PrEP Prescription Among MSM U.S. Military Service Members: Race and Sexual Identification Matter
An estimated 20.9% of U.S. service members report a high risk of HIV infection; however, only 2,000 service members had accessed HIV pre-exposure prophylaxis (PrEP) as of 2017. This study used a cross-sectional design to explore PrEP prescription predictors among service members who identify as a ma...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2022-11-01
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| Series: | American Journal of Men's Health |
| Online Access: | https://doi.org/10.1177/15579883221133891 |
| _version_ | 1811255512809865216 |
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| author | Gregory Carter ILT Colten Staten Brennan Woodward Brianna Mahnke Jessica Campbell |
| author_facet | Gregory Carter ILT Colten Staten Brennan Woodward Brianna Mahnke Jessica Campbell |
| author_sort | Gregory Carter |
| collection | DOAJ |
| description | An estimated 20.9% of U.S. service members report a high risk of HIV infection; however, only 2,000 service members had accessed HIV pre-exposure prophylaxis (PrEP) as of 2017. This study used a cross-sectional design to explore PrEP prescription predictors among service members who identify as a man who have sex with other men (MSM) ( n = 354). Logistic regression was performed to assess the influence of four predictor variables: partner HIV status, race/ethnicity, primary partner gender, and sexual orientation on the odds participants’ report being prescribed PrEP. A majority identified as gay ( n = 246, 69.5%) and 23.4% ( n = 83) identified as bisexual. Bisexual participants were 2.1 times ( p = <.04) less likely to be prescribed PrEP. Accordingly, those who identify their primary sex partner as female were 5.1 times less likely to be prescribed PrEP ( p < .001). MSM service members who had a partner disclose their HIV-positive status were 4.1 times more likely to have been prescribed PrEP ( p = .013). Finally, participants who identify as Black were 3 times more likely ( p = .001), and Latinx MSM were 3.6 times more likely ( p = .003) to have been prescribed PrEP. |
| first_indexed | 2024-04-12T17:25:55Z |
| format | Article |
| id | doaj.art-fc2aac72c5664329b2fe4505ce59ee7d |
| institution | Directory Open Access Journal |
| issn | 1557-9891 |
| language | English |
| last_indexed | 2024-04-12T17:25:55Z |
| publishDate | 2022-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | American Journal of Men's Health |
| spelling | doaj.art-fc2aac72c5664329b2fe4505ce59ee7d2022-12-22T03:23:19ZengSAGE PublishingAmerican Journal of Men's Health1557-98912022-11-011610.1177/15579883221133891PrEP Prescription Among MSM U.S. Military Service Members: Race and Sexual Identification MatterGregory Carter0ILT Colten Staten1Brennan Woodward2Brianna Mahnke3Jessica Campbell4Rural Center for AIDS/STD Prevention, Bloomington, IN, USAWalter Reed National Military Medical Center, Bethesda, MD, USAIndiana University School of Nursing, Bloomington, IN, USAIndiana University School of Medicine, Indianapolis, IN, USAKinsey Institute, Bloomington, IN, USAAn estimated 20.9% of U.S. service members report a high risk of HIV infection; however, only 2,000 service members had accessed HIV pre-exposure prophylaxis (PrEP) as of 2017. This study used a cross-sectional design to explore PrEP prescription predictors among service members who identify as a man who have sex with other men (MSM) ( n = 354). Logistic regression was performed to assess the influence of four predictor variables: partner HIV status, race/ethnicity, primary partner gender, and sexual orientation on the odds participants’ report being prescribed PrEP. A majority identified as gay ( n = 246, 69.5%) and 23.4% ( n = 83) identified as bisexual. Bisexual participants were 2.1 times ( p = <.04) less likely to be prescribed PrEP. Accordingly, those who identify their primary sex partner as female were 5.1 times less likely to be prescribed PrEP ( p < .001). MSM service members who had a partner disclose their HIV-positive status were 4.1 times more likely to have been prescribed PrEP ( p = .013). Finally, participants who identify as Black were 3 times more likely ( p = .001), and Latinx MSM were 3.6 times more likely ( p = .003) to have been prescribed PrEP.https://doi.org/10.1177/15579883221133891 |
| spellingShingle | Gregory Carter ILT Colten Staten Brennan Woodward Brianna Mahnke Jessica Campbell PrEP Prescription Among MSM U.S. Military Service Members: Race and Sexual Identification Matter American Journal of Men's Health |
| title | PrEP Prescription Among MSM U.S. Military Service Members: Race and Sexual Identification Matter |
| title_full | PrEP Prescription Among MSM U.S. Military Service Members: Race and Sexual Identification Matter |
| title_fullStr | PrEP Prescription Among MSM U.S. Military Service Members: Race and Sexual Identification Matter |
| title_full_unstemmed | PrEP Prescription Among MSM U.S. Military Service Members: Race and Sexual Identification Matter |
| title_short | PrEP Prescription Among MSM U.S. Military Service Members: Race and Sexual Identification Matter |
| title_sort | prep prescription among msm u s military service members race and sexual identification matter |
| url | https://doi.org/10.1177/15579883221133891 |
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