Table 1.
Access to HIV Prevention and HIV Treatment among a Global Sample of Cisgender Gay Men and Other Men who have sex with Men (n = 2732)
| Access to HIV Prevention among HIV-negative participants (n = 2247) | Access to HIV Treatment among HIV-positive participants (n = 473) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Access to HIV provider | Access to HIV medication | ||||||||||
| Condoms☨ | Onsite HIV test☨ | HIV self-test☨ | PEP☨ | PrEP☨ | Lost provider access | In-person provider access | Tele-medicine Provider access | Can refill/access | Can refill/access with complications | Cannot refill/access | |
| OVERALL | 1459 (65%) | 679 (30%) | 429 (19%) | 381 (17%) | 470 (21%) | 111 (23%) | 204 (43%) | 79 (17%) | 350 (77%) | 64 (14%) | 20 (4%) |
| Stratified by Sub-populations | |||||||||||
| Racial/Ethnic Minority | |||||||||||
| Yes | 248* (62%) | 124 (31%) | 68* (17%) | 66 (17%) | 79 (20%) | 23 (26%) | 32 (36%) | 17 (19%) | 57* (70%) | 13* (16%) | 7* (9%) |
| No | 1088* (68%) | 495 (31%) | 313* (20%) | 278 (17%) | 346 (22%) | 81 (24%) | 148 (43%) | 57 (17%) | 270* (81%) | 41* (12%) | 9* (3%) |
| Don’t know/refuse | 120* (50%) | 60 (25%) | 48* (20%) | 37 (15%) | 44 (18%) | 7 (17%) | 23 (56%) | 5 (12%) | 23* (61%) | 10* (26%) | 4* (11%) |
| Test stat. (p-value) | 37.1*(< 0.01) | 6.1 (0.63) | 16.7*(0.03) | 8.4 (0.39) | 3.6 (0.89) | 4.3 (0.37) | NA* (0.004) | ||||
| Immigrant Status | |||||||||||
| Parents native-born | 1047* (67%) | 479 (30%) | 300 (19%) | 274 (17%) | 321 (20%) | 86 (24%) | 159 (45%) | 55 (16%) | 276* (80%) | 44* (13%) | 11* (3%) |
| First generation | 100* (63%) | 42 (26%) | 27 (17%) | 25 (16%) | 41 (26%) | 4 (19%) | 8 (38%) | 6 (29%) | 16* (80%) | 3* (15%) | NA |
| Immigrant | 228* (61%) | 116 (31%) | 78 (21%) | 63 (17%) | 82 (22%) | 16 (22%) | 23 (32%) | 12 (17%) | 42* (63%) | 13* (19%) | 6* (9%) |
| Test stat. (p-value) | 25.7*(0.01) | 5.7 (0.68) | 4.8 (0.78) | 5.8 (0.67) | 3.5 (0.90) | NA (0.48) | NA* (0.02) | ||||
| Health Insurance | |||||||||||
| Government Insurance | 615 (66%) | 274 (30%) | 188 (20%) | 156 (17%) | 192 (21%) | 56* (26%) | 87* (41%) | 34* (16%) | 158 (76%) | 32 (15%) | 9 (4%) |
| No Insurance | 182 (63%) | 85 (30%) | 62 (22%) | 52 (18%) | 57 (20%) | 15* (37%) | 20* (49%) | 2* (5%) | 28 (68%) | 7 (17%) | 5 (12%) |
| Other Insurance | 637 (65%) | 304 (31%) | 171 (17%) | 168 (17%) | 210 (21%) | 38* (19%) | 90* (45%) | 40* (20%) | 155 (79%) | 24 (12%) | 5 (3%) |
| Test stat. (p-value) | 5.7 (0.68) | 8.0 (0.43) | 13.0 (0.11) | 11.0(0.20) | 11.7 (0.17) | 10.1* (0.04) | NA (0.20) | ||||
| Ever engaged in sex work | |||||||||||
| Yes | 119* (56%) | 74 (35%) | 47* (22%) | 46 (22%) | 51 (24%) | 24* (39%) | 22* (36%) | 7* (11%) | 40* (71%) | 7* (12%) | 7* (12%) |
| No | 1243* (67%) | 559 (30%) | 356* (19%) | 316 (17%) | 395 (21%) | 84* (23%) | 164* (44%) | 65* (18%) | 286* (79%) | 50* (14%) | 10* (3%) |
| Don’t know/refuse | 54* (61%) | 17 (19%) | 11* (12%) | 13 (15%) | 11 (12%) | NA | 7* (44%) | 3* (19%) | 8* (57%) | 5* (36%) | 1* (7%) |
| Test stat. (p-value) | 15.6*(0.048) | 12.7(0.12) | 18.5*(0.02) | 8.9 (0.35) | 11.9 (0.15) | NA* (0.01) | NA* (0.001) |
Test stat. = Test statistic for Chi-square test if value is provided, and NA for Fisher’s exact test
*Denotes p-value < 0.05 from Chi-Squared or Fisher’s Exact Test
☨Responses denote participant selected they feel that they “Definitely have access” to prevention resource out of a 5-point scale. Statistical testing compares “Definite Yes” response to other possible responses on scale