Threefold Increase in PrEP Uptake Over Time with High Adherence Among Young Men Who Have Sex With Men in Chicago
Adult
Chicago
Male
Safe Sex
Adolescent
Sexual Behavior
HIV Infections
Medication Adherence
3. Good health
Cohort Studies
Sexual and Gender Minorities
Young Adult
03 medical and health sciences
Sexual Partners
0302 clinical medicine
Humans
Female
Pre-Exposure Prophylaxis
Longitudinal Studies
Homosexuality, Male
DOI:
10.1007/s10461-018-2122-5
Publication Date:
2018-05-04T09:10:53Z
AUTHORS (5)
ABSTRACT
The goal of this work is to better understand utilization and uptake of pre-exposure prophylaxis (PrEP) among young men who have sex with men (YMSM) and transgender women (TGW). We assessed trends and correlates of PrEP use and adherence across three time points of longitudinal data collection among 885 YMSM and TGW (aged 16-29) from the RADAR cohort in Chicago, 2015-2017. Past 6-month PrEP use increased across three visits: from 6.6 to 17.5%. In multivariable models, past 6-month PrEP use was significantly associated with participation in condomless sex, having more sexual partners, and older age. At least three-quarters of current PrEP users reported being ≥ 90% adherent to PrEP medication across all visits. Past 6-month PrEP use increased over time with those who participated in high-risk HIV behaviors also those most likely to have taken PrEP. As PrEP uptake continues to rise, more research will be needed to understand predictors of PrEP usage, as well as patterns of sexual behavior change following uptake.
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