TY - JOUR
T1 - Sexual Identity, Sexual Behavior and Pre-exposure Prophylaxis in Black Cisgender Sexual Minority Men
T2 - The N2 Cohort Study in Chicago
AU - Timmins, Liadh
AU - Schneider, John A.
AU - Chen, Yen Tyng
AU - Goedel, William C.
AU - Brewer, Russell
AU - Callander, Denton
AU - Knox, Justin
AU - Eavou, Rebecca
AU - Hanson, Hillary
AU - Duncan, Dustin T.
N1 - Funding Information:
The Neighborhoods and Networks (N2) Cohort Study was funded through a Grant from the National Institute on Mental Health (Grant Number: R01MH112406; Principal Investigators: Dustin T. Duncan, ScD and John A. Schneider, MD, MPH) and a cooperative agreement with the Centers for Disease Control and Prevention under the Minority HIV/AIDS Research Initiative (Grant Number: U01PS005122; Principal Investigator: Dustin T. Duncan, ScD). William Goedel is supported by Brown University Clinical and Community-Based HIV/AIDS Training Fellowship, funded by the National Institute of Mental Health (Grant Number: R25MH083620). Dr. Dustin Duncan was supported in part by grants from the National Institute on Minority Health and Health Disparities (Grant Numbers R01MD013554 and 3R01MD013554-02S1), National Institute on Mental Health (Grant Number R01MH112406), and the Centers for Disease Control and Prevention (Grant Number U01PS005122). Justin Knox is supported by Columbia University Substance Abuse Epidemiology Training Program, funded by the National Institute of Drug Abuse (Grant Number: T32DA031099). We also thank the participants to engaging in this study.
Publisher Copyright:
© 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2021/10
Y1 - 2021/10
N2 - This study investigated sexual identity and behavior and their potential associations with PrEP use and attitudes in cisgender Black gay and bisexual men. A total of N = 173 (mean age 25.2) participants from the Neighborhoods and Networks (N2) Study in Chicago were included. Of these, 104 were gay-identified and reported sex with men only (GSMO), 26 were gay-identified and reported sex with men and women (GSMW), 8 were bisexual-identified and reported sex with men only (BSMO), and 35 were bisexual-identified and reported sex with men and women (BSMW). Reporting sex with men and women in the past 6 months, RR = 0.39, 95% CI [0.17, 0.89], identifying as bisexual, RR = 0.52, 95% CI [0.29, 0.92], and the combination of the two, RR = 0.24, 95% CI [0.07, 0.76] were significantly associated with lower rates of current oral PrEP use. Black bisexual-identifying men who reported sex with men and women were significantly more likely to have discontinued oral PrEP, RR = 2.50, 95% CI [1.14, 5.50], than Black gay-identified men who reported sex with men only. Participants who had not used oral PrEP before reported lower levels of interest in long-acting injectable PrEP than those who were currently using oral PrEP, RR = 0.56, 95% CI [0.40, 0.79]. No other significant differences were found. Overlooking the combination of sexual identity and behavior may mischaracterize PrEP rates and miss uniquely vulnerable subgroups. Black gay and bisexual men who had not used oral PrEP may be particularly disinterested in long-acting injectable PrEP.
AB - This study investigated sexual identity and behavior and their potential associations with PrEP use and attitudes in cisgender Black gay and bisexual men. A total of N = 173 (mean age 25.2) participants from the Neighborhoods and Networks (N2) Study in Chicago were included. Of these, 104 were gay-identified and reported sex with men only (GSMO), 26 were gay-identified and reported sex with men and women (GSMW), 8 were bisexual-identified and reported sex with men only (BSMO), and 35 were bisexual-identified and reported sex with men and women (BSMW). Reporting sex with men and women in the past 6 months, RR = 0.39, 95% CI [0.17, 0.89], identifying as bisexual, RR = 0.52, 95% CI [0.29, 0.92], and the combination of the two, RR = 0.24, 95% CI [0.07, 0.76] were significantly associated with lower rates of current oral PrEP use. Black bisexual-identifying men who reported sex with men and women were significantly more likely to have discontinued oral PrEP, RR = 2.50, 95% CI [1.14, 5.50], than Black gay-identified men who reported sex with men only. Participants who had not used oral PrEP before reported lower levels of interest in long-acting injectable PrEP than those who were currently using oral PrEP, RR = 0.56, 95% CI [0.40, 0.79]. No other significant differences were found. Overlooking the combination of sexual identity and behavior may mischaracterize PrEP rates and miss uniquely vulnerable subgroups. Black gay and bisexual men who had not used oral PrEP may be particularly disinterested in long-acting injectable PrEP.
KW - Long-acting injectable PrEP
KW - Men who have sex with men
KW - Pre-exposure prophylaxis
KW - Sexual identity
KW - Sexual minority men
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U2 - 10.1007/s10461-021-03246-4
DO - 10.1007/s10461-021-03246-4
M3 - Article
C2 - 33852095
AN - SCOPUS:85104615179
SN - 1090-7165
VL - 25
SP - 3327
EP - 3336
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 10
ER -