Access to transportation influences PrEP uptake and persistence among urban gay, bisexual, and other MSM, according to results published in AIDS Care. J. Danielle Sharpe, PhD, MS, and colleagues examined data from the 2020 American Men’s Internet Survey, using multilevel logistic regression to estimate the association between the type of transportation used for healthcare access and PrEP persistence among urban gay, bisexual, and other MSM in the United States. They found that MSM using public transportation were less likely to report PrEP persistence (adjusted OR [aOR], 0.51; 95% CI, 0.28-0.95) than MSM using private transportation. However, they reported no significant associations between PrEP persistence and active transportation (aOR, 0.67; 95% CI, 0.35-1.29) and multimodal transportation (aOR, 0.85; 95% CI, 0.51-1.43) compared with private transportation. “Transportation related interventions and policies are needed to address structural barriers to accessing PrEP services and to improve PrEP persistence in urban areas,” Dr. Sharpe and colleagues wrote.
