Openly accessible

Use of, and likelihood of using, HIV pre-exposure prophylaxis among men who have sex with men in Europe and Central Asia: findings from a 2017 large geosocial networking application survey

Bourne, Adam, Alba, Beatrice, Garner, Alex, Spiteri, Gianfranco, Pharris, Anastasia and Noori, Teymur 2019, Use of, and likelihood of using, HIV pre-exposure prophylaxis among men who have sex with men in Europe and Central Asia: findings from a 2017 large geosocial networking application survey, Sexually transmitted diseases, vol. 95, no. 3, pp. 187-192, doi: 10.1136/sextrans-2018-053705.

Attached Files
Name Description MIMEType Size Downloads

Title Use of, and likelihood of using, HIV pre-exposure prophylaxis among men who have sex with men in Europe and Central Asia: findings from a 2017 large geosocial networking application survey
Author(s) Bourne, Adam
Alba, BeatriceORCID iD for Alba, Beatrice orcid.org/0000-0002-2247-2119
Garner, Alex
Spiteri, Gianfranco
Pharris, Anastasia
Noori, Teymur
Journal name Sexually transmitted diseases
Volume number 95
Issue number 3
Start page 187
End page 192
Total pages 6
Publisher BMJ Publishing Group
Place of publication London, Eng.
Publication date 2019-05
ISSN 1368-4973
1472-3263
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Infectious Diseases
HIV
HIV pre-exposure prophylaxis (PrEP)
Europe and Central Asia
gay men
health promotion
sexual health
Summary Objective Currently, seven European countries provide HIV pre-exposure prophylaxis (PrEP) through public health services, although there are numerous reports of off-licence use. The objective of this study was to examine current use of PrEP, likelihood of future use and indicators of potential PrEP candidacy among an opportunistic sample of men who have sex with men in Europe and Central Asia. Methods A survey was sent out in eight languages to users of the Hornet gay networking application in July and August 2017. Descriptive statistics present proportions of PrEP use, while factors associated with PrEP use are examined using logistic and linear regressions. Results Of 12 053 participants whose responses came from 55 European and Central Asian countries, 10 764 (89%) were not living with diagnosed HIV. Among these HIV-negative/untested men, 10.1% (n=1071) were currently taking PrEP or had done so within the previous 3 months. Current or recent PrEP users were significantly more likely to have taken postexposure prophylaxis (adjusted OR (AOR)=16.22 (95% CI 13.53 to 19.45)) or received an STI diagnosis (AOR=4.53 (95% CI 3.77 to 5.44)) in the previous 12 months than those who had not. Most commonly, these men obtained PrEP from a physician (28.1%) or the internet (24.8%), while 33.6% had not disclosed PrEP use to their doctor. Men reporting happiness with their sex life were more likely to have taken PrEP (AOR=1.73 (95% CI 1.59 to 1.89)). Nearly a quarter (21.5%) of those not on PrEP said they were likely to use it in the next 6 months. Conclusions The majority of men using, or intending to use, PrEP appear to have a risk profile consistent with emerging guidance. A large proportion of these men are accessing PrEP outside of traditional healthcare settings, posing a challenge for routine monitoring.
Language eng
DOI 10.1136/sextrans-2018-053705
Indigenous content off
Field of Research 1103 Clinical Sciences
1108 Medical Microbiology
1117 Public Health and Health Services
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30149066

Document type: Journal Article
Collections: Faculty of Business and Law
School of Psychology
Open Access Collection
Connect to link resolver
 
Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved.

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.

Versions
Version Filter Type
Citation counts: TR Web of Science Citation Count  Cited 12 times in TR Web of Science
Scopus Citation Count Cited 0 times in Scopus
Google Scholar Search Google Scholar
Access Statistics: 7 Abstract Views, 2 File Downloads  -  Detailed Statistics
Created: Thu, 11 Mar 2021, 16:31:03 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.