A significant proportion of
MSM acquire HIV from their primary relationship partners. Rectal microbicides
are currently being studied to determine their efficacy for HIV prevention, yet
willingness to use rectal microbicides among male couples is largely unknown.
Dyadic data from 333 HIV-negative and HIV-discordant male couples, representing
631 HIV-negative men, were used to assess anal douching practices and
willingness to use a rectal microbicide for HIV prevention. 17 % of men
douched 100 % of the time before having anal sex within their primary partner.
Among those who had sex outside of their relationship, 36% had douched
100% of the time before having anal sex with a casual MSM partner. Most
men (63 %) indicated a willingness to use a theoretically effective rectal
microbicide prior to anal sex for HIV prevention.
If found effective, rectal
microbicides delivered as an anal douche may be an acceptable format for HIV
prevention to some MSM who already engage in anal douching. Understanding
current douching practices will be important in successfully promoting the
uptake of rectal microbicides.
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By:
- 1Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 N.W. 14th Street, Suite 1021, Miami, FL, 33136, USA. jwm35@med.miami.edu.
- 2Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 N.W. 14th Street, Suite 1021, Miami, FL, 33136, USA. axs840@miami.edu.
- 3Department of Public Health Sciences, University of Miami Miller School of Medicine, 1120 N.W. 14th Street, Suite 1021, Miami, FL, 33136, USA. jxl636@miami.edu.
- 4Division of Infectious Diseases, Center for AIDS Intervention Research, Medical College of Wisconsin, Milwaukee, WI, USA. apetroll@mcw.edu.
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