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    Willingness to use HIV pre-exposure prophylaxis and the likelihood of decreased condom use are both associated with unprotected anal intercourse and the perceived likelihood of becoming HIV positive among Australian gay and bisexual men

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    Authors
    Holt, M.
    Murphy, Dean
    Callander, D.
    Ellard, J.
    Rosengarten, M.
    Kippax, S.
    De Wit, J.
    Date
    2012
    Type
    Journal Article
    
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    Citation
    Holt, M. and Murphy, D. and Callander, D. and Ellard, J. and Rosengarten, M. and Kippax, S. and De Wit, J. 2012. Willingness to use HIV pre-exposure prophylaxis and the likelihood of decreased condom use are both associated with unprotected anal intercourse and the perceived likelihood of becoming HIV positive among Australian gay and bisexual men. Sexually Transmitted Infections. 88 (4): pp. 258-263.
    Source Title
    Sexually Transmitted Infections
    DOI
    10.1136/sextrans-2011-050312
    ISSN
    1368-4973
    School
    National Drug Research Institute (NDRI)
    URI
    http://hdl.handle.net/20.500.11937/18886
    Collection
    • Curtin Research Publications
    Abstract

    Objectives: To investigate willingness to use HIV pre-exposure prophylaxis (PrEP) and the likelihood of decreased condom use among Australian gay and bisexual men. Methods: A national, online cross-sectional survey was conducted in April to May 2011. Bivariate relationships were assessed with ? 2 or Fisher's exact test. Multivariate logistic regression analysis was performed to assess independent relationships with primary outcome variables. Results: Responses from 1161 HIV-negative and untested men were analysed. Prior use of antiretroviral drugs as PrEP was rare (n=6). Just over a quarter of the sample (n=327; 28.2%) was classified as willing to use PrEP. Willingness to use PrEP was independently associated with younger age, having anal intercourse with casual partners (protected or unprotected), having fewer concerns about PrEP and perceiving oneself to be at risk of HIV. Among men who were willing to use PrEP (n=327), only 26 men (8.0%) indicated that they would be less likely to use condoms if using PrEP. The likelihood of decreased condom use was independently associated with older age, unprotected anal intercourse with casual partners (UAIC) and perceiving oneself to be at increased risk of HIV. Conclusions: The Australian gay and bisexual men the authors surveyed were cautiously optimistic about PrEP. The minority of men who expressed willingness to use PrEP appear to be appropriate candidates, given that they are likely to report UAIC and to perceive themselves to be at risk of HIV.

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