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Sci Rep ; 14(1): 17004, 2024 Jul 23.
Artículo en Inglés | MEDLINE | ID: mdl-39043861

RESUMEN

Disparities in Latinx sexual minority men (LSMM) pre-exposure prophylaxis (PrEP) initiation and adherence demonstrate the need for innovative strategies to improve outcomes along the PrEP Care Continuum. The purpose of this study was to examine physical and virtual risk venue co-attendance among LSMM of varying stages of PrEP use living in South Florida, an Ending the HIV Epidemic (EHE) priority jurisdiction. Venue co-attendance may be leveraged to support equitable dissemination and implementation (D&I) of HIV and drug use preventive interventions to LSMM. Ninety-four LSMM completed surveys on PrEP use and identified physical and virtual sexual and drug risk venues (where men seek sex partners and/or have sex or access or use drugs). Bivariate analyses examined differences in demographics and venue endorsement by PrEP status. Exponential random graph models examined endorsement of venues by PrEP status. One-mode projection visualizations portray the structure of venue co-attendance networks by PrEP status. Participants identified 49 physical and virtual sexual and drug risk venues. A homophily effect of PrEP status on venue endorsement was identified for both sexual and drug risk venues. Network size and density differed by PrEP status and whether the venue was identified as a sexual or drug risk location. Online dating apps, bars, and saunas had the highest centrality in each network type suggesting their potential role in implementing preventive programming. This study identified specific sexual and drug risk venues that may be leveraged to both disseminate targeted PrEP and harm reduction information and to implement interventions to improve PrEP uptake and adherence among LSMM living in EHE priority jurisdictions.


Asunto(s)
Infecciones por VIH , Hispánicos o Latinos , Profilaxis Pre-Exposición , Minorías Sexuales y de Género , Humanos , Masculino , Profilaxis Pre-Exposición/estadística & datos numéricos , Adulto , Infecciones por VIH/prevención & control , Infecciones por VIH/epidemiología , Hispánicos o Latinos/psicología , Minorías Sexuales y de Género/estadística & datos numéricos , Minorías Sexuales y de Género/psicología , Florida , Persona de Mediana Edad , Adulto Joven , Conducta Sexual , Fármacos Anti-VIH/uso terapéutico , Parejas Sexuales/psicología
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