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Among non-U. Sexual risk behavior was measured by two variables: 1 condomless anal sex during the 12 months and 2 unprotected anal sex, defined as condomless anal sex without having taken PrEP at any time during the 12 months. Differences in the trends by place of birth and years of U. Analyses were conducted using SAS version 9. The prevalence of unprotected anal sex decreased during — among all groups, with the largest decrease occurring among U. Fewer U. PrEP use overall has increased among all Hispanic groups, offsetting declines in condom use.

Recent residents might benefit from improved HIV prevention education and services, including access to PrEP and condoms.

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Further, non-U. The findings in this report are subject to at least five limitations. First, years of U. Analysis by specific nation of birth or years of U. Second, measures of PrEP use changed from to ; specifically, PrEP use was more narrowly defined in than in Third, NHBS is not nationally representative, and data were not weighted to for the complex sampling methods.

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Fourth, the analysis excluded interview data from San Juan, Puerto Rico, because of public health differences between Puerto Rico and the 50 states and District of Columbia e. Finally, data regarding self-reported behaviors, which were asked about among participants for a month period, might be subject to recall error or social desirability bias, which can lead to overreporting PrEP use or underreporting condomless anal sex. Zarwell, New Orleans, Louisiana. Corresponding author: Lindsay Trujillo, LTrujillo3 cdc.

All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.

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The of urban areas participating differs temporally. Surveys were administered in person by trained interviewers. The type cash or gift card and amount of incentive varied by urban area based on formative assessment and local policy. Participants residing and interviewed in San Juan, Puerto Rico, were excluded from the analysis because of important public health differences e.

Blood specimens were collected for rapid testing in the field or laboratory-based testing. A nonreactive rapid test result was considered negative. A reactive rapid test was confirmed either with a second rapid test in the field or supplemental laboratory-based testing, typically Latin girls wanting sex blot or indirect immunofluorescence assay. Inparticipants were asked whether, in the past 12 months, they had taken PrEP i. Data for Puerto Rico was not included because of important public health differences e.

The remaining 19 urban areas for which data was analyzed included the following by U. Department of Health and Human Services. Use of trade names and commercial sources is for identification only and does not imply endorsement by the U. CDC is not responsible for the content of s found at these sites. This conversion might result in character translation or format errors in the HTML version. Skip directly to site content Skip directly to options Skip directly to A-Z link. Section. Facebook Twitter LinkedIn Syndicate. Minus Related s.

Summary What is already known about this topic? What is added by this report? What are the implications for public health practice? Article Metrics. Metric Details. Related Materials. Discussion PrEP use overall has increased among all Hispanic groups, offsetting declines in condom use.

Per-partner condom effectiveness against HIV for men who have sex with men. AIDS ;— CrossRef external icon PubMed external icon U. Public Health Service. Preexposure prophylaxis for the prevention of HIV infection in the United States— update: a clinical practice guideline. HIV surveillance supplemental report, vol. HIV Latin girls wanting sex and testing among Latino men who have sex with men in the United States: the role of location of birth and other social determinants.

PLoS One ;8:e Acculturation, sexual behaviors, and health care access among Hispanic and non-Hispanic white adolescents and young adults in the United States, — J Adolesc Health ;—9. Association of HIV pre-exposure prophylaxis awareness, preferred Spanish vs. Ann Epidemiol ;— CrossRef external icon CDC.

JAMA ;—5. CrossRef external icon PubMed external icon. TABLE 1. Census region Northeast TABLE 2. Questions or messages regarding errors in formatting should be addressed to mmwrq cdc. Links with this icon indicate that you are leaving the CDC website.

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