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

Frankis, Jamie; Young, Ingrid; Lorimer, Karen; Davis, Mark David McGregor; Flowers, Paul

doi:10.1136/sextrans-2015-052101

Cited by 37 publications

(37 citation statements)

References 25 publications

(30 reference statements)

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“…A recent meta-analysis estimated the acceptability of using PrEP among MSM to be 57.8% globally [ 7 ]. Outside of Asia, research on acceptability of PrEP among MSM has been conducted mostly in the United States of America [ 8 – 22 ], followed by United Kingdom [ 23 – 26 ], Australia [ 27 – 29 ], Brazil [ 30 ], Canada [ 31 – 33 ], France [ 34 , 35 ], Kenya [ 36 ], Netherlands[ 37 ], Peru [ 38 ], Portugal [ 39 ], Switzerland[ 40 ], and Spain [ 41 ]. Other studies have assessed acceptability of PrEP using surveys that included MSM from multiple countries [ 42 , 43 ].…”

Section: Introductionmentioning

confidence: 99%

Willingness to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in Malaysia: Findings from an online survey

et al. 2017

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ObjectiveWe examined willingness to use pre-exposure prophylaxis (PrEP) for HIV prevention among men who have sex with men (MSM) in Malaysia.MethodsAn online survey of 990 MSM was conducted between March and April 2016. Eligibility criteria included being biological male, Malaysian citizen, 18 years of age or above, identifying as MSM, and being HIV negative or unknown status. Participants’ demographics, sexual and drug use behaviors, attitudes towards PrEP, and preferences regarding future access to PrEP were collected. Bivariate analysis and logistic regression were performed to determine factors associated with willingness to use PrEP.ResultsFewer than half of participants (44%) knew about PrEP before completing the survey. Overall, 39% of the sample were willing to take PrEP. Multivariate logistic regression indicated that Malay men (AOR: 1.73, 95% CI:1.12, 2.70), having 2 or more male anal sex partners in the past 6 months (AOR: 1.98, 95% CI: 1.29, 3.05), previous knowledge of PrEP (AOR: 1.40, 95%CI: 1.06, 1.86), lack of confidence in practising safer sex (AOR: 1.36, 95% CI: 1.02, 1.81), and having ever paid for sex with a male partner (AOR: 1.39, 95% CI: 1.01, 1.91) were independently associated with greater willingness to use PrEP, while men who identified as heterosexual were less willing to use PrEP (AOR, 0.36, 95% CI: 0.13, 0.97). Majority of participants preferred to access PrEP at affordable cost below 100 Malaysian Ringgit (USD25) per month from community based organisations followed by private or government hospitals.ConclusionsOverall, MSM in Malaysia reported a relatively low level of willingness to use PrEP, although willingness was higher among those previously aware of PrEP. There is a need to provide PrEP at affordable cost, increase demand and awareness of PrEP, and to provide access to this preventative medication via diverse, integrated and tailored sexual health services.

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Section: Introductionmentioning

confidence: 99%

Willingness to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in Malaysia: Findings from an online survey

et al. 2017

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“…However, despite widespread activism from members of GMSM communities, health agencies in various countries have adopted different stances on the licensing and promotion of PrEP (Brisson & Nguyen, 2017). Subsequently, awareness, availability and endorsement of PrEP vary significantly amongst GMSM in different Western countries (Bil et al, 2015;Frankis, Young, Lorimer, Davis, & Flowers, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…There are also medical concerns around toxicity and resistance if used after HIV infection (McMahon et al, 2014) and economic debates around its cost-effectiveness (Cambiano et al, 2015). Furthermore, in those countries where PrEP is more easily accessible, there appear to be relatively low levels of knowledge and uptake within GMSM communities generally (Dolezal et al, 2015;Frankis et al, 2016) and amongst those GMSM who are concerned about their exposure to HIV as indicated by attendance at HIV testing clinics more specifically (Leonardi, Lee, & Tan, 2011;Rucinski et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

‘There’s this glorious pill’: gay and bisexual men in the English midlands navigate risk responsibility and pre-exposure prophylaxis

Williamson

Papaloukas

Jaspal

et al. 2018

Critical Public Health

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Pre-exposure prophylaxis (PrEP) is currently being trialed for seronegative gay and other men who have sex with men (GMSM) at risk of HIV infection in England. However, research from other countries where PrEP is available shows limited literacy and uptake by GMSM at risk of HIV. We collected focus group data from 18 GMSM (13 HIV− and 5 HIV+) from Leicester, an ethnically diverse city in the English Midlands. Data were analysed using thematic analysis and three themes are presented. The first theme 'I can't get my head around people like that': Representations of PrEP users within and beyond gay communities explores how PrEP users are vilified by some GMSM and the wider media. The second theme, 'There's a culture of anti-trust': PrEP, stigma and the interpersonal politics of HIV disclosure discusses how PrEP influences HIV disclosure and sexual decision-making in casual sero-discordant sexual encounters in a context where seropositive men experienced pervasive HIV stigma and HIV− men were suspicious of HIV+ sexual partners. In the final theme, 'I'm still suspicious': Discourses of doubt and distrust participants voiced concern over the safety of PrEP and the motives of drug companies, healthcare agencies and PrEP activists. We consider these findings through a critical lens of wider theorising around the relationship between public health agencies and GMSM communities and consider the impact of these perspectives on likely engagement with PrEP in an English context. We call for more critically informed and nuanced ways of promoting health and well-being amongst men from these communities.

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“…In both studies around half of men questioned would consider PrEP use and reporting condomless anal sex was associated with a higher likelihood of considering PrEP. An on-line study of MSM from Scotland, Wales and Northern Ireland who reported condomless anal sex with ≥2 men in the last year showed 34.5% of participants were aware of PrEP but 58.5% reported that they would be willing to use PrEP if it were available to them (374).…”

Section: Awareness and Availability Of Prepmentioning

confidence: 99%

2016 United Kingdom national guideline on the sexual health care of men who have sex with men

et al. 2018

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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

Cited by 37 publications

References 25 publications

Willingness to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in Malaysia: Findings from an online survey

Willingness to use pre-exposure prophylaxis for HIV prevention among men who have sex with men in Malaysia: Findings from an online survey

‘There’s this glorious pill’: gay and bisexual men in the English midlands navigate risk responsibility and pre-exposure prophylaxis

2016 United Kingdom national guideline on the sexual health care of men who have sex with men

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