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

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dc.contributor.authorColyer, Sean
dc.contributor.authorLachowsky, Nathan
dc.contributor.authorSchmidt, Axel J.
dc.contributor.authorAdam, Barry D.
dc.contributor.authorPaquette, Dana
dc.contributor.authorHart, Trevor A.
dc.contributor.authorBrennan, David J.
dc.contributor.authorBlais, Martin
dc.contributor.authorKroch, Abigail E.
dc.date.accessioned2024-03-21T15:45:47Z
dc.date.available2024-03-21T15:45:47Z
dc.date.issued2021
dc.description.abstractHIV 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.
dc.description.reviewstatusReviewed
dc.description.scholarlevelFaculty
dc.description.sponsorshipEMIS-2017 was carried under the service contract 2015 71 01 with The Consumers, Health, Agriculture and Food Executive Agency (Chafea), acting under powers delegated by the Commission of the European Union. Participation of Canada was funded by the Public Health Agency of Canada. Nathan J Lachowsky is supported by Scholar Award from the Michael Smith Foundation for Health Research (#16863). Trevor Hart holds an Ontario HIV Treatment Network (OHTN) Chair in Gay and Bisexual Men’s Health.
dc.identifier.citationColyer, S., Lachowsky, N. J., Schmidt, A. J., Adam, B. D., Paquette, D., Hart, T. A., Brennan, D. J., Blais, M., & Kroch, A. (2021). 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. AIDS and Behavior, 25(11), 3638–3650. https://doi.org/10.1007/s10461-021-03336-3
dc.identifier.urihttps://doi.org/10.1007/s10461-021-03336-3
dc.identifier.urihttps://hdl.handle.net/1828/16253
dc.language.isoen
dc.publisherAIDS and Behavior
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.departmentSchool of Public Health and Social Policy
dc.titleMeasures 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
dc.typeArticle

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