학술논문

Incidence and Correlates of Sexually Transmitted Infections Among Black Men Who Have Sex With Men Participating in the HIV Prevention Trials Network 073 Preexposure Prophylaxis Study
Document Type
article
Source
Clinical Infectious Diseases. 69(9)
Subject
Biomedical and Clinical Sciences
Clinical Sciences
Prevention
Sexual and Gender Minorities (SGM/LGBT*)
Clinical Research
Sexually Transmitted Infections
Behavioral and Social Science
Clinical Trials and Supportive Activities
Mental Health
HIV/AIDS
Infectious Diseases
Infection
Good Health and Well Being
Adult
Black or African American
Confidence Intervals
HIV Infections
Homosexuality
Male
Humans
Incidence
Logistic Models
Male
Pre-Exposure Prophylaxis
Prevalence
Sexually Transmitted Diseases
Young Adult
African-American
gay
PrEP
sexually transmitted infections
Biological Sciences
Medical and Health Sciences
Microbiology
Clinical sciences
Language
Abstract
BackgroundThe HIV Prevention Trials Network (HPTN) Study 073 (HPTN 073) assessed the feasibility, acceptability, and safety of preexposure prophylaxis (PrEP) for black men who have sex with men (BMSM). The purpose of this analysis was to characterize the relationship between PrEP uptake and use and incident sexually transmitted infections (STIs) among participants enrolled in HPTN 073.MethodsA total of 226 human immunodeficiency virus (HIV)-uninfected BMSM were enrolled in 3 US cities; all participants received client-centered care coordination (C4) and were offered daily oral PrEP. Participants were followed for 12 months with STI testing (rectal and urine nucleic acid amplification test for gonorrhea and chlamydia, rapid plasma reagin for syphilis) conducted at baseline, week 26, and week 52. Logistic regression was used to examine associations between STI incidence and PrEP uptake. Generalized estimating equations were used to evaluate associations between age, PrEP acceptance, sexual behaviors, and incident STIs.ResultsBaseline STI prevalence was 14.2%. Men aged