Clinical Report: PrEP Surfing Common Among MSM
Overview
A study found that 'PrEP surfing' occurred in 25% of visits among men who have sex with men (MSM) using event-driven PrEP or no PrEP, according to a study published in AIDS. Factors such as the number of sexual partners and recent PrEP use were associated with this behavior.
Background
PrEP surfing, defined as relying on a partner's PrEP use during condomless anal sex, raises concerns about HIV prevention strategies among MSM.
Data Highlights
| Finding | Value |
|---|---|
| Recent PrEP surfing visits | 25% |
| Participants reporting PrEP surfing at least once | 42% |
| Odds of PrEP surfing with 3-8 partners | ~4 times |
| Odds of PrEP surfing with recent PrEP use | ~3 times |
| High intention to surf | 27% |
Key Findings
- 25% of study visits reported recent PrEP surfing.
- 42% of participants engaged in PrEP surfing at least once.
- Participants with 3-8 sexual partners had approximately four times the odds of PrEP surfing.
- Recent PrEP use increased the odds of PrEP surfing by approximately three times.
- High intention to practice PrEP surfing was reported in 27% of visits.
Clinical Implications
Healthcare providers should be aware of the prevalence of PrEP surfing among MSM and the associated risk factors.
Conclusion
The findings indicate a significant occurrence of PrEP surfing among MSM.
Related Resources & Content
- Amsterdam UMC, AIDS, 2026 -- PrEP surfing: HIV pre-exposure prophylaxis (PrEP) use of sex partners as HIV prevention strategy among men who have sex with men
- MDSpire News — PrEP Use Linked to Higher Gonorrhea Rate
- International Journal of Infectious Diseases — PrEP discontinuation among sex workers: Gender disparities and the impact of housing instability in a prospective cohort study
- MDSpire News — HIV Prevention Landscape Shifts: PrEP Study Insights
- Infection — Reduced Rates of HIV and Declining Sexually Transmitted Infections Among PrEP Users in Germany During 2020
- Clinical Guidance for PrEP | HIV Nexus | CDC
- MDSpire News — PrEP Use Linked to Higher Gonorrhea Rate
- MDSpire News — HIV Prevention Landscape Shifts: PrEP Study Insights
- Preexposure Chemoprophylaxis for HIV Prevention in Men Who Have Sex with Men | New England Journal of Medicine
- PrEP surfing: HIV pre-exposure prophylaxis (PrEP) use of sex partners as HIV prevention strategy among men who have sex with men - Amsterdam UMC
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