TY - JOUR
T1 - Sex Tourism and Pre-Exposure Prophylaxis Modality Preferences Among Men Who Have Sex With Men
AU - Brooks, Brandon
AU - Park, Su Hyun
AU - Guilamo-Ramos, Vincent
AU - Schneider, John A.
AU - Harry-Hernandez, Salem
AU - Mgbako, Ofole
AU - Dubin, Samuel
AU - Duncan, Dustin T.
N1 - Publisher Copyright:
© 2019, © 2019 The Society for the Scientific Study of Sexuality.
PY - 2019/6/13
Y1 - 2019/6/13
N2 - Sex tourism among men who have sex with men (MSM) has been associated with increased risk for human immunodeficiency virus (HIV) due to sexually scripted environments characterized by multiple sexual partners, increased availability of alcohol and drugs, and limited availability of HIV-prevention services. The current study examined the knowledge of and likelihood of using different modalities of pre-exposure prophylaxis (PrEP), an important biomedical HIV-prevention strategy, among MSM in Paris who have engaged in sex tourism. A sample of 580 MSM from a highly popular geosocial-networking smartphone application in Paris, France, participated in the survey. Of the 580 MSM, 444 participants reported an HIV-negative status and represent the analytic sample for this study. Approximately 27% reported engaging in sexual tourism. MSM who engaged in sex tourism were more likely to aware of on-demand PrEP and more likely to express interest in using on-demand PrEP (adjusted risk ratio [aRR] = 1.26; 95% confidence interval [CI] = 1.03–1.53, aRR = 1.29; 95% CI = 1.04–1.61, respectively) than MSM who never engaged in sex tourism. Moreover, participants who engaged in sex tourism were more likely to express interest in rectal microbicides or both rectal and penile microbicides (aRR = 1.34; 95% CI = 1.13–1.59, aRR = 1.26; 95% CI = 1.03–1.55, respectively) than participants who had not engaged in sex tourism. With the high likelihood of interest in using alternative forms of PrEP in MSM who engage in sex tourism, this study suggests potential benefits for these alternative forms of PrEP for this specific population and underscores the importance of their continued development.
AB - Sex tourism among men who have sex with men (MSM) has been associated with increased risk for human immunodeficiency virus (HIV) due to sexually scripted environments characterized by multiple sexual partners, increased availability of alcohol and drugs, and limited availability of HIV-prevention services. The current study examined the knowledge of and likelihood of using different modalities of pre-exposure prophylaxis (PrEP), an important biomedical HIV-prevention strategy, among MSM in Paris who have engaged in sex tourism. A sample of 580 MSM from a highly popular geosocial-networking smartphone application in Paris, France, participated in the survey. Of the 580 MSM, 444 participants reported an HIV-negative status and represent the analytic sample for this study. Approximately 27% reported engaging in sexual tourism. MSM who engaged in sex tourism were more likely to aware of on-demand PrEP and more likely to express interest in using on-demand PrEP (adjusted risk ratio [aRR] = 1.26; 95% confidence interval [CI] = 1.03–1.53, aRR = 1.29; 95% CI = 1.04–1.61, respectively) than MSM who never engaged in sex tourism. Moreover, participants who engaged in sex tourism were more likely to express interest in rectal microbicides or both rectal and penile microbicides (aRR = 1.34; 95% CI = 1.13–1.59, aRR = 1.26; 95% CI = 1.03–1.55, respectively) than participants who had not engaged in sex tourism. With the high likelihood of interest in using alternative forms of PrEP in MSM who engage in sex tourism, this study suggests potential benefits for these alternative forms of PrEP for this specific population and underscores the importance of their continued development.
UR - http://www.scopus.com/inward/record.url?scp=85053906270&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85053906270&partnerID=8YFLogxK
U2 - 10.1080/00224499.2018.1515343
DO - 10.1080/00224499.2018.1515343
M3 - Article
C2 - 30257113
AN - SCOPUS:85053906270
SN - 0022-4499
VL - 56
SP - 632
EP - 640
JO - Journal of Sex Research
JF - Journal of Sex Research
IS - 4-5
ER -