When awareness is not a barrier to PrEP uptake among men who have sex with men who are eligible for PrEP in France

Bibliographic Data

ID19439943
AuthorsMarion Di Ciaccio (0000-0002-6971-0233, Coalition PLUS, Community-based Research Laboratory, Pantin, France, corresponding author), Virginie Villes (0009-0003-5889-4334, Coalition PLUS, Community-based Research Laboratory, Pantin, France), Rosemary M Delabre (0000-0002-8468-3528, Coalition PLUS, Community-based Research Laboratory, Pantin, France), Tristan Alain (0000-0002-7469-7985, Coalition PLUS, Community-based Research Laboratory, Pantin, France), Stéphane Morel (0000-0001-8831-0801, Coalition PLUS, Community-based Research Laboratory, Pantin, France), David Michels (0000-0002-1252-8895, Coalition PLUS, Community-based Research Laboratory, Pantin, France), Alvin J Schmidt (0000-0002-6910-4399, London School of Hygiene & Tropical Medicine), Axel Jeremias Schmidt (Sigma Research, Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London, UK), Annie Velter (0000-0003-3188-9108, Santé publique France, Saint-Maurice, France), Daniela Rojas Castro (0000-0002-5379-1438, Coalition PLUS, Community-based Research Laboratory, Pantin, France)
Year2024
Volume36
Issue3
Pages390-399
Publication date2024-03-03
Open AccessYes
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2023.2268887
PMID37931594
OpenAlexW4388406396
LanguageEN
Citations received2
References cited23

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

Family medicine · Logistic regression · Men who have sex with men · Pre-exposure prophylaxis · Syphilis · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Sex work and related issues · Gerontology · Internal Medicine