Awareness and Perceived Effectiveness of HIV Treatment as Prevention Among Men Who Have Sex with Men in New York City

To assess perceptions of HIV treatment as prevention (TasP), we conducted an online survey of MSM in New York City ( n  = 732) asking them to rate the effectiveness of different strategies to reduce HIV risk during serodiscordant condomless anal sex between men. Only 6.1% reported not knowing what T...

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Bibliographic Details
Published in:AIDS and behavior 2019-07, Vol.23 (7), p.1974-1983
Main Authors: Siegel, Karolynn, Meunier, Étienne
Format: Article
Language:English
Subjects:
Anal intercourse
Anal sex
Consciousness
Disease prevention
Ejaculation
Gays & lesbians
Health Psychology
Health risks
HIV
Human immunodeficiency virus
Infectious Diseases
Internet
Medicine
Medicine & Public Health
Men who have sex with men
Mens health
Original Paper
Prevention
Protection
Public Health
Sexual behavior
Sexually transmitted diseases
STD
Treatment outcomes
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Summary:To assess perceptions of HIV treatment as prevention (TasP), we conducted an online survey of MSM in New York City ( n  = 732) asking them to rate the effectiveness of different strategies to reduce HIV risk during serodiscordant condomless anal sex between men. Only 6.1% reported not knowing what TasP was, with significantly less awareness among non-gay-identified MSM, men with less education, men who reported fewer anal sex partners in the prior 3 months, and HIV-negative/unaware men who had never used PrEP. The strategy most frequently perceived to offer “a lot” or “complete” protection from HIV was daily PrEP (70.0%), followed by TasP (39.1%), intermittent PrEP (16.6%), strategic positioning (15.8%), and withdrawal before ejaculation (10.8%). Men who were HIV positive, who had ever used PrEP, and who identified as gay/homosexual were significantly more likely to see TasP as effective. Further studies should investigate MSM’s apparent skepticism towards TasP.
ISSN:1090-7165
1573-3254
DOI:10.1007/s10461-019-02405-y