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. 2023 Sep;35(9):1411-1419.
doi: 10.1080/09540121.2023.2217375. Epub 2023 May 26.

Effects of mode of transportation on PrEP persistence among urban men who have sex with men

J Danielle Sharpe  1 , Aaron J Siegler  1 , Travis H Sanchez  1 , Jodie L Guest  1 , Patrick S Sullivan  1
Affiliations

Effects of mode of transportation on PrEP persistence among urban men who have sex with men

J Danielle Sharpe et al. AIDS Care. 2023 Sep.

Abstract

Little is known about the effect of travel-related factors, such as mode of transportation, on retention in PrEP care, or PrEP persistence. We used data from the 2020 American Men's Internet Survey and conducted multilevel logistic regression to estimate the association between mode of transportation used for healthcare access and PrEP persistence among urban gay, bisexual, and other men who have sex with men (MSM) in the U.S. MSM using public transportation were less likely to report PrEP persistence (aOR: 0.51; 95% CI: 0.28-0.95) than MSM using private transportation. There were no significant associations between PrEP persistence and using active transportation (aOR: 0.67; 95% CI: 0.35-1.29) or multimodal transportation (aOR: 0.85; 95% CI: 0.51-1.43) compared to using private transportation. Transportation-related interventions and policies are needed to address structural barriers to accessing PrEP services and to improve PrEP persistence in urban areas.

Keywords: HIV; men who have sex with men; mode of transportation; pre-exposure prophylaxis; urban.

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Conflict of interest statement

Disclosure statement

No potential conflict of interest was reported by the author(s).

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