Estimating the size of HIV-negative MSM population that would benefit from pre-exposure prophylaxis in Florida

Ann Epidemiol. 2020 Apr:44:52-56. doi: 10.1016/j.annepidem.2020.02.003. Epub 2020 Feb 14.

Abstract

Purpose: This study aimed to estimate the size of the population of men who have sex with men (MSM) in Florida with high-risk behaviors that would indicate eligibility for pre-exposure prophylaxis (PrEP) use.

Methods: Three methods were used to estimate the MSM population. Estimates from the three methods were averaged, and the number of MSM living with HIV in each zone improvement plan (ZIP) code was subtracted.

Results: The average MSM estimate was 1-2184 men (1.5-22.9%) by ZIP code. The size of the MSM population with indications for PrEP use was highest when using estimates of MSM with more than one sex partner in the past year obtained from the National HIV Behavioral Surveillance system and lowest when the MSM estimate was multiplied by 24.7% (percentage of MSM with PrEP indications from other studies).

Conclusion: Areas with high numbers of MSM with PrEP indications could be targeted with information to reduce HIV acquisition.

Keywords: MSM; Population estimation; PrEP indications; ZIP code.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adult
  • Anti-HIV Agents / administration & dosage*
  • Florida / epidemiology
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control*
  • Homosexuality, Male / statistics & numerical data*
  • Humans
  • Male
  • Population Density
  • Pre-Exposure Prophylaxis / methods
  • Pre-Exposure Prophylaxis / organization & administration*
  • Safe Sex
  • Sexual Partners

Substances

  • Anti-HIV Agents