When awareness is not a barrier to PrEP uptake among men who have sex with men who are eligible for PrEP in France.
Di Ciaccio, Marion;
Villes, Virginie;
Delabre, Rosemary M;
Alain, Tristan;
Morel, Stéphane;
Michels, David;
Schmidt, Axel Jeremias;
Velter, Annie;
Rojas Castro, Daniela;
(2023)
When awareness is not a barrier to PrEP uptake among men who have sex with men who are eligible for PrEP in France.
AIDS care, 36 (3).
pp. 390-399.
ISSN 0954-0121
DOI: https://doi.org/10.1080/09540121.2023.2268887
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Despite PrEP being available and free of charge in France, a gap remains between the estimated number of men who have sex with men (MSM) with high-risk exposure to HIV and the number of MSM PrEP users. The objective of this study is to identify factors associated with non-intention to use PrEP among PrEP-eligible and PrEP-aware MSM in France, "non-intenders".European MSM Internet Survey (EMIS)-2017 was a cross-sectional survey conducted among MSM concerning their HIV prevention needs. Logistic regression models were used to identify factors associated with "non-intenders".Compared to PrEP users, factors associated with non-intention to use PrEP were: age (aOR[95%CI] = 3.80[2.21;6.53]); not being vaccinated against hepatitis B (2.20[1.45;3.34]); self-efficacy (1.84[1.29;2.60]); lower knowledge about on-demand PrEP (11.48[7.37;17.87]) and daily PrEP (2.58[1.27;5.25]); not having a PrEP discussion at a hospital (12.39[8.90;17.27]) or at a community service/drop-in (4.93[3.48;6.97]); living in a department with few PrEP access points (1.70[1.10;2.63]).On-demand PrEP may meet the prevention needs of "non-intenders" who have lower HIV risk perception. Increasing communication from health providers and community health workers to all MSM is needed.