Characteristics Associated with HIV Pre-Exposure Prophylaxis Persistence Among Men Who Have Sex with Men in the United States: Results from the American Men's Internet Survey, 2023–2024.
We examined pre-exposure prophylaxis (PrEP) persistence and associated characteristics among a nationwide sample of US men who have sex with men (MSM). Sexually active, HIV-negative MSM aged ≥15 years were recruited online through the American Men's Internet Survey, an annual survey; the current ana...
| Publicado en: | AIDS Patient Care & STDs Vol. 40; no. 6/7; pp. 268 - 277 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Jun/Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195218230&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195218230 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10872914 33C jtl: AIDS Patient Care & STDs issn: 10872914 maglogo: N pubinfo: dt: Jun/Jul2026 vid: 40 iid: 6/7 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 195218230 195218230 195218230 10.1177/10872914261453151 195218230 ppf: 268 ppct: 9 formats: tig: atl: Characteristics Associated with HIV Pre-Exposure Prophylaxis Persistence Among Men Who Have Sex with Men in the United States: Results from the American Men's Internet Survey, 2023–2024. aug: au: Islek, Duygu Sanchez, Travis Baral, Stefan Sarkar, Supriya Acero, Cristian Glick, Jennifer L. Jones, Jeb Lucas, Irah Ragone, Leigh Valentine-Graves, Mariah Smith Jr, Michael Vannappagari, Vani affil: Rollins School of Public Health, Emory University, Atlanta, Georgia, USA. sug: subj: Men Who Have Sex With Men Psychosocial Factors HIV Infections Prevention and Control Pre-Exposure Prophylaxis Medication Compliance Human United States Cross Sectional Studies Questionnaires Male Adolescence Adult Middle Age Poisson Distribution Descriptive Statistics Confidence Intervals Secondary Analysis Data Analysis Software Funding Source Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Male ab: We examined pre-exposure prophylaxis (PrEP) persistence and associated characteristics among a nationwide sample of US men who have sex with men (MSM). Sexually active, HIV-negative MSM aged ≥15 years were recruited online through the American Men's Internet Survey, an annual survey; the current analysis uses cross-sectional data collected between December 2023 and August 2024. Participants reported PrEP use and duration. PrEP persistence was defined as continuous PrEP use for ≥12 months. Poisson regression models estimated associations between sociodemographic and behavioral factors and PrEP persistence. Among 3953 MSM, 40% were currently using PrEP, and 72% of those had maintained use for ≥12 months. Most participants were using daily oral PrEP, while 3.2% reported use of long-acting injectable cabotegravir. In multi-variable analyses, MSM aged 25–29 years versus ≥40 years (prevalence ratio [PR]: 0.75, 95% confidence interval [CI], 0.57, 0.98) and those without health insurance versus with private insurance (PR: 0.60, 95% CI, 0.37, 0.96) were less likely to maintain PrEP use. MSM reporting condomless anal sex (PR: 1.41, 95% CI, 1.05, 1.88) and more than one male partner (PR: 2.13, 95% CI, 1.56, 2.92) in the past year were more likely to sustain PrEP use. No associations were observed for race/ethnicity, region, illicit drug use, or mental health. Most current PrEP users reported sustained use for ≥12 months. Findings should be interpreted in light of limitations, including potential selection bias due to online recruitment. Younger and uninsured MSM had lower persistence, highlighting the need for targeted interventions to promote long-term PrEP engagement and reduce HIV risk. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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