HIV Risk and Prevention Outcomes in a Probability-Based Sample of Gay and Bisexual Men in the United States

Brian Dodge, Jessie V. Ford, Na Bo, Wanzhu Tu, John Pachankis, Debby Herbenick, Kenneth Mayer, Mark L. Hatzenbuehler

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Although gay and bisexual men (GBM) represent the largest group of HIV-infected individuals in the United States, nearly all evidence on their HIV risk and prevention outcomes derive from nonprobability samples. SETTING: A probability-based cohort of GBM (N = 502) from 45 states and Washington, DC. METHODS: Cross-sectional survey. RESULTS: Among HIV-negative/unknown/untested GBM, only 6.7% reported using pre-exposure prophylaxis (PrEP) in the past 6 months. Two-thirds (63.3%) of PrEP users reported daily adherence in the past week. Over half (54.2%) of GBM reported not using a condom during anal sex with their most recent male partner; of these men, 93.8% were not on PrEP. Most GBM had been tested for HIV (80.7%) and other sexually transmitted infections (67.1%) in their lifetime, with 45.2% having tested for HIV during the past year. Among those ever tested, 14.1% reported being HIV infected, whereas an additional 8.9% reported testing positive for at least one other sexually transmitted infection after their most recent test. All HIV-positive GBM reported being currently on antiretroviral treatment, and 94.7% reported an undetectable viral load, but nearly one-third (30.4%) reported not taking their medication every day during the past month. A majority of HIV-negative/unknown/untested GBM (64.3%) reported that they had never discussed HIV prevention with their primary health care provider. CONCLUSIONS: Our findings present a decidedly mixed picture regarding the success of the US National HIV/AIDS Strategy in meeting its stated goals of addressing HIV risk among the general population of GBM.

Original languageEnglish (US)
Pages (from-to)355-361
Number of pages7
JournalJournal of acquired immune deficiency syndromes (1999)
Volume82
Issue number4
DOIs
StatePublished - Dec 1 2019

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Sampling Studies
HIV
Sexual Minorities
Sexually Transmitted Diseases
Condoms
Viral Load

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

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HIV Risk and Prevention Outcomes in a Probability-Based Sample of Gay and Bisexual Men in the United States. / Dodge, Brian; Ford, Jessie V.; Bo, Na; Tu, Wanzhu; Pachankis, John; Herbenick, Debby; Mayer, Kenneth; Hatzenbuehler, Mark L.

In: Journal of acquired immune deficiency syndromes (1999), Vol. 82, No. 4, 01.12.2019, p. 355-361.

Research output: Contribution to journalArticle

Dodge, Brian ; Ford, Jessie V. ; Bo, Na ; Tu, Wanzhu ; Pachankis, John ; Herbenick, Debby ; Mayer, Kenneth ; Hatzenbuehler, Mark L. / HIV Risk and Prevention Outcomes in a Probability-Based Sample of Gay and Bisexual Men in the United States. In: Journal of acquired immune deficiency syndromes (1999). 2019 ; Vol. 82, No. 4. pp. 355-361.
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abstract = "BACKGROUND: Although gay and bisexual men (GBM) represent the largest group of HIV-infected individuals in the United States, nearly all evidence on their HIV risk and prevention outcomes derive from nonprobability samples. SETTING: A probability-based cohort of GBM (N = 502) from 45 states and Washington, DC. METHODS: Cross-sectional survey. RESULTS: Among HIV-negative/unknown/untested GBM, only 6.7{\%} reported using pre-exposure prophylaxis (PrEP) in the past 6 months. Two-thirds (63.3{\%}) of PrEP users reported daily adherence in the past week. Over half (54.2{\%}) of GBM reported not using a condom during anal sex with their most recent male partner; of these men, 93.8{\%} were not on PrEP. Most GBM had been tested for HIV (80.7{\%}) and other sexually transmitted infections (67.1{\%}) in their lifetime, with 45.2{\%} having tested for HIV during the past year. Among those ever tested, 14.1{\%} reported being HIV infected, whereas an additional 8.9{\%} reported testing positive for at least one other sexually transmitted infection after their most recent test. All HIV-positive GBM reported being currently on antiretroviral treatment, and 94.7{\%} reported an undetectable viral load, but nearly one-third (30.4{\%}) reported not taking their medication every day during the past month. A majority of HIV-negative/unknown/untested GBM (64.3{\%}) reported that they had never discussed HIV prevention with their primary health care provider. CONCLUSIONS: Our findings present a decidedly mixed picture regarding the success of the US National HIV/AIDS Strategy in meeting its stated goals of addressing HIV risk among the general population of GBM.",
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