Cargando…
More than just oral PrEP: exploring interest in rectal douche, dissolvable implant, removable implant and injection HIV prevention approaches among racially diverse men who have sex with men in the Northeast Corridor
OBJECTIVES: HIV scholars and practitioners have worked to expand strategies for prevention among marginalised populations who are disproportionately impacted by the epidemic, such as racial minority men who have sex with men (MSM). Given this urgency, the objective of this study was to assess intere...
Autores principales: | , , , , , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9394203/ https://www.ncbi.nlm.nih.gov/pubmed/35981775 http://dx.doi.org/10.1136/bmjopen-2022-063474 |
_version_ | 1784771436117753856 |
---|---|
author | Martinez, Omar Levine, Ethan Munoz-Laboy, Miguel Carballo-Diéguez, Alex Bauermeister, José Arturo Chacon, Alexi Jacobson, Jeffrey Bettiker, Robert Sutton, Madeline Rudolph, Abby E Wu, Elwin Rhodes, Scott D Tanner, Amanda E Mann, Lilli Valentin, Omar Ilarraza, Ariel Pardes, Mariana Davison, Robin Fernandez, Maria Isabel |
author_facet | Martinez, Omar Levine, Ethan Munoz-Laboy, Miguel Carballo-Diéguez, Alex Bauermeister, José Arturo Chacon, Alexi Jacobson, Jeffrey Bettiker, Robert Sutton, Madeline Rudolph, Abby E Wu, Elwin Rhodes, Scott D Tanner, Amanda E Mann, Lilli Valentin, Omar Ilarraza, Ariel Pardes, Mariana Davison, Robin Fernandez, Maria Isabel |
author_sort | Martinez, Omar |
collection | PubMed |
description | OBJECTIVES: HIV scholars and practitioners have worked to expand strategies for prevention among marginalised populations who are disproportionately impacted by the epidemic, such as racial minority men who have sex with men (MSM). Given this urgency, the objective of this study was to assess interest in biomedical prevention strategies. METHODS: This exploratory and cross-sectional study investigated interest in four biomedical prevention tools—rectal douche, dissolvable implant, removable implant and injection—among a racially diverse sample of MSM from the Northeast Corridor region between Philadelphia and Trenton. Data were collected as part of screening for Connecting Latinos en Pareja, a couples-based HIV prevention intervention for Latino MSM and their partners. RESULTS: A total of 381 individuals participated in the screener and provided information about their interest in bio tools. Approximately 26% of participants identified as black, 28% as white and 42% as ‘other’ or multiracial; 49% identified as Latino. Majority (54%) reported some form of child sexual abuse. Of the participants who reported being in a primary relationship (n=217), two-thirds reported unprotected anal sex within that relationship over the past 90 days (n=138, 64%) and approximately half (n=117, 54%) reported unprotected anal sex outside of the relationship in this period. Majority of participants reported interest in all bio tools assessed, including dissolvable implants (60%), removable implants (64%), rectal douching (79%) and injection (79%). Although interest in bio tools was broadly unassociated with demographics and sexual risk behaviours, analyses revealed significant associations between reports of child sexual abuse and interest in implant and injection methods. CONCLUSIONS: The authors recommend investing in these prevention methods, particularly rectal douching and injection, as a means of preventing HIV among racial minority MSM. Given the interest in biomedical prevention tools, future studies should explore potential strategies for adherence. |
format | Online Article Text |
id | pubmed-9394203 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-93942032022-09-06 More than just oral PrEP: exploring interest in rectal douche, dissolvable implant, removable implant and injection HIV prevention approaches among racially diverse men who have sex with men in the Northeast Corridor Martinez, Omar Levine, Ethan Munoz-Laboy, Miguel Carballo-Diéguez, Alex Bauermeister, José Arturo Chacon, Alexi Jacobson, Jeffrey Bettiker, Robert Sutton, Madeline Rudolph, Abby E Wu, Elwin Rhodes, Scott D Tanner, Amanda E Mann, Lilli Valentin, Omar Ilarraza, Ariel Pardes, Mariana Davison, Robin Fernandez, Maria Isabel BMJ Open HIV/AIDS OBJECTIVES: HIV scholars and practitioners have worked to expand strategies for prevention among marginalised populations who are disproportionately impacted by the epidemic, such as racial minority men who have sex with men (MSM). Given this urgency, the objective of this study was to assess interest in biomedical prevention strategies. METHODS: This exploratory and cross-sectional study investigated interest in four biomedical prevention tools—rectal douche, dissolvable implant, removable implant and injection—among a racially diverse sample of MSM from the Northeast Corridor region between Philadelphia and Trenton. Data were collected as part of screening for Connecting Latinos en Pareja, a couples-based HIV prevention intervention for Latino MSM and their partners. RESULTS: A total of 381 individuals participated in the screener and provided information about their interest in bio tools. Approximately 26% of participants identified as black, 28% as white and 42% as ‘other’ or multiracial; 49% identified as Latino. Majority (54%) reported some form of child sexual abuse. Of the participants who reported being in a primary relationship (n=217), two-thirds reported unprotected anal sex within that relationship over the past 90 days (n=138, 64%) and approximately half (n=117, 54%) reported unprotected anal sex outside of the relationship in this period. Majority of participants reported interest in all bio tools assessed, including dissolvable implants (60%), removable implants (64%), rectal douching (79%) and injection (79%). Although interest in bio tools was broadly unassociated with demographics and sexual risk behaviours, analyses revealed significant associations between reports of child sexual abuse and interest in implant and injection methods. CONCLUSIONS: The authors recommend investing in these prevention methods, particularly rectal douching and injection, as a means of preventing HIV among racial minority MSM. Given the interest in biomedical prevention tools, future studies should explore potential strategies for adherence. BMJ Publishing Group 2022-08-18 /pmc/articles/PMC9394203/ /pubmed/35981775 http://dx.doi.org/10.1136/bmjopen-2022-063474 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | HIV/AIDS Martinez, Omar Levine, Ethan Munoz-Laboy, Miguel Carballo-Diéguez, Alex Bauermeister, José Arturo Chacon, Alexi Jacobson, Jeffrey Bettiker, Robert Sutton, Madeline Rudolph, Abby E Wu, Elwin Rhodes, Scott D Tanner, Amanda E Mann, Lilli Valentin, Omar Ilarraza, Ariel Pardes, Mariana Davison, Robin Fernandez, Maria Isabel More than just oral PrEP: exploring interest in rectal douche, dissolvable implant, removable implant and injection HIV prevention approaches among racially diverse men who have sex with men in the Northeast Corridor |
title | More than just oral PrEP: exploring interest in rectal douche, dissolvable implant, removable implant and injection HIV prevention approaches among racially diverse men who have sex with men in the Northeast Corridor |
title_full | More than just oral PrEP: exploring interest in rectal douche, dissolvable implant, removable implant and injection HIV prevention approaches among racially diverse men who have sex with men in the Northeast Corridor |
title_fullStr | More than just oral PrEP: exploring interest in rectal douche, dissolvable implant, removable implant and injection HIV prevention approaches among racially diverse men who have sex with men in the Northeast Corridor |
title_full_unstemmed | More than just oral PrEP: exploring interest in rectal douche, dissolvable implant, removable implant and injection HIV prevention approaches among racially diverse men who have sex with men in the Northeast Corridor |
title_short | More than just oral PrEP: exploring interest in rectal douche, dissolvable implant, removable implant and injection HIV prevention approaches among racially diverse men who have sex with men in the Northeast Corridor |
title_sort | more than just oral prep: exploring interest in rectal douche, dissolvable implant, removable implant and injection hiv prevention approaches among racially diverse men who have sex with men in the northeast corridor |
topic | HIV/AIDS |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9394203/ https://www.ncbi.nlm.nih.gov/pubmed/35981775 http://dx.doi.org/10.1136/bmjopen-2022-063474 |
work_keys_str_mv | AT martinezomar morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT levineethan morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT munozlaboymiguel morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT carballodieguezalex morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT bauermeisterjosearturo morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT chaconalexi morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT jacobsonjeffrey morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT bettikerrobert morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT suttonmadeline morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT rudolphabbye morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT wuelwin morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT rhodesscottd morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT tanneramandae morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT mannlilli morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT valentinomar morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT ilarrazaariel morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT pardesmariana morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT davisonrobin morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor AT fernandezmariaisabel morethanjustoralprepexploringinterestinrectaldouchedissolvableimplantremovableimplantandinjectionhivpreventionapproachesamongraciallydiversemenwhohavesexwithmeninthenortheastcorridor |