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Understanding the impact of a syndemic on the use of pre-exposure prophylaxis in a community-based sample of behaviorally PrEP-eligible BMSM in the United States

Bibliographic Data

ID19439500
AuthorsCristian J Chandler (0000-0003-1770-4357, University of Pittsburgh, corresponding author), Leigh A Bukowski (0000-0001-7889-3062, University of Pittsburgh), Derrick D Matthews (0000-0002-3579-3608, University of Pittsburgh), Mary Hawk (0000-0001-9753-4356, University of Pittsburgh), Mary E Hawk (University of Pittsburgh), Nina Markovic (0000-0002-7213-533X, University of Pittsburgh), Ronald D Stall (University of Pittsburgh), James E Egan (0000-0003-3888-7148, University of Pittsburgh)
Year2020
Volume32
Issue5
Pages551-556
Publication date2020-05-03
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2019.1659921
PMID31462067
OpenAlexW2971177802
LanguageEN
Citations received8
References cited29

HIV Pre-Exposure Prophylaxis (PrEP) has shown great promise in reducing HIV transmission among affected populations; however, PrEP uptake among Black men who have sex with men (BMSM) has stalled. This study compares BMSM using PrEP and BMSM at risk for HIV not using PrEP based on differences in behavior, psychosocial conditions and the presence of a syndemic (n = 1,411). BMSM reporting PrEP use were significantly more likely to report three of five HIV risk behaviors and three of four psychosocial conditions. Odds of reporting PrEP use increased as the number of psychosocial conditions increased such that BMSM with three psychosocial conditions (AOR = 5.65, 95% CI: 3.17, 10.08) and four conditions (AOR = 18.34, 95% CI: 5.01, 67.20) demonstrated significantly greater odds of PrEP use compared to BMSM reporting one or less conditions. While BMSM at greatest risk are using PrEP, strategies are still needed for men at varying risk levels

Family medicine · Logistic regression · Men who have sex with men · Odds · Odds ratio · Pre-exposure prophylaxis · Psychiatry · Psychosocial · Syndemic · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Sex work and related issues · Internal Medicine

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    Open Access•Jordan M Sang, D Moore et al.•BMC Public Health•2023

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Unique citing works8
Citations per year1.33
Citation span2020 - 2025 (6)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 8

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