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Sexual Identity, Sexual Behavior and Pre-exposure Prophylaxis in Black Cisgender Sexual Minority Men: The N2 Cohort Study in Chicago

Liadh Timmins Orcid Logo, John A. Schneider, Yen-Tyng Chen, William C. Goedel, Russell Brewer, Denton Callander, Justin Knox, Rebecca Eavou, Hillary Hanson, Dustin T. Duncan

AIDS and Behavior, Volume: 25, Issue: 10, Pages: 3327 - 3336

Swansea University Author: Liadh Timmins Orcid Logo

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DOI (Published version): 10.1007/s10461-021-03246-4

Abstract

This study investigated sexual identity and behavior and their potential associations with PrEP use and attitudes in cisgender Black gay and bisexual men. A total of N = 173 (mean age 25.2) participants from the Neighborhoods and Networks (N2) Study in Chicago were included. Of these, 104 were gay-i...

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Published in: AIDS and Behavior
ISSN: 1090-7165 1573-3254
Published: Springer Science and Business Media LLC 2021
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URI: https://cronfa.swan.ac.uk/Record/cronfa63782
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spelling v2 63782 2023-07-06 Sexual Identity, Sexual Behavior and Pre-exposure Prophylaxis in Black Cisgender Sexual Minority Men: The N2 Cohort Study in Chicago 7f227f6f0fc0400bae2893d252d2f5ec 0000-0001-7984-4748 Liadh Timmins Liadh Timmins true false 2023-07-06 HPS This study investigated sexual identity and behavior and their potential associations with PrEP use and attitudes in cisgender Black gay and bisexual men. A total of N = 173 (mean age 25.2) participants from the Neighborhoods and Networks (N2) Study in Chicago were included. Of these, 104 were gay-identified and reported sex with men only (GSMO), 26 were gay-identified and reported sex with men and women (GSMW), 8 were bisexual-identified and reported sex with men only (BSMO), and 35 were bisexual-identified and reported sex with men and women (BSMW). Reporting sex with men and women in the past 6 months, RR = 0.39, 95% CI [0.17, 0.89], identifying as bisexual, RR = 0.52, 95% CI [0.29, 0.92], and the combination of the two, RR = 0.24, 95% CI [0.07, 0.76] were significantly associated with lower rates of current oral PrEP use. Black bisexual-identifying men who reported sex with men and women were significantly more likely to have discontinued oral PrEP, RR = 2.50, 95% CI [1.14, 5.50], than Black gay-identified men who reported sex with men only. Participants who had not used oral PrEP before reported lower levels of interest in long-acting injectable PrEP than those who were currently using oral PrEP, RR = 0.56, 95% CI [0.40, 0.79]. No other significant differences were found. Overlooking the combination of sexual identity and behavior may mischaracterize PrEP rates and miss uniquely vulnerable subgroups. Black gay and bisexual men who had not used oral PrEP may be particularly disinterested in long-acting injectable PrEP. Journal Article AIDS and Behavior 25 10 3327 3336 Springer Science and Business Media LLC 1090-7165 1573-3254 Sexual identity, Sexual minority men, Men who have sex with men, Pre-exposure prophylaxis, Long-acting injectable PrEP 1 10 2021 2021-10-01 10.1007/s10461-021-03246-4 http://dx.doi.org/10.1007/s10461-021-03246-4 COLLEGE NANME Psychology COLLEGE CODE HPS Swansea University 2023-09-22T15:34:42.8109701 2023-07-06T11:01:30.6346813 Faculty of Medicine, Health and Life Sciences School of Psychology Liadh Timmins 0000-0001-7984-4748 1 John A. Schneider 2 Yen-Tyng Chen 3 William C. Goedel 4 Russell Brewer 5 Denton Callander 6 Justin Knox 7 Rebecca Eavou 8 Hillary Hanson 9 Dustin T. Duncan 10
title Sexual Identity, Sexual Behavior and Pre-exposure Prophylaxis in Black Cisgender Sexual Minority Men: The N2 Cohort Study in Chicago
spellingShingle Sexual Identity, Sexual Behavior and Pre-exposure Prophylaxis in Black Cisgender Sexual Minority Men: The N2 Cohort Study in Chicago
Liadh Timmins
title_short Sexual Identity, Sexual Behavior and Pre-exposure Prophylaxis in Black Cisgender Sexual Minority Men: The N2 Cohort Study in Chicago
title_full Sexual Identity, Sexual Behavior and Pre-exposure Prophylaxis in Black Cisgender Sexual Minority Men: The N2 Cohort Study in Chicago
title_fullStr Sexual Identity, Sexual Behavior and Pre-exposure Prophylaxis in Black Cisgender Sexual Minority Men: The N2 Cohort Study in Chicago
title_full_unstemmed Sexual Identity, Sexual Behavior and Pre-exposure Prophylaxis in Black Cisgender Sexual Minority Men: The N2 Cohort Study in Chicago
title_sort Sexual Identity, Sexual Behavior and Pre-exposure Prophylaxis in Black Cisgender Sexual Minority Men: The N2 Cohort Study in Chicago
author_id_str_mv 7f227f6f0fc0400bae2893d252d2f5ec
author_id_fullname_str_mv 7f227f6f0fc0400bae2893d252d2f5ec_***_Liadh Timmins
author Liadh Timmins
author2 Liadh Timmins
John A. Schneider
Yen-Tyng Chen
William C. Goedel
Russell Brewer
Denton Callander
Justin Knox
Rebecca Eavou
Hillary Hanson
Dustin T. Duncan
format Journal article
container_title AIDS and Behavior
container_volume 25
container_issue 10
container_start_page 3327
publishDate 2021
institution Swansea University
issn 1090-7165
1573-3254
doi_str_mv 10.1007/s10461-021-03246-4
publisher Springer Science and Business Media LLC
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
url http://dx.doi.org/10.1007/s10461-021-03246-4
document_store_str 0
active_str 0
description This study investigated sexual identity and behavior and their potential associations with PrEP use and attitudes in cisgender Black gay and bisexual men. A total of N = 173 (mean age 25.2) participants from the Neighborhoods and Networks (N2) Study in Chicago were included. Of these, 104 were gay-identified and reported sex with men only (GSMO), 26 were gay-identified and reported sex with men and women (GSMW), 8 were bisexual-identified and reported sex with men only (BSMO), and 35 were bisexual-identified and reported sex with men and women (BSMW). Reporting sex with men and women in the past 6 months, RR = 0.39, 95% CI [0.17, 0.89], identifying as bisexual, RR = 0.52, 95% CI [0.29, 0.92], and the combination of the two, RR = 0.24, 95% CI [0.07, 0.76] were significantly associated with lower rates of current oral PrEP use. Black bisexual-identifying men who reported sex with men and women were significantly more likely to have discontinued oral PrEP, RR = 2.50, 95% CI [1.14, 5.50], than Black gay-identified men who reported sex with men only. Participants who had not used oral PrEP before reported lower levels of interest in long-acting injectable PrEP than those who were currently using oral PrEP, RR = 0.56, 95% CI [0.40, 0.79]. No other significant differences were found. Overlooking the combination of sexual identity and behavior may mischaracterize PrEP rates and miss uniquely vulnerable subgroups. Black gay and bisexual men who had not used oral PrEP may be particularly disinterested in long-acting injectable PrEP.
published_date 2021-10-01T15:34:41Z
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