Evidence map›Paper›PMID 32153119›Full record

ArticleJournal of the International AIDS Society2020

National trends in HIV pre-exposure prophylaxis awareness, willingness and use among United States men who have sex with men recruited online, 2013 through 2017.

Patrick S Sullivan, Travis H Sanchez, Maria Zlotorzynska, Cristian J Chandler, R C Sineath, Erin Kahle, Stephen Tregear

Open access · goldAbstract read
In one paragraph

Article in Journal of the International AIDS Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 95 papers.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed
2.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 163 citations in OpenAlex.

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35 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Patrick S SullivanDepartment of Epidemiology, Emory University, Atlanta, GA, USA.ORCID 0000-0002-7728-0587
Travis H SanchezDepartment of Epidemiology, Emory University, Atlanta, GA, USA.
Maria ZlotorzynskaDepartment of Epidemiology, Emory University, Atlanta, GA, USA.
Cristian J ChandlerDepartment of Epidemiology, Emory University, Atlanta, GA, USA.ORCID 0000-0003-1770-4357
R C SineathDepartment of Epidemiology, Emory University, Atlanta, GA, USA.
Erin KahleDepartment of Health Behavior and Biological Sciences, University of Michigan, Ann Arbor, MI, USA.
Stephen TregearAtlas Research, Washington, DC, USA.
Emory University · USAtlas Scientific (United States) · USUniversity of Michigan · US

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Carlos del Rio · 2002 to 2026
$74.0M
Theoretically Based Mobile App to Increase PrEP Uptake Among MSMR01DA045612 · NIDA · EMORY UNIVERSITY · PI SULLIVAN, PATRICK SEAN · 2017 to 2021
$5.2M
NIAID NIH HHS P30 AI050409NIDA NIH HHS R01 DA045612
6 · The paper itself

Abstract

introductionPre-exposure prophylaxis (PrEP) is a key HIV prevention technology, and is a pillar of a comprehensive HIV prevention approach for men who have sex with men (MSM). Because there have been no national data to characterize trends in the PrEP continuum in the United States, overall and for key demographic groups of MSM, we aimed to describe the extent to which PrEP awareness, willingness and use changed over time, overall and for specific groups of MSM critical for HIV prevention (e.g. Black and Hispanic MSM, younger MSM, MSM in rural areas and MSM without health coverage).

methodsThe American Men's Internet Survey (AMIS) is an annual survey of US MSM conducted in the United States among MSM aged ≥15 years since 2013. We analysed data on trends in elements of the PrEP continuum (awareness, willingness and use of PrEP) in a sample of 37,476 HIV-negative/unknown status MSM from December 2013 through November 2017. We evaluated trends in continuum steps overall and among demographic subgroups using Poisson models with Generalized Estimating Equations. For 2017 data, we used logistic regression to compare the prevalence of PrEP use among demographic groups.

resultsOverall, 51.4% (n = 19,244) of AMIS respondents were PrEP-eligible across study years. Between 2013 and 2017, PrEP awareness increased from 47.4% to 80.6% willingness to use PrEP increased from 43.9% to 59.5% and PrEP use in the past 12 months increased from 1.7% to 19.9%. In 2017, use of PrEP was lower for men who were younger, lived outside of urban areas, and lacked health insurance; PrEP use was not different among Black, Hispanic and white MSM.

conclusionsOur data show progress in use of PrEP among US MSM, but also reveal mismatches between PrEP use and epidemic need. We call for additional support of PrEP initiation, especially among young, non-urban and uninsured MSM. Black and Hispanic MSM report levels of PrEP use no different from white MSM, but given higher HIV incidence for Black and Hispanic MSM, parity in use is not sufficient for epidemic control or health equity.

Indexed as

Pre-Exposure ProphylaxisSexual and Gender MinoritiesAdolescentAdultAnti-HIV AgentsBlack or African AmericanEpidemicsHispanic or LatinoHIV InfectionsHomosexuality, MaleHumansIncidenceInternetLogistic ModelsMalePatient Acceptance of Health CareAnti-HIV Agentsbehavioural surveillancebiomedical preventionhealth disparitiesmen who have sex with menonline surveysPrEPPrEP willingnesstrend analysis

Identifiers

PMID32153119
PMCPMC7062633
OpenAlexW3011092968

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.