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Willingness to Use HIV Pre-Exposure Prophylaxis Has Declined Among Australian Gay and Bisexual Men

2014; Lippincott Williams & Wilkins; Volume: 67; Issue: 2 Linguagem: Inglês

10.1097/qai.0000000000000287

1944-7884

Martin Holt, Toby Lea, Dean Murphy, Jeanne Ellard, Marsha Rosengarten, Susan Kippax, John de Wit,

Sex work and related issues

We surveyed willingness to use pre-exposure prophylaxis (PrEP) and the likelihood of decreased condom use among Australian gay and bisexual men in 2011 and 2013 (n = 2384). Willingness to use PrEP declined from 28.2% to 23.3% [adjusted odds ratio = 0.83, 95% confidence interval (CI): 0.68 to 1.00, P = 0.050]. Willingness to use PrEP was the greatest among men with HIV-positive partners and among those who had taken HIV postexposure prophylaxis. Among men willing to use PrEP, the likelihood of decreased condom use remained stable between 2011 and 2013 (8.0% vs. 11.9%; adjusted odds ratio = 1.40, 95% CI: 0.80 to 2.45, P = 0.23). A minority of men remain willing to use PrEP and appear to be appropriate candidates for it.