Formative Research to Assess Utility, Feasibility, and Acceptability of PrEP use Among MSM in Violent Relationships

Dates: 9/1/2016 - 3/31/2018

CFAR Pilot Award (NIH/NIAID)

Role: James M McMahon, PhD : Co-Investigator
Principal Investigator: Amy Braksmajer

Intimate partner violence (IPV) and HIV are significant intersecting public health problems among men who have sex with men (MSM).  MSM who experience IPV are more likely to engage in HIV risk behaviors and are more likely to be HIV+ compared to those not in violent relationships. Individuals in violent relationships are often unable to use condoms or refuse sex due to fear of violence, leaving them with few HIV risk reduction options. Pre-exposure prophylaxis (PrEP) is a biomedical HIV prevention method that, unlike other methods, does not require partner knowledge or consent. PrEP may therefore be a promising HIV risk reduction option for MSM in violent relationships. There are no proven interventions to increase PrEP willingness, uptake, and adherence for MSM in violent relationships.  The purpose of the proposed work is to conduct formative research that will establish the conceptual, theoretical, and empirical bases for a combination (i.e., behavioral and biomedical) intervention targeting MSM experiencing IPV.