Stopped: Temporarily paused due to funding
The goal of this observational study is to learn about awareness around PrEP use and adherence, condom use, sexual risk-taking behavior, and substance-using behaviors in men having sex with men. The main objective is to study a prospective cohort of MSM in Atlanta, Chicago, and San Diego to understand men's strategies to prevent HIV/Sexually Transmissible Infections (STIs), including PrEP use and adherence, condom use, sexual risk-taking behavior, and substance-using behaviors Participants will complete: * Quantitative surveys quarterly * HIV/ STI testing every 6 months * Qualitative assessments: focus group discussions and in-depth interviews
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Monitoring Measure: Survey reports
Timeframe: 3 months, 6 months, 9 months,12 months,15 months,18 months
Change in condom and PrEP use and adherence based on messages for current PrEP users
Timeframe: 3 months, 6 months, 9 months,12 months,15 months,18 months
Change in condom and PrEP use and adherence based on messages for current non adherent PrEP users
Timeframe: 3 months, 6 months, 9 months,12 months,15 months,18 months
Change in condom and PrEP use and adherence based on messages for people who never used PrEP
Timeframe: 3 months, 6 months, 9 months,12 months,15 months,18 months