Forced Sexual Encounters and HIV Pre- and Post-Exposure Prophylaxis Use Among Men Who Have Sex With Men: A Cross-Sectional Analysis.

Men who have sex with men (MSM) experiencing forced sexual encounters (FSE) are at heightened HIV vulnerability. PrEP and PEP are effective HIV prevention strategies; yet, limited research exists exploring the relationships between FSE, PrEP, and PEP use. Primary data were collected from August 2022-July 2023. Among the 21,373 participants, 21% experienced FSE in the last 5 years, 3.26% indicated past-year PEP use, and 24.81% reported current PrEP use. MSM who experienced FSE reported greater odds of past-year PEP use and lower odds of current PrEP use. Communication surrounding HIV prevention is needed among MSM at risk of sexual violence and subsequent HIV acquisition.