Talking to My Partners About PrEP: Factors Associated with PrEP-Related Communication in a Longitudinal US Study of Sexual Minority Men Living with HIV

Jennifer L. Walsh, Steven A. John, Gabriel Robles, Rose Wesche, Sabina Hirshfield

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Treatment as prevention and pre-exposure prophylaxis (PrEP) have reduced HIV transmission among sexual minority men (SMM). However, little is known about PrEP-related communication in serodiscordant partnerships. In 2015–2016, 965 US SMM living with HIV (Mage = 39; 63% White, 19% Black, 18% Latinx) enrolled in a year-long longitudinal study with surveys every 3 months (2,850 surveys). Multilevel models explored factors associated with PrEP-related communication with HIV-negative partners. Most participants (77%) reported PrEP-related communication. Participants were more likely to discuss PrEP during periods with more sexual partners, AOR = 2.89, p <.001, and group sex, AOR = 1.99, p =.001. Those with more partners on average, β = 0.48, p <.001, and those engaging in other drug use more frequently, β = 0.11, p =.002, were more likely to discuss PrEP. PrEP-related communication was more common for men who disclosed their HIV status, β = 0.22, p <.001, and who had undetectable viral loads, β = 0.25, p =.007. Communication was also more common for those with higher incomes, β = 0.12, p =.02, and from larger cities, β = 0.07, p =.048, and less common for Black participants, β = − 0.29, p =.003, and older participants, β = − 0.18, p <.001. PrEP-related communication increased over the course of the study, AOR = 1.16, p=.02.PrEP can confer additional HIV prevention benefits within serodiscordant partnerships, and future research should continue toexplore the role PrEP plays in these partnerships.

Original languageEnglish (US)
Pages (from-to)1438-1447
Number of pages10
JournalPrevention Science
Volume23
Issue number8
DOIs
StatePublished - Nov 2022

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health

Keywords

  • Multilevel modeling
  • People living with HIV
  • Pre-exposure prophylaxis
  • Safer sex communication
  • Serodiscordant partnerships
  • Sexual minority men

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