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Publication Profiles

The Pre-exposure Prophylaxis (PrEP) Care Continuum Among English-Speaking Latino Sexual Minority Men in the United States (2014-2020)

Citation

Lee JJ, Barry MP, Kerani RP, Sanchez TH, Katz DA. The Pre-exposure Prophylaxis (PrEP) Care Continuum Among English-Speaking Latino Sexual Minority Men in the United States (2014-2020). J Acquir Immune Defic Syndr. 2023;93(3):199-207. doi:10.1097/QAI.0000000000003187

Implementation stage:

Not reported

Implementation outcomes reported:

Not reported

Continuum target addressed:

PrEP initation, PrEP persistence

Geography:

Non-priority jurisdiction

Study Participant Classification:

Recipients of care

Plain Language Objectives

The researchers wanted to track awareness and use of HIV-prevention medicine among English-speaking Latino gay, bisexual, and other sexual minority men across the United States from 2014 through 2020, including participants outside major cities.

Plain Language Abstract

National information about the full pre-exposure prophylaxis, or PrEP, care continuum among Latino sexual minority men is limited, especially outside large cities. The researchers analyzed 2014–2020 data from 9,010 Hispanic or Latino participants in an annual online survey of cisgender gay, bisexual, and other sexual minority men in the United States. They measured PrEP awareness, discussion with a provider, past-year use, and current use, and examined changes over time and related characteristics. Among 2,283 participants in 2020, 84% knew about PrEP, 30% had discussed it with a provider, 15% had used it in the past year, and 12% currently used it. Awareness rose from 52% in 2014 to 84% in 2020, while past-year use rose from 4% to 15%. Age and PrEP eligibility were associated with past-year use, and rural versus urban residence was associated with current use. Despite increased awareness, substantial gaps remained between knowing about PrEP, discussing it, and using it. These repeated cross-sectional surveys show population patterns and associations, not individual changes or causes.

Key Takeaways

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