AIDS and Behavior

, Volume 23, Issue 10, pp 2687–2693 | Cite as

Community Levels of PrEP Use Among Men Who Have Sex with Men by Race/Ethnicity, San Francisco, 2017

  • H. Fisher RaymondEmail author
  • Jonathan M. Snowden
  • John Guigayoma
  • Willi McFarland
  • Yea-Hung Chen
Original Paper


Efforts in San Francisco are maximizing the use of pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) where high levels of use are needed to maximize reducing new HIV infections. National HIV Behavioral Surveillance surveys MSM in San Francisco. Demographics, health care and risk behaviors are assessed. PrEP use is measured for 12 month, 6 month and 30 day periods. Of 399 HIV uninfected men sampled in 2017, 43.4% used PrEP in the past 12 months. Proportions of men using PrEP by race/ethnicity were not significant at any time point. Decreases between 6 month and 30 day use were highest among African American and Latino men. These men had the highest proportion of intermittent use in the past 30 days but not significantly. While our data suggest the disparity in PrEP use by race/ethnicity has narrowed in San Francisco, novel delivery of PrEP may narrow disparity further.


Men who have sex with men Race/ethnicity Pre-exposure prophylaxis Disparities 



This study was funded by CDC (Grant Number 1U62/PS005077).

Compliance with Ethical Standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.School of Public HealthRutgers UniversityPiscatawayUSA
  2. 2.University of California, San FranciscoSan FranciscoUSA
  3. 3.School of Public Health, Oregon Health & Science University–Portland State UniversityPortlandUSA
  4. 4.San Francisco Department of Public HealthSan FranciscoUSA

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