Towards preparedness for PrEP: PrEP awareness and acceptability among MSM at high risk of HIV transmission who use sociosexual media in four Celtic nations: Scotland, Wales, Northern Ireland and The Republic of Ireland: an online survey

Sexually Transmitted Infections
Jamie FrankisPaul Flowers

Abstract

To assess the awareness and acceptability of pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) and use sociosexual media at high risk of HIV infection in four Celtic nations. Cross-sectional study. Online self-complete survey of 386 HIV-negative/status unknown MSM who reported condomless anal intercourse (CAI) with ≥2 men in the last year, recruited from gay sociosexual media. One-third (34.5%, 132/386) of the participants were aware of PrEP but over half (58.5%, 226/356) reported that they would be willing to use PrEP if it were available to them. Only men who regularly tested for HIV every 6 months (adjusted OR 2.89, 95% CI 1.54 to 5.42) were more likely to be aware of PrEP. PrEP acceptability was only associated with reporting ≥5 CAI partners (OR 2.04, 95% CI 1.2 to 3.46) in the last year. Low levels of PrEP awareness were reported across these Celtic nations. Only one-third of high-risk MSM had heard of PrEP but over one-half would be willing to take a daily pill to prevent HIV infection. Sociodemographic factors, commercial gay scene proximity and social network use were unrelated to considering PrEP use. However, those reporting most CAI partners were more likely to consider PrEP use.

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Citations

Dec 7, 2017·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Laura Nic LochlainnDerval Igoe
Apr 19, 2017·Journal of the International AIDS Society·Brenda HoaglandUNKNOWN PrEP Brasil Study TeamClinical Trial Number 01989611
May 12, 2018·Archives of Sexual Behavior·Paul Flowers, Jamie Frankis
Mar 28, 2019·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Chen Seong WongMark I Chen
Apr 12, 2019·AIDS and Behavior·Fabiane SoaresUNKNOWN PopTrans Group
Oct 26, 2021·Health Promotion International·Matthew DunnFiona H McKay

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