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Volume 24, Number 12—December 2018
CME ACTIVITY - Research

Substance Use and Adherence to HIV Preexposure Prophylaxis for Men Who Have Sex with Men1

Martin HoeniglComments to Author , Sonia Jain, David Moore, Deborah Collins, Xiaoying Sun, Peter L. Anderson, Katya Corado, Jill S. Blumenthal, Eric S. Daar, Joel Milam, Michael P. Dubé, Sheldon Morris, and for the California Collaborative Treatment Group 595 Team
Author affiliations: Medical University of Graz, Graz, Austria (M. Hoenigl); University of California, San Diego, California, USA (M. Hoenigl, S. Jain, D. Moore, X. Sun, J.S. Blumenthal, S. Morris); Department of Health and Human Services, Long Beach, California, USA (D. Collins); University of Anschutz Medical Campus, Aurora, Colorado, USA (P.L. Anderson); Harbor UCLA Medical Center, Torrance, California, USA (K. Corado, E.S. Daar); University of Southern California Keck School of Medicine, Los Angeles, California, USA (J. Milam, M.P. Dubé)

Main Article

Table 1

Baseline demographic characteristics by substance use status used for assessing substance use and adherence to HIV preexposure prophylaxis among MSM and transgender women, California, USA*

Characteristic
Overall, n = 394
Substance use
p value
None, n = 102
Some, n = 144
Frequent, n = 148
Sex 0.191
M 391 (99) 100 (98) 143 (99) 148 (100)
F 3 (1) 2 (2) 1 (1) 0
Median age, y (IQR) 33 (28–41) 33 (29–40) 33 (28–41) 33.5 (28–42) 0.885
Race, n = 386† 0.238
Asian 12 (3) 2 (2) 5 (4) 5 (3)
Black 51 (13) 20 (20) 19 (13) 12 (8)
White 292 (76) 72 (72) 104 (73) 116 (81)
Multiple 24 (6) 6 (6) 10 (7) 8 (6)
Other 7 (2) 0 4 (3) 3 (2)
Hispanic ethnicity, n = 391† 119 (30) 30 (29) 54 (38) 35 (24) 0.048
English primary language 3,786 (95) 98 (96) 133 (92) 145 (98) 0.066
Education 0.296
High school or less 35 (9) 12 (12) 15 (10) 8 (5)
Some college 146 (37) 36 (35) 58 (40) 52 (35)
Bachelor’s degree 132 (33) 31 (30) 42 (29) 59 (40)
Postgraduate or advanced degree 81 (21) 23 (23) 29 (20) 29 (20)
Household income/mo 0.434
<$2,000 84 (21) 27 (26) 31 (22) 26 (18)
>$2,000 248 (63) 63 (62) 89 (62) 96 (65)
Not known 62 (16) 12 (12) 24 (17) 26 (18)
Randomization arm 0.019
Standard of care 196 (50) 60 (59) 75 (52) 61 (41)
Text messaging 198 (50) 42 (41) 69 (48) 87 (59)
Study site 0.660
Harbor-UCLA 48 (12) 11 (11) 15 (10) 22 (15)
Long Beach 46 (12) 15 (15) 17 (12) 14 (9)
UCSD 173 (44) 48 (47) 62 (43) 63 (43)
USC 127 (32) 28 (27) 50 (35) 49 (33)
Median PHQ9 for depression (IQR) 3 (1–7) 2 (0–5) 3.5 (1–7) 5 (2–8) <0.001
Median baseline DAST10, (IQR) 2 (0–3) 0 (0–1) 2 (1–3) 3 (2–4) <0.001

*Values are no. (%) unless otherwise noted. DAST, Drug Abuse Screening Test; IQR, interquartile range; MSM, men who have sex with men; PHQ, Patient Health Questionnaire; UCLA, University of California Los Angeles; UCSD, University of California San Diego; USC, University of Southern California.
†Characteristics were not available for all study participants.

Main Article

1Original data from this study were presented in part at the 2017 Conference on Retroviruses and Opportunistic Infections, February 13–16, 2017, Seattle, Washington, USA; and at the 12th International Conference on HIV Treatment and Prevention Adherence, June 4–6, 2017, Miami, Florida, USA.

Page created: November 14, 2018
Page updated: November 14, 2018
Page reviewed: November 14, 2018
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