Journal ArticleDOI
The Roles of Technology in Primary HIV Prevention for Men Who Have Sex with Men.
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TLDR
A summary of the current gap in coverage of primary prevention services, how technology-based interventions and services can address gaps in coverage, and the current trends in the development and availability of technology- based primary prevention tools for use by MSM is provided.Abstract:
Men who have sex with men (MSM) are at disproportionate risk for HIV infection globally. The past 5 years have seen considerable advances in biomedical interventions to reduce the risk of HIV infection. To be impactful in reducing HIV incidence requires the rapid and expansive scale-up of prevention. One mechanism for achieving this is technology-based tools to improve knowledge, acceptability, and coverage of interventions and services. This review provides a summary of the current gap in coverage of primary prevention services, how technology-based interventions and services can address gaps in coverage, and the current trends in the development and availability of technology-based primary prevention tools for use by MSM. Results from agent-based models of HIV epidemics of MSM suggest that 40-50 % coverage of multiple primary HIV prevention interventions and services, including biomedical interventions like preexposure prophylaxis, will be needed to reduce HIV incidence among MSM. In the USA, current levels of coverage for all interventions, except HIV testing and condom distribution, fall well short of this target. Recent findings illustrate how technology-based HIV prevention tools can be used to provide certain kinds of services at much larger scale, with marginal incremental costs. A review of mobile apps for primary HIV prevention revealed that most are designed by nonacademic, nonpublic health developers, and only a small proportion of available mobile apps specifically address MSM populations. We are unlikely to reach the required scale of HIV prevention intervention coverage for MSM unless we can leverage technologies to bring key services to broad coverage for MSM. Despite an exciting pipeline of technology-based prevention tools, there are broader challenges with funding structures and sustainability that need to be addressed to realize the full potential of this emerging public health field.read more
Citations
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Journal ArticleDOI
Usability and Acceptability of a Mobile Comprehensive HIV Prevention App for Men Who Have Sex With Men: A Pilot Study
Patrick S. Sullivan,Robert A Driggers,Joanne D. Stekler,Aaron J Siegler,Tamar Goldenberg,Sarah J McDougal,Jason Caucutt,Jeb Jones,Rob Stephenson +8 more
TL;DR: A theory-based mobile phone app was acceptable to MSM and was rated as having above-average usability, and nearly 1 in 10 PrEP-eligible men started PrEP, with most attributing their decision to start PrEP in part to the app.
Journal ArticleDOI
Epic Allies: Development of a Gaming App to Improve Antiretroviral Therapy Adherence Among Young HIV-Positive Men Who Have Sex With Men.
Sara LeGrand,Kathryn E. Muessig,Tobias McNulty,Karina Soni,Kelly Knudtson,Alex Lemann,Nkechinyere Nwoko,Lisa B. Hightow-Weidman +7 more
TL;DR: An iterative development process was critical for the development of an ART adherence game app that was viewed as highly acceptable, relevant, and useful by YMSM.
Journal ArticleDOI
HIV Risk Behaviors and Utilization of Prevention Services, Urban and Rural Men Who Have Sex with Men in the United States: Results from a National Online Survey.
Jennie McKenney,Patrick S. Sullivan,Kristina E. Bowles,Emeka Oraka,Travis Sanchez,Elizabeth DiNenno +5 more
TL;DR: HIV prevalence is lower among MSM in rural areas compared to MSM in urban areas, but rural MSM report that they are more likely to face intolerance and are less likely to use basic HIV prevention services compared to urban MSM.
Journal ArticleDOI
Getting pre-exposure prophylaxis (PrEP) to the people: opportunities, challenges and emerging models of PrEP implementation
TL;DR: Several key elements of the effort to expand PrEP uptake for at-risk populations who would benefit most are considered, such as increasing access to PrEP, integrating PrEP programs with other services, promoting PrEP persistence and developing systems for monitoring PrEP use.
Journal ArticleDOI
Developing a Mobile App (LYNX) to Support Linkage to HIV/Sexually Transmitted Infection Testing and Pre-Exposure Prophylaxis for Young Men Who Have Sex With Men: Protocol for a Randomized Controlled Trial.
Albert Y. Liu,Kenneth Coleman,Kelly Bojan,Pedro A Serrano,Temitope Oyedele,Amayvis Garcia,Elizabeth Enriquez-Bruce,Patricia Emmanuel,Jeb Jones,Patrick S. Sullivan,Lisa B. Hightow-Weidman,Susan Buchbinder,Hyman M. Scott +12 more
TL;DR: The LYNX app is one of the first mobile apps designed to increase HIV/STI testing and PrEP uptake among Y MSM and has great potential to reach and engage YMSM not currently involved in care and increase rates of HIV/ STI testing in this vulnerable population.
References
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Journal ArticleDOI
Global epidemiology of HIV infection in men who have sex with men
Chris Beyrer,Stefan Baral,Frits van Griensven,Steven M. Goodreau,Suwat Chariyalertsak,Andrea L. Wirtz,Ron Brookmeyer +6 more
TL;DR: It is shown that the high probability of transmission per act through receptive anal intercourse has a central role in explaining the disproportionate disease burden in MSM and prevention strategies that lower biological transmission and acquisition risks offer promise.
Journal ArticleDOI
HIV transmission risk through anal intercourse: systematic review, meta-analysis and implications for HIV prevention
TL;DR: It was demonstrated that it would require unreasonably low numbers of AI HIV exposures per partnership to reconcile the summary per-act and per-partner estimates, suggesting considerable variability in AI infectiousness between and within partnerships over time.
Journal ArticleDOI
Successes and challenges of HIV prevention in men who have sex with men
Patrick S. Sullivan,Alex Carballo-Diéguez,Thomas J. Coates,Steven M. Goodreau,Ian McGowan,Eduard J. Sanders,Eduard J. Sanders,Adrian Smith,Prabuddhagopal Goswami,Jorge Sanchez +9 more
TL;DR: Modelling suggests that, with sufficient coverage, available interventions are sufficient to avert at least a quarter of new HIV infections in MSM in diverse countries.
Journal ArticleDOI
Episodic Sexual Transmission of HIV Revealed by Molecular Phylodynamics
TL;DR: Reconstruction of the HIV transmission network using a dated phylogeny approach has revealed the HIV epidemic among MSM in London to have been episodic, with evidence of multiple clusters of transmissions dating to the late 1990s, a period when HIV prevalence is known to have doubled in this population.
Journal ArticleDOI
Surveillance of HIV risk and prevention behaviors of men who have sex with men--a national application of venue-based, time-space sampling.
Duncan A. MacKellar,Kathleen Gallagher,Teresa Finlayson,Travis Sanchez,Amy Lansky,Patrick S. Sullivan +5 more
TL;DR: By identifying the prevalence and trends of HIV risk and prevention behaviors, NHBS-MSM data may be used at local, state, and federal levels to help obtain, direct, and evaluate HIV prevention resources for MSM.
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