Preferences about the characteristics of future HIV prevention products among men who have sex with men

This study of men who have sex with men (MSM) examined preferences about th e characteristics of a potential product for preventing sexual transmission of HIV, such as a rectal microbicide. MSM were recruited in West Hollywood , California. They self-administered a questionnaire and rated 48 product c haracteristics representing seven dimensions. Overall, the ratings were hig hest for effectiveness in preventing HIV and other sexually transmitted dis eases, followed by characteristics reflecting the physical or secondary eff ects of the product and logistics of use. Physical attributes, convenience/ accessibility, and psychological aspects had intermediate ratings; interper sonal dynamics had the lowest rating. Men with negative attitudes about usi ng condoms to prevent HIV infection were more likely than their counterpart s to prefer a product that does not reduce sexual sensation or pleasure, do es not break the mood, and can be used after a sexual encounter ends. A sim ilar pattern was observed when participants were stratified by whether or n ot they had engaged in unprotected anal intercourse in the past 12 months. The findings inform the development, testing, and marketing of a future HIV prevention product for MSM.