PrEP Uptake in a Community Sample of MSM in Chicago
Methods: We used cross-sectional survey data obtained as part of the CDC-funded National HIV Behavioral Surveillance (NHBS) of adult MSM without known HIV infection, who were recruited through venue-based sampling from August-December 2014. Descriptive statistics were used for analyses.
Results: Of 173 MSM who completed the local NHBS survey, 75% (130) heard of taking medicines to prevent HIV, though few (14%, 18/130) had a current PrEP prescription. Of those with a prescription, the majority had filled it in the past 30 days (83%, 15/18) and utilized insurance to help pay for PrEP (83%, 15/18). Some (28%, 5/18) used a drug program to help pay for PrEP, but none paid out-of-pocket. MSM on PrEP did not miss any doses (88%, 14/16) or missed doses once a week or less (12%, 2/16). Of the 112 MSM who heard of taking medicines to prevent HIV but did not have a current PrEP prescription, few (8%, 9) endorsed financial barriers to obtaining PrEP.
Conclusions: In this community sample of MSM, PrEP knowledge was high, though PrEP uptake was low. The majority of MSM with a prescription reported optimal adherence and utilized insurance to pay for PrEP. Financial obstacles were uncommon amongst those not on PrEP, suggesting other barriers may be impeding PrEP uptake in Chicago’s MSM.
Learning Areas:Administer health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Protection of the public in relation to communicable diseases including prevention or control
Provision of health care to the public
Describe PrEP uptake in a community sample of MSM in Chicago. List major ways MSM on PrEP pay for their medication.
Keyword(s): HIV Interventions, Lesbian, Gay, Bisexual and Transgender (LGBT)
Qualified on the content I am responsible for because: I am an infectious diseases physician with a background in HIV clinical research and health disparities in vulnerable persons. I led project development and assisted with data interpretation. I drafted the abstract text.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.