Willingness to use HIV pre-exposure prophylaxis has declined among Australian gay and bisexual men: Results from repeated national surveys, 2011-2013

Holt, M. and Lea, T. and Murphy, D. and Ellard, J. and Rosengarten, M. and Kippax, S. and De Wit, J. 2014. Willingness to use HIV pre-exposure prophylaxis has declined among Australian gay and bisexual men: Results from repeated national surveys, 2011-2013. JAIDS: Journal of Acquired Immune Deficiency Syndromes. 67 (2): pp. 222-226.

Source Title

JAIDS: Journal of Acquired Immune Deficiency Syndromes

DOI

10.1097/QAI.0000000000000287

ISSN

1525-4135

School

National Drug Research Institute (NDRI)

URI

http://hdl.handle.net/20.500.11937/61312

Collection

Curtin Research Publications

Abstract

We surveyed willingness to use pre-exposure prophylaxis (PrEP) and the likelihood of decreased condom use among Australian gay and bisexual men in 2011 and 2013 (n = 2384). Willingness to use PrEP declined from 28.2% to 23.3% [adjusted odds ratio = 0.83, 95% confidence interval (CI): 0.68 to 1.00, P = 0.050]. Willingness to use PrEP was the greatest among men with HIV-positive partners and among those who had taken HIV postexposure prophylaxis. Among men willing to use PrEP, the likelihood of decreased condom use remained stable between 2011 and 2013 (8.0% vs. 11.9%; adjusted odds ratio = 1.40, 95% CI: 0.80 to 2.45, P = 0.23). A minority of men remain willing to use PrEP and appear to be appropriate candidates for it.