Men who have sex with men
(MSM) account for approximately half of Canada's new HIV infections.
Pre-exposure prophylaxis (PrEP), a recently established and effective HIV
prevention tool for MSM is currently not approved nor publicly funded.
We
recruited MSM via respondent-driven sampling to complete a self-administered
computer-based interview. Stratified by HIV status, multivariable logistic
regression identified factors associated with PrEP awareness.
Of 673
participants, 102/500 (20.9 %) HIV-negative and 63/173 (26.5 %)
HIV-positive men were aware of PrEP, but none had used it.
One third of
PrEP-aware MSM spoke about it with friends or sex partners. Self-declared
knowledge was limited.
Factors associated with PrEP awareness varied by HIV
status, but included greater HAART optimism for HIV-negative MSM.
Among
HIV-negative MSM, being PrEP unaware was associated with younger age, not
always having condoms, and preferring receptive versus insertive anal sex.
Future longitudinal research should identify early adopters of PrEP and its
associated impacts.
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By:
- 1British Columbia Centre for Excellence in HIV/AIDS, 608-1081 Burrard Street, Vancouver, V6T 1Y6, Canada. nlachowsky@cfenet.ubc.ca.
- 2Faculty of Medicine, University of British Columbia, Vancouver, Canada. nlachowsky@cfenet.ubc.ca.
- 3British Columbia Centre for Excellence in HIV/AIDS, 608-1081 Burrard Street, Vancouver, V6T 1Y6, Canada.
- 4Health Initiative for Men, Vancouver, Canada.
- 5Faculty of Medicine, University of British Columbia, Vancouver, Canada.
- 6University of Victoria, Victoria, Canada.
- 7Centre for Addictions Research of British Columbia, Victoria, Canada.
- 8Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada.
- AIDS Behav. 2016 Feb 16.
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