Measures of HIV Pre-exposure Prophylaxis Uptake Among Gay, Bisexual, and Other Men Who Have Sex with Men in Canada and Demographic Disparities Among Those at Elevated Likelihood for HIV Acquisition

被引：7

作者：

Colyer, Sean ^{[1
]}

Lachowsky, Nathan J. ^{[2
,3
]}

Schmidt, Axel J. ^{[4
]}

Adam, Barry D. ^{[5
]}

Paquette, Dana ^{[6
]}

Hart, Trevor A. ^{[7
,8
]}

Brennan, David J. ^{[9
]}

Blais, Martin ^{[10
]}

Kroch, Abigail E. ^{[1
,8
,11
]}

机构：

[1] Ontario HIV Treatment Network, 1300 Yonge St,Suite 600, Toronto, ON M4T 1X3, Canada

[2] Univ Victoria, Sch Publ Hlth & Social Policy, Victoria, BC, Canada

[3] Community Based Res Ctr, Vancouver, BC, Canada

[4] London Sch Hyg & Trop Med, Sigma Res, London, England

[5] Univ Windsor, Dept Sociol Anthropol & Criminol, Windsor, ON, Canada

[6] Publ Hlth Agcy Canada, Ottawa, ON, Canada

[7] Ryerson Univ, Dept Psychol, Toronto, ON, Canada

[8] Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada

[9] Univ Toronto, Factor Inwentash Fac Social Work, Toronto, ON, Canada

[10] Univ Quebec Montreal, Dept Sexol, Montreal, PQ, Canada

[11] Publ Hlth Ontario, Toronto, ON, Canada

来源：

AIDS AND BEHAVIOR | 2021年 / 25卷 / 11期

关键词：

Pre-exposure prophylaxis (PrEP); Uptake; GBMSM; Correlates; Disparities; Canada; PREP; PREVENTION; PREDICTORS; INFECTION; BARRIERS; ACCESS; RISK; MSM;

D O I：

10.1007/s10461-021-03336-3

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

HIV pre-exposure prophylaxis (PrEP) is an effective prevention tool being scaled up in Canada. We describe PrEP uptake and identify demographic correlates of uptake among gay, bisexual, and other men who have sex with men (gbMSM) at elevated HIV risk using data from an online survey of gbMSM residing in Canada between Oct 2017 and Jan 2018. Among the 969 participants at elevated HIV risk who had recently tested for HIV, 96.0%, 83.3%, 72.6%, and 39.7% reported awareness, knowledge, acceptability, and pursuit of PrEP, respectively; 27.1% had ever and 24.6% were currently taking PrEP. The strongest correlate of PrEP uptake was living in a city of >= 500,000 inhabitants; others included being out to all or almost all family, friends, and colleagues regarding sexual attraction to men, greater financial coping, and being 30-49 years of age. Improved upscaling of PrEP in Canada may be accomplished through consideration of these disparities.

引用

页码：3638 / 3650

页数：13

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