1. When awareness is not a barrier to PrEP uptake among men who have sex with men who are eligible for PrEP in France.
- Author
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Di Ciaccio, Marion, Villes, Virginie, Delabre, Rosemary M., Alain, Tristan, Morel, Stéphane, Michels, David, Schmidt, Axel Jeremias, Velter, Annie, and Rojas Castro, Daniela
- Subjects
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HEPATITIS B prevention , *HIV prevention , *COMMUNITY services , *HOSPITALS , *CONFIDENCE intervals , *IMMUNIZATION , *HEALTH services accessibility , *HEALTH facilities , *CROSS-sectional method , *AGE distribution , *ATTITUDE (Psychology) , *DEPARTMENTS , *PRE-exposure prophylaxis , *HEALTH literacy , *SURVEYS , *SELF-efficacy , *RISK perception , *ELIGIBILITY (Social aspects) , *COMMUNICATION , *QUESTIONNAIRES , *MEN who have sex with men , *INTENTION , *NEEDS assessment , *LOGISTIC regression analysis , *ODDS ratio - Abstract
Despite PrEP being available and free of charge in France, a gap remains between the estimated number of men who have sex with men (MSM) with high-risk exposure to HIV and the number of MSM PrEP users. The objective of this study is to identify factors associated with non-intention to use PrEP among PrEP-eligible and PrEP-aware MSM in France, "non-intenders". European MSM Internet Survey (EMIS)-2017 was a cross-sectional survey conducted among MSM concerning their HIV prevention needs. Logistic regression models were used to identify factors associated with "non-intenders". Compared to PrEP users, factors associated with non-intention to use PrEP were: age (aOR[95%CI] = 3.80[2.21;6.53]); not being vaccinated against hepatitis B (2.20[1.45;3.34]); self-efficacy (1.84[1.29;2.60]); lower knowledge about on-demand PrEP (11.48[7.37;17.87]) and daily PrEP (2.58[1.27;5.25]); not having a PrEP discussion at a hospital (12.39[8.90;17.27]) or at a community service/drop-in (4.93[3.48;6.97]); living in a department with few PrEP access points (1.70[1.10;2.63]). On-demand PrEP may meet the prevention needs of "non-intenders" who have lower HIV risk perception. Increasing communication from health providers and community health workers to all MSM is needed. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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