Barcelona 2013
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| Abstract #154 - E-Posters English | ||||
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Session: 50.4: E-Posters English (Poster) on Sunday in Chaired by Authors: Presenting Author: Ms Janneke Bil - Public Health Service of Amsterdam (GGD Amsterdam), Netherlands |
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| Additional Authors: Dr. Jordi Casabona, Sra Cristina Sanclemente, Dra. Anna Esteve, Dra. Victoria Gonzalez, Grupo HIVITS TS, | ||||
| Aim: Pre-Exposure Prophylaxes (PrEP) is a new biomedical intervention to reduce the risk of HIV-infection in HIV-negative individuals. PrEP has shown promise in protecting men who have sex with men (MSM) who engage in high-risk sexual behaviors. Although PrEP is not yet available in the Netherlands, it is important to gain insight into the present awareness regarding PrEP and the intention to use PrEP among MSM | ||||
| Method / Issue: In a cross-sectional study, data were collected through a self-administrated questionnaire among 438 HIV-negative MSM from the Amsterdam Cohort Studies (ACS) (June 2012-January 2013). Multivariate logistic regression was used to identify determinants of a high intention to use PrEP. | ||||
| Results / Comments: About half of the MSM (235/438, 53,8%) were aware of PrEP. A minority (37/435, 8.5%) reported having a high intention to use PrEP when available. In multivariate analyses, MSM who reported an HIV-positive or HIV-unknown steady partner had a higher intention to use PrEP (aOR 5.88; 95% CI 1.70-20.35) compared to those having a HIV-negative steady partner. Highly educated MSM had a lower intention to use PrEP (aOR 0.38; 95% CI 0.15-0.97). Having unprotected anal intercourse and number of causal partners were significantly associated with a higher intention in univariate analyses, but not in the final model. | ||||
| Discussion: About half of the MSM in the ACS were aware of PrEP. Only a minority of them had the intention to use PrEP, especially those having an HIV-positive or unknown steady partner and with a low educational level. Interestingly, engaging in risky sex was not associated with a high intention to use PrEP, suggesting a lack of acceptability or awareness among those who would be a potential target for PrEP implementation. Should the implementation of PrEP in the Netherlands will become desired in reality, the awareness and knowledge of PrEP should be increased. In addition, further research is needed to provide better insight into the reasons, attitude and perceived barriers towards using PrEP. | ||||
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