title: Self-Perception of HIV Risk and Candidacy for Pre-Exposure Prophylaxis Among Men Who Have Sex with Men Testing for HIV at Commercial Sex Venues in New York City.
abstract: The purpose of this study was to evaluate the ability of men who have sex with men (MSM) testing for HIV at commercial sex venues to assess the following: their candidacy for pre-exposure chemoprophylaxis (PrEP) as defined by meeting entry criteria for the iPrEx (Iniciativa Profilaxis Pre-Exposición) phase III clinical trial of PrEP, and their perception of their own HIV risk and candidacy for PrEP. Interviewers surveyed 629 MSM at three NYC commercial sex venues from June 2011 through June 2012. Questions focused on demographics, sexual activity, and drug use in the three months prior to testing, as well as perceived risk of HIV acquisition and perceived candidacy for PrEP use. Data were analyzed by Chi square and Fisher's exact test. Results show that a majority of clients (80.3%) met entry criteria for the iPrEX. Most of these men (78.0%), however, did not perceive their risk to be significant enough to warrant PrEP use (P=.000). Factors were identified which associated with a risk perception that correlated with eligibility for iPrEX.
authors.affiliation: 1 New York University School of Medicine , New York, New York.
authors.forename: Timothy
authors.initials: T
authors.lastname: Gallagher
authors.affiliation: 2 Department of Infectious Disease, New York University School of Medicine , Bellevue Hospital, New York, New York.
authors.forename: Lauren
authors.initials: L
authors.lastname: Link
authors.affiliation: 2 Department of Infectious Disease, New York University School of Medicine , Bellevue Hospital, New York, New York.
authors.forename: Michael
authors.initials: M
authors.lastname: Ramos
authors.affiliation: 2 Department of Infectious Disease, New York University School of Medicine , Bellevue Hospital, New York, New York.
authors.forename: Edward
authors.initials: E
authors.lastname: Bottger
authors.affiliation: 2 Department of Infectious Disease, New York University School of Medicine , Bellevue Hospital, New York, New York.
authors.forename: Judith
authors.initials: J
authors.lastname: Aberg
authors.affiliation: 3 Department of Infectious Disease, Icahn School of Medicine at Mount Sinai , New York, New York.
authors.forename: Demetre
authors.initials: D
authors.lastname: Daskalakis
keywords: HIV; Pre-Exposure Prophylaxis (PrEP); Risk Perception; men who have sex with men (MSM)