title: Dealing with pre-exposure prophylaxis-associated condom migration: changing the paradigm for men who have sex with men.
abstract: The behavioural aspects of pre-exposure prophylaxis (PrEP) are challenging, particularly the issue of condom migration. Three vital questions are: (1) at the population-level, will condom migration lead to increases in non-viral sexually transmissible infections?; (2) how can clinic-based counselling best promote the dual use of condoms and PrEP?; and (3) in future PrEP trials, what are the 'best practices' that should be used to avoid type 1 and type 2 errors that arise without accounting for condom use behaviours? This communication piece addresses each question and suggests the risk of a 'PrEP only' focus to widening health disparities.
authors: College of Public Health at the University of Kentucky, 151 Washington Avenue, Lexington, KY 40506-0003, USA.
authors: Richard A
authors: RA
authors: Crosby
mesh_terms: D001727:Bisexuality; D017280:Condoms; D015658:HIV Infections / Q000517:prevention & control*; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D010349:Patient Compliance; D065129:Pre-Exposure Prophylaxis; D040242:Risk Reduction Behavior; D012309:Risk-Taking; D012725:Sexual Behavior; D012747:Sexual Partners; D015229:Sexually Transmitted Diseases, Viral / Q000517:prevention & control*