title: Exploring Patterns of Awareness and Use of HIV Pre-Exposure Prophylaxis Among Young Men Who Have Sex with Men.
abstract: Pre-exposure prophylaxis (PrEP) has shown promise as a safe and effective HIV prevention strategy, but there is limited research on awareness and use among young men who have sex with men (YMSM). Using baseline data from the "Keep It Up! 2.0" randomized control trial, we examined differences in PrEP awareness and use among racially diverse YMSM (N = 759; mean age = 24.2 years). Participants were recruited from study sites in Atlanta, Chicago, and New York City, as well as through national advertising on social media applications. While 67.5 % of participants reported awareness of PrEP, 8.7 % indicated using the medication. Awareness, but not use, varied by demographic variables. PrEP-users had twice as many condomless anal sex partners (ERR = 2.05) and more condomless anal sex acts (ERR = 1.60) than non-users. Future research should aim to improve PrEP awareness and uptake among YMSM and address condom use.
authors.affiliation: Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
authors.forename: Benjamin B
authors.initials: BB
authors.lastname: Strauss
authors.affiliation: Institute for Sexual and Gender Minority Health and Wellbeing and Department of Medical Social Sciences, Northwestern University, 625 N. Michigan Ave., #2700, Chicago, IL, 60611, USA.
authors.forename: George J
authors.initials: GJ
authors.lastname: Greene
authors.affiliation: Institute for Sexual and Gender Minority Health and Wellbeing and Department of Medical Social Sciences, Northwestern University, 625 N. Michigan Ave., #2700, Chicago, IL, 60611, USA.
authors.forename: Gregory
authors.initials: G
authors.lastname: Phillips
authors.affiliation: Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.|HIV/STI Services Division, Chicago Department of Public Health, Chicago, IL, USA.
authors.forename: Ramona
authors.initials: R
authors.lastname: Bhatia
authors.affiliation: Institute for Sexual and Gender Minority Health and Wellbeing and Department of Medical Social Sciences, Northwestern University, 625 N. Michigan Ave., #2700, Chicago, IL, 60611, USA.
authors.forename: Krystal
authors.initials: K
authors.lastname: Madkins
authors.affiliation: Center for HIV Educational Studies and Training (CHEST), Hunter College and the Graduate Center of the City University of New York, New York, NY, USA.
authors.forename: Jeffrey T
authors.initials: JT
authors.lastname: Parsons
authors.affiliation: Institute for Sexual and Gender Minority Health and Wellbeing and Department of Medical Social Sciences, Northwestern University, 625 N. Michigan Ave., #2700, Chicago, IL, 60611, USA. brian@northwestern.edu.
authors.forename: Brian
authors.identifier: http://orcid.org/0000-0001-9222-5116
authors.initials: B
authors.lastname: Mustanski
mesh_terms: D000293:Adolescent; D000328:Adult; D001364:Awareness; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D065129:Pre-Exposure Prophylaxis; D011320:Primary Health Care; D012725:Sexual Behavior; D014481:United States; D047568:Unsafe Sex; D055815:Young Adult
keywords: Behavior; Homosexuality, male; Pre-exposure prophylaxis; Primary health care; Risk reduction; Sexual behavior