HIV-Negative Partnered Men's Willingness to Use Pre-Exposure Prophylaxis and Associated Factors Among an Internet Sample of U.S. HIV-Negative and HIV-Discordant Male Couples

LGBT Health. 2015 Mar;2(1):35-40. doi: 10.1089/lgbt.2014.0092. Epub 2015 Feb 24.

Abstract

Purpose: Research on male couples' willingness to use pre-exposure prophylaxis (PrEP) is critically lacking.

Methods: A cross-sectional 2011 Internet survey collected dyadic data from 275 HIV-negative and 58 HIV-discordant male couples to describe 631 HIV-negative partnered mens' willingness to use PrEP and associated couple-level demographic and behavioral factors with multivariate multilevel modeling.

Results: Fifty-three percent were very to extremely likely to use PrEP. Willingness was positively associated with being in a mixed race and behaviorally non-monogamous relationship, and with amyl nitrate use with sex outside the relationship. Willingness was negatively associated with having a college education.

Conclusion: Prevention efforts should educate male couples about the potential benefits of PrEP.

Keywords: HIV prevention; male couples; pre-exposure prophylaxis (PrEP); relationship characteristics; willingness to use.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Cross-Sectional Studies
  • Ethnicity
  • HIV Infections / prevention & control*
  • HIV Seronegativity*
  • HIV Seropositivity*
  • Health Knowledge, Attitudes, Practice
  • Homosexuality, Male*
  • Humans
  • Internet
  • Male
  • Middle Aged
  • Patient Acceptance of Health Care*
  • Pre-Exposure Prophylaxis / methods*
  • Pre-Exposure Prophylaxis / statistics & numerical data
  • Sexual Partners*
  • United States
  • Young Adult