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Research ArticleORIGINAL RESEARCH

Factors Associated With Discussions of Human Immunodeficiency Virus Pre-Exposure Prophylaxis in Men Who Have Sex With Men

Barley R. Halton, Jill N. T. Roberts and G. Dodd Denton
Ochsner Journal September 2019, 19 (3) 188-193; DOI: https://doi.org/10.31486/toj.19.0004
Barley R. Halton
1The University of Queensland Faculty of Medicine, Ochsner Clinical School, New Orleans, LA
MD
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Jill N. T. Roberts
1The University of Queensland Faculty of Medicine, Ochsner Clinical School, New Orleans, LA
MD
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G. Dodd Denton
1The University of Queensland Faculty of Medicine, Ochsner Clinical School, New Orleans, LA
2Department of Internal Medicine, Ochsner Clinic Foundation, New Orleans, LA
MD, MPH
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  • For correspondence: gdenton{at}ochsner.org
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    Figure.

    Derivation of the study cohort.

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    Table 1.

    Demographic Characteristics of the Study Cohort (n=115)

    VariableNumber of Patients (%)
    Age ≤ 40 years74 (64.3)
    Race/ethnicity
    Caucasian87 (75.7)
    African American17 (14.8)
    Hispanic/Latino2 (1.7)
    Othera9 (7.8)
    Saw MSM specialist36 (31.3)
    Sexually active108 (93.9)
    Condom use
    Consistent9 (7.8)
    Inconsistent33 (28.7)
    Undocumented73 (63.5)
    Prior history of STIs20 (17.4)
    HIV testing72 (62.6)
    STI testing (other than HIV)b73 (63.5)
    Documented PrEP discussion34 (29.6)
    Prescribed PrEP20 (17.4)
    • ↵aAsian, Pacific Islander, other, or declined.

    • ↵bIncluding gonorrhea, chlamydia, syphilis, herpes simplex virus type 1, herpes simplex virus type 2, hepatitis B.

    • HIV, human immunodeficiency virus; MSM, men who have sex with men; PrEP, pre-exposure prophylaxis (emtricitabine/tenofovir disoproxil fumarate [Truvada]); STI, sexually transmitted infection.

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    Table 2.

    Univariate Analysis of Patient and Provider Variables Associated With Having a PrEP Discussion During a Primary Care Visit

    PrEP ConversationsPrEP Conversations
    With VariableWith Variable
    VariablePresent, %Absent, %P Value
    Documentation of STI history (positive or negative)57.721.4<0.001
    Documentation of condom use (consistent or inconsistent)50.017.8<0.001
    HIV testing47.00.0<0.001
    STI testing (other than HIV)42.07.0<0.001
    Saw MSM specialist47.221.50.005
    Sexually active31.50.00.077
    • HIV, human immunodeficiency virus; MSM, men who have sex with men; PrEP, pre-exposure prophylaxis (emtricitabine/tenofovir disoproxil fumarate [Truvada]); STI, sexually transmitted infection.

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    Table 3.

    Multiple Logistic Regression Analysis of Patient and Provider Variables Associated With Having a PrEP Discussion During a Primary Care Visit

    VariableOdds RatioP Value95% Confidence Interval
    Saw MSM specialist5.050.0021.81-14.10
    Documentation of STI history (positive or negative)5.410.0031.80-16.23
    Documentation of condom use (consistent or inconsistent)3.320.0151.27-8.74
    Age ≤40 years1.740.3400.55-5.48
    African American race1.010.9800.28-3.67
    • Note: Absence of HIV testing and no sexual activity during the study period both perfectly predicted no PrEP discussion and were forced out of the model.

    • MSM, men who have sex with men; PrEP, pre-exposure prophylaxis (emtricitabine/tenofovir disoproxil fumarate [Truvada]); STI, sexually transmitted infection.

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Factors Associated With Discussions of Human Immunodeficiency Virus Pre-Exposure Prophylaxis in Men Who Have Sex With Men
Barley R. Halton, Jill N. T. Roberts, G. Dodd Denton
Ochsner Journal Sep 2019, 19 (3) 188-193; DOI: 10.31486/toj.19.0004

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Factors Associated With Discussions of Human Immunodeficiency Virus Pre-Exposure Prophylaxis in Men Who Have Sex With Men
Barley R. Halton, Jill N. T. Roberts, G. Dodd Denton
Ochsner Journal Sep 2019, 19 (3) 188-193; DOI: 10.31486/toj.19.0004
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Keywords

  • Anti-HIV agents
  • emtricitabine
  • tenofovir disoproxil fumarate drug combination
  • HIV
  • pre-exposure prophylaxis
  • sexual and gender minorities

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