Article Text

PDF
Original article
Who would use PrEP? Factors associated with intention to use among MSM in London: a community survey
  1. Adamma Aghaizu1,
  2. Danielle Mercey2,
  3. Andrew Copas2,
  4. Anne M Johnson2,
  5. Graham Hart2,
  6. Anthony Nardone1
  1. 1HIV and STI Department, Health Protection Agency—Colindale, London, UK
  2. 2Centre for Sexual Health & HIV Research, Department of Infection & Population Health, Mortimer Market Centre, University College London, London, UK
  1. Correspondence to Adamma Aghaizu, HIV and STI Department, Health Protection Agency—Colindale, London NW9 5EQ, UK; adamma.aghaizu{at}hpa.org.uk

Abstract

Objective To assess current and intended future use of pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) and characterise those attending sexual health clinics, the anticipated PrEP delivery setting.

Design Cross-sectional study.

Methods Self-administered survey of 842 HIV negative MSM recruited from social venues in London in 2011.

Results One in 10 (10.2%, 83/814, 95% CI 8.2% to 12.5%) and one in 50 (2.1%, 17/809, 95% CI 1.2% to 3.3%) reported having ever used post-exposure prophylaxis (PEP) and PrEP respectively. Half reported they would be likely to use PrEP if it became available as a daily pill (50.3%, 386/786, 95% CI 46.7% to 53.9%). MSM were more likely to consider future PrEP use if they were <35 years (adjusted OR (AOR) 1.57, 95% CI 1.16 to 2.14), had unprotected anal intercourse with casual partners (AOR 1.70, 95% CI 1.13 to 2.56), and had previously used PEP (AOR 1.94, 95% CI 1.17 to 3.24). Over half of MSM (54.8% 457/834 95% CI 51.3 to 58.2) attended a sexual health clinic the previous year. Independent factors associated with attendance were age <35 (AOR 2.29, 95% CI 1.68 to 3.13), and ≥10 anal sex partners in the last year (AOR 2.49, 95% CI 1.77 to 3.52).

Conclusions The concept of PrEP for HIV prevention in the form of a daily pill is acceptable to half of sexually active MSM in London. MSM reporting higher risk behaviours attend sexual health clinics suggesting this is a suitable setting for PrEP delivery.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.