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Demographic and behavioral characteristics of urban and non-urban PrEP-using MSM in the South

Jeb Jones1, Sanjana Pampati1, Kayla Emrick1

  • 1Department of Epidemiology, Emory University, Atlanta, GA, USA.

AIDS Care
|June 9, 2022
PubMed

Insights

Pre-exposure prophylaxis (PrEP) is effective for HIV prevention in men who have sex with men (MSM). This study found few differences in PrEP use between urban and non-urban MSM, though non-urban MSM reported less STI testing.

Area of Science:

  • Public Health
  • HIV Prevention
  • Epidemiology

Background:

  • Pre-exposure prophylaxis (PrEP) is a key HIV prevention strategy.
  • Most PrEP research focuses on urban men who have sex with men (MSM).
  • Non-urban MSM may face unique challenges accessing culturally competent care.

Purpose of the Study:

  • To compare PrEP adherence, persistence, and related factors among urban and non-urban MSM in the southern US.
  • To identify potential disparities in PrEP utilization between these populations.

Main Methods:

  • A survey was administered to 78 PrEP-using MSM (25 non-urban, 53 urban) in the southern United States.
  • Data collected included self-reported PrEP adherence, persistence, source of PrEP, reasons for initiation, and STI testing history.

Main Results:

  • Self-reported PrEP adherence was high in both urban and non-urban groups.
  • No significant differences were found in PrEP persistence, source, or reasons for initiation.
  • Non-urban MSM reported fewer STI tests in the past 12 months compared to urban MSM.

Conclusions:

  • Few differences exist in PrEP use patterns between urban and non-urban MSM in this southern US cohort.
  • Non-urban MSM may require targeted interventions to increase STI testing frequency.
  • Further research is needed to understand PrEP initiation differences between urban and non-urban MSM.
Keywords:
HIVmen who have sex with menpre-exposure prophylaxisurbanicity

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