEnglish (US)
Pages (from-to)3637-3644
Number of pages8
JournalAIDS and Behavior
Volume22
Issue number11
DOIs
StatePublished - Nov 1 2018

Fingerprint

Transgender Persons
Pre-Exposure Prophylaxis
Sexual Partners
Risk-Taking
Sexual Behavior
HIV
Research

Keywords

  • HIV
  • Longitudinal
  • PrEP
  • Trends
  • Uptake

ASJC Scopus subject areas

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

Cite this

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title = "Threefold Increase in PrEP Uptake Over Time with High Adherence Among Young Men Who Have Sex With Men in Chicago",
abstract = "The goal of this work is to better understand utilization and uptake of pre-exposure prophylaxis (PrEP) among young men who have sex with men (YMSM) and transgender women (TGW). We assessed trends and correlates of PrEP use and adherence across three time points of longitudinal data collection among 885 YMSM and TGW (aged 16–29) from the RADAR cohort in Chicago, 2015–2017. Past 6-month PrEP use increased across three visits: from 6.6 to 17.5{\%}. In multivariable models, past 6-month PrEP use was significantly associated with participation in condomless sex, having more sexual partners, and older age. At least three-quarters of current PrEP users reported being ≥ 90{\%} adherent to PrEP medication across all visits. Past 6-month PrEP use increased over time with those who participated in high-risk HIV behaviors also those most likely to have taken PrEP. As PrEP uptake continues to rise, more research will be needed to understand predictors of PrEP usage, as well as patterns of sexual behavior change following uptake.",
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Threefold Increase in PrEP Uptake Over Time with High Adherence Among Young Men Who Have Sex With Men in Chicago. / Morgan, Ethan; Moran, Kevin; Ryan, Daniel T.; Mustanski, Brian; Newcomb, Michael.

In: AIDS and Behavior, Vol. 22, No. 11, 01.11.2018, p. 3637-3644.

Research output: Contribution to journalArticle

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