Reproductive intentions among HIV-negative gay and bisexual men initiating pre-exposure prophylaxis in the Sustainable Health Center Implementation pre-exposure prophylaxis pilot study, 2014–2016

Jones, Jamal T.; Coleman, Megan; Hoover, Karen W.; Sarkodie, Eleanor; Smith, Dawn K.

doi:10.1177/09564624211056746

Reproductive intentions among HIV-negative gay and bisexual men initiating pre-exposure prophylaxis in the Sustainable Health Center Implementation pre-exposure prophylaxis pilot study, 2014–2016

Journal Article · 06 December 2021 · International Journal of STD & AIDS

DOI:https://doi.org/10.1177/09564624211056746· OSTI ID:1983028

^[1]; Coleman, Megan ^[2]; Hoover, Karen W. ^[1]; Sarkodie, Eleanor ^[2]; Smith, Dawn K. ^[1]

Division of HIV Prevention (DHP), National Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC), Atlanta, GA, USA
Whitman-Walker Health, Washington, DC, USA

Introduction

We assessed reproductive intentions and associated characteristics among men enrolled in the Sustainable Health Center Implementation pre-exposure prophylaxis (PrEP) Pilot (SHIPP) Study.

Methods

We analyzed baseline data from 1275 men who self-identified as gay or bisexual and participated in the SHIPP study. SHIPP was a cohort study of PrEP implementation in five community health centers in Chicago, Jackson, Philadelphia, and Washington, D.C. conducted from 2014 to 2016. Participants completed audio computer-assisted self-interviews querying intentions to have a child in the future. We estimated the association between participants’ reproductive intentions and their characteristics using Poisson regression models.

Results

Approximately 47% of participants indicated their intentions to have a child. Black/non-Hispanic (aPR = 1.40; 95% CI: 1.10–1.78) and other/non-Hispanic participants (aPR = 1.40; 95% CI: 1.01–1.93) were more likely to report intentions to have a child than white/non-Hispanic participants. Participants were less likely to report intentions to have children as age increased (18–29 years, reference group; 30–39 years, aPR = 0.80, 95% CI: 0.64–0.99; 40–49 years, aPR = 0.49, 95% CI: 0.33–0.72; 50+ years, aPR = 0.07, 95% CI: 0.02–0.21).

Conclusions

Clinicians offering PrEP to black and other/non-Hispanic gay and bisexual men should assess their reproductive intentions as family-planning counseling may be an opportunity to introduce PrEP to HIV-negative gay and bisexual men.

Research Organization:: Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, TN (United States)

Sponsoring Organization:: USDOE Office of Science (SC)

DOE Contract Number:: SC0014664

OSTI ID:: 1983028

Journal Information:: International Journal of STD & AIDS, Vol. 33, Issue 2; ISSN 0956-4624

Publisher:: SAGE

Country of Publication:: United States

Language:: English

References (28)

Predictors of parenting intentions among childless lesbian, gay, and heterosexual adults. Tate, Doyle P.; Patterson, Charlotte J.; Levy, Andrew J. Journal of Family Psychology, Vol. 33, Issue 2 https://doi.org/10.1037/fam0000499	journal	March 2019
Parenting Desires Among Individuals Living With Human Immunodeficiency Virus in the United States Cohn, Susan E.; Haddad, Lisa B.; Sheth, Anandi N. Open Forum Infectious Diseases, Vol. 5, Issue 10 https://doi.org/10.1093/ofid/ofy232	journal	September 2018
Pregnancy and Contraceptive Use Among Women Participating in the FEM-PrEP Trial Callahan, Rebecca; Nanda, Kavita; Kapiga, Saidi JAIDS Journal of Acquired Immune Deficiency Syndromes, Vol. 68, Issue 2 https://doi.org/10.1097/QAI.0000000000000413	journal	February 2015
Sexual orientation and future parenthood in a 2011–2013 nationally representative United States sample. Riskind, Rachel G.; Tornello, Samantha L. Journal of Family Psychology, Vol. 31, Issue 6 https://doi.org/10.1037/fam0000316	journal	September 2017
Future desire for children among women living with HIV in Atlanta, Georgia Haddad, Lisa B.; Machen, Leah Kathleen; Cordes, Sarah AIDS Care, Vol. 28, Issue 4 https://doi.org/10.1080/09540121.2015.1114996	journal	December 2015
Gay Men from Heterosexual Marriages Higgins, Daryl J. Journal of Homosexuality, Vol. 42, Issue 4 https://doi.org/10.1300/J082v42n04_02	journal	July 2002
Structural Barriers to Pre-exposure Prophylaxis Use Among Young Sexual Minority Men: The P18 Cohort Study Jaiswal, Jessica; Griffin, Marybec; Singer, Stuart N. Current HIV Research, Vol. 16, Issue 3 https://doi.org/10.2174/1570162X16666180730144455	journal	October 2018
“I Always Felt I Had to Prove My Manhood”: Homosexuality, Masculinity, Gender Role Strain, and HIV Risk Among Young Black Men Who Have Sex With Men Fields, Errol Lamont; Bogart, Laura M.; Smith, Katherine C. American Journal of Public Health, Vol. 105, Issue 1 https://doi.org/10.2105/AJPH.2013.301866	journal	January 2015
An exploration of the fertility desires and intentions of men living with HIV in Ontario, Canada Yudin, Mark H.; Kennedy, V. Logan; Bekele, Tsegaye AIDS Care, Vol. 33, Issue 2 https://doi.org/10.1080/09540121.2020.1734175	journal	March 2020
Pre-exposure prophylaxis does not affect the fertility of HIV-1-uninfected men Were, Edwin O.; Heffron, Renee; Mugo, Nelly R. AIDS, Vol. 28, Issue 13 https://doi.org/10.1097/QAD.0000000000000313	journal	August 2014
Ethnic and Gay Community Attachments and Sexual Risk Behaviors Among Urban Latino Young Men Who Have Sex With Men O'Donnell, Lydia; Agronick, Gail; San Doval, Alexi AIDS Education and Prevention, Vol. 14, Issue 6 https://doi.org/10.1521/aeap.14.8.457.24109	journal	December 2002
Fertility Intentions, Pregnancy, and Use of PrEP and ART for Safer Conception Among East African HIV Serodiscordant Couples Heffron, Renee; Thomson, Kerry AIDS and Behavior, Vol. 22, Issue 6 https://doi.org/10.1007/s10461-017-1902-7	journal	September 2017
Opresión internalizada y prácticas sexuales de riesgo en varones homo-y bi-sexuales de México Ortiz Hernández, Luis; García Torres, María Isabel Revista de Saúde Pública, Vol. 39, Issue 6 https://doi.org/10.1590/S0034-89102005000600014	journal	December 2005
Associations of Race/Ethnicity With HIV Prevalence and HIV-Related Behaviors Among Young Men Who Have Sex With Men in 7 Urban Centers in the United States Harawa, Nina T.; Greenland, Sander; Bingham, Trista A. JAIDS Journal of Acquired Immune Deficiency Syndromes, Vol. 35, Issue 5 https://doi.org/10.1097/00126334-200404150-00011	journal	April 2004
Changes in HIV Preexposure Prophylaxis Awareness and Use Among Men Who Have Sex with Men — 20 Urban Areas, 2014 and 2017 Finlayson, Teresa; Cha, Susan; Xia, Ming MMWR. Morbidity and Mortality Weekly Report, Vol. 68, Issue 27 https://doi.org/10.15585/mmwr.mm6827a1	journal	July 2019
Parenting intentions and desires among childless lesbian, gay, and heterosexual individuals. Riskind, Rachel G.; Patterson, Charlotte J. Journal of Family Psychology, Vol. 24, Issue 1 https://doi.org/10.1037/a0017941	journal	January 2010
“Is It All Right for Me to Have a Baby or Not?”: Men Living With HIV Discuss Fertility Desires and Interactions With Providers Weber, Shannon; Zakaras, Jennifer M.; Hilliard, Starr Journal of the Association of Nurses in AIDS Care, Vol. 28, Issue 1 https://doi.org/10.1016/j.jana.2016.10.004	journal	January 2017
Parenting and child-caretaking among black men who have sex with men and associated sexual and reproductive health factors: a brief report VandeVusse, Alicia; Rosentel, Kris; Coldon, Lawrence Journal of Gay & Lesbian Social Services, Vol. 32, Issue 3 https://doi.org/10.1080/10538720.2020.1728462	journal	February 2020
Demographic Characteristics of Lesbian Parents in the United States Brewster, Karin L.; Tillman, Kathryn Harker; Jokinen-Gordon, Hanna Population Research and Policy Review, Vol. 33, Issue 4 https://doi.org/10.1007/s11113-013-9296-3	journal	July 2013
Physician Awareness of Sexual Orientation and Preventive Health Recommendations to Men Who Have Sex With Men Petroll, Andrew E.; Mosack, Katie E. Sexually Transmitted Diseases, Vol. 38, Issue 1 https://doi.org/10.1097/OLQ.0b013e3181ebd50f	journal	January 2011
Reproductive Desires and Considerations of HIV-Positive Men in Heterosexual Relationships in New York City Siegel, Karolynn; Meunier, Étienne; Tocco, Jack Ume AIDS and Behavior, Vol. 22, Issue 6 https://doi.org/10.1007/s10461-017-1864-9	journal	July 2017
A Medical Care Missed Opportunity: Preexposure Prophylaxis and Young Black Men Who Have Sex With Men Arrington-Sanders, Renata; Morgan, Anthony; Oidtman, Jessica Journal of Adolescent Health, Vol. 59, Issue 6 https://doi.org/10.1016/j.jadohealth.2016.08.006	journal	December 2016
Understanding High Fertility Desires and Intentions Among a Sample of Urban Women Living with HIV in the United States Finocchario-Kessler, Sarah; Sweat, Michael D.; Dariotis, Jacinda K. AIDS and Behavior, Vol. 14, Issue 5 https://doi.org/10.1007/s10461-009-9637-8	journal	November 2009
Sexual Identity, Sexual Behavior and Pre-exposure Prophylaxis in Black Cisgender Sexual Minority Men: The N2 Cohort Study in Chicago Timmins, Liadh; Schneider, John A.; Chen, Yen-Tyng AIDS and Behavior, Vol. 25, Issue 10 https://doi.org/10.1007/s10461-021-03246-4	journal	April 2021
Childless Bisexual and Gay Men’s Expectations of Obstacles and Enabling Factors for Pursuing Parenthood Malmquist, Anna; Martin, Josephine; Thiel, Agnes Journal of GLBT Family Studies, Vol. 17, Issue 4 https://doi.org/10.1080/1550428X.2021.1931614	journal	May 2021
“Having a Child Meant I had a Real Life”: Reproductive Coercion and Childbearing Motivations Among Young Black Men Living in Baltimore Alexander, Kamila A.; Arrington Sanders, Renata; Grace, Karen Trister Journal of Interpersonal Violence, Vol. 36, Issue 17-18 https://doi.org/10.1177/0886260519853400	journal	June 2019
Sexual Diversity Among Black Men Who Have Sex with Men in an Inner-City Community Miller, M. Journal of Urban Health: Bulletin of the New York Academy of Medicine, Vol. 82, Issue 1_suppl_1 https://doi.org/10.1093/jurban/jti021	journal	February 2005
Assessment of PrEP Awareness, PrEP Discussion with a Provider, and PrEP Use by Transmission Risk Group with an Emphasis on the Southern United States Jones, Jamal T.; Smith, Dawn K.; Wiener, Jeffrey AIDS and Behavior, Vol. 25, Issue 9 https://doi.org/10.1007/s10461-021-03164-5	journal	February 2021

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