STI incidence and care discontinuation among HIV-PrEPusing black men who have sex with men in New Orleans, LA
A prospective cohort study
Bibliographic Data
Black men who have sex with men (MSM) have continued to face disproportionately high rates of HIV and STIs, yet few studies specifically address STI risk in Black MSM, particularly those on HIV pre-exposure prophylaxis (PrEP). The aim of this study was to examine STI incidence (gonorrhea, chlamydia, and syphilis) and PrEP care discontinuation in a prospectively enrolled cohort of young Black MSM engaged in PrEP care. We enrolled 63 Black MSM PrEP users; total follow -up time was 81.8 person -years (PY). Mean age was 29.9 (SD 4.3); 45 participants (71%) had insurance, and 30 (48.4%) had an STI diagnosed in the year before enrollment. There were 56 STI infections over follow-up (6 syphilis, 18 chlamydia, 32 gonorrhea), yielding an STI incidence of 68.5/100PY. There were 2 incident cases of HIV (2.4/100PY). Additionally, 32 (51%) participants had PrEP discontinuations (either intermittent, i.e., missed visits, or complete loss to follow -up prior to the end of the study period). Overall, Black MSM PrEP users had suboptimal engagement in PrEP care and high rates of STIs and HIV. Further efforts are needed to enhance PrEP use and prevent STIs in this population.
Black men who have sex with men · HIV PrEP · HIV prevention · New Orleans · sexually transmitted infections · STI incidence · HIV, Drug Use, Sexual Risk · HIV/AIDS drug development and treatment · HIV/AIDS Research and Interventions
Preexposure Prophylaxis for HIV Infection Integrated With Municipal- and Community-Based Sexual Health Services
No New HIV Infections With Increasing Use of HIV Preexposure Prophylaxis in a Clinical Practice Setting
Homophobia is Associated with Sexual Behavior that Increases Risk of Acquiring and Transmitting HIV Infection Among Black Men Who Have Sex with Men
Development and Validation of the Youth Pre-Exposure Prophylaxis (PrEP) Stigma Scale
Modeling the Impact of Social Discrimination and Financial Hardship on the Sexual Risk of HIV Among Latino and Black Men Who Have Sex With Men
| Highly cited | No |
|---|