HIV Testing and PrEP Use in Different Generations of Gay and Bisexual Men

By Phillip L. Hammack, Ilan H. Meyer, Evan A. Krueger, Marguerita Lightfoot, and David M. Frost

An analysis of data collected in the Williams Institute’s Generations study finds that just 4 percent of sexually active gay and bisexual men in the U.S. use Truvada as pre-exposure prophylaxis (PrEP), which the Centers for Disease Control and Prevention regards as a highly effective tool to prevent the transmission of HIV.

In addition, the study found that most sexually active gay and bisexual men aged 18-25 are not tested for HIV annually, as recommended by the CDC, and 25% of young men have never been tested.

This is the first study to report on estimates of HIV testing and use of PrEP among gay and bisexual men using a national probability sample in the U.S. In the study, researchers examined gay and bisexual men in three age groups: young (18-25), middle (34-41) and older (52-59).

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