title: Preferences for Long-Acting Pre-exposure Prophylaxis (PrEP), Daily Oral PrEP, or Condoms for HIV Prevention Among U.S. Men Who Have Sex with Men.
abstract: HIV prevention method preferences were evaluated among 512 U.S. men who have sex with men (MSM; median age: 22 years). Approximately 90 % consistently preferred one option across pairwise comparisons of condoms, daily oral pre-exposure prophylaxis (PrEP), and long-acting PrEP delivered via either an injectable or one of two types of PrEP implants differing in visibility. Condoms were most frequently preferred (33.8 %), followed by non-visible implants (21.5 %), and oral PrEP (17.0 %); HIV risk was reported by more choosing implants. In a follow-up question comparing the four PrEP options only, daily oral pills and non-visible implants were most frequently preferred (35.5 and 34.3 %, respectively), followed by injections (25.2 %) and visible implants (4.3 %). An inductive, open-coding approach determined that convenience, duration of protection, and privacy were the most commonly cited reasons for a PrEP method choice, and associated with self-report of HIV risk. Tailoring PrEP product development to privacy and other concerns important to those at highest HIV risk may improve HIV prevention.
authors: Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.|Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USA.
authors: George J
authors: GJ
authors: Greene
authors: Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.|Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USA.
authors: Greg
authors: G
authors: Swann
authors: Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
authors: Angela J
authors: AJ
authors: Fought
authors: New York State Psychiatric Institute and Columbia University Medical Center, New York, NY, USA.
authors: Alex
authors: A
authors: Carballo-Diéguez
authors: Department of Cell and Molecular Biology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
authors: Thomas J
authors: TJ
authors: Hope
authors: Department of Biomedical Engineering, Northwestern University, Evanston, IL, USA.
authors: Patrick F
authors: PF
authors: Kiser
authors: Department of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.|Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, USA.
authors: Brian
authors: B
authors: Mustanski
authors: Department of Medicine (Infectious Diseases), HIV Translational Research Center, and Third Coast Center for AIDS Research, Northwestern University Feinberg School of Medicine, Arthur J. Rubloff Building, 750 N. Lake Shore Dr., Room 9-915, Chicago, IL, USA. richard.daquila@northwestern.edu.
authors: Richard T
authors: RT
authors: D'Aquila
mesh_terms: D000284:Administration, Oral; D000328:Adult; D017280:Condoms / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D007267:Injections; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D065129:Pre-Exposure Prophylaxis / Q000379:methods* / Q000706:statistics & numerical data; D000072339:Sexual and Gender Minorities / Q000523:psychology; D055815:Young Adult
keywords: HIV; Homosexuality; Male; Pre-exposure prophylaxis; Prevention; Sexual behavior