4 research outputs found
EMIS-2017:Indagine su salute, comportamenti a rischio e bisogni di prevenzione tra le persone gay, bisessuali, ed altri MSM
EMIS-2017. Rapporto per l'Italia
EMIS-2017. Indagine su salute, comportamenti a rischio e bisogni di prevenzione tra le persone gay, bisessuali, ed altri MSM. Rapporto per l'Itali
"Yes, I'm interested in taking PrEP!":PrEP interest among women respondents to the European community-based survey "Flash! PrEP in Europe"
The World Health Organization recommends pre-exposure prophylaxis (PrEP) for all populations
at substantial risk of HIV infection, including women. However, data regarding PrEP
interest among women is lacking, particularly in Europe. Factors associated with interest in
using PrEP were assessed among women respondents to the Flash! PrEP in Europe (FPIE)
survey. This community-based cross-sectional study, conducted in 12 European countries,
aimed to assess PrEP knowledge and interest. “High objective risk” (HOR) was assessed
using established risk criteria following EACS and CDC guidelines. Factors associated with
interest in using PrEP were assessed in univariable and multivariable logistic regression
models. Among 678 women, 12.5% (n = 85) were considered at HOR, 46.8% (n = 317) indicated
prior PrEP knowledge and 18.0% (n = 122) reported interest in using PrEP. Among
women at HOR, 40.0% (n = 34) were interested in PrEP. Factors significantly associated
with PrEP interest in the final multivariable model were: younger age (18–29 years) (aOR
1.91[95CI: 1.07; 3.41]), bad self-perceived financial status (1.84[1.09; 3.11]), migrant status
(south to north) (2.87[1.05; 7.89]), single or dating relationship status (1.93[1.23; 3.03]), sexual
abuse history (1.86[1.17; 2.97]), “rather high”/ “high” self-perceived HIV risk (3.21[1.32;
7.81]), and HOR (2.49[1.42; 4.35]). These results show that women at HOR and those who
perceived themselves to be at high risk are interested in using PrEP. There is a critical need
for targeted information and improved access to PrEP to increase uptake of this HIV prevention
tool to meet PrEP interest among womenKJJ received a grant from Dutch AIDS
Fonds (Grant P-11302
PrEP in the Context of Other HIV Risk Reduction Strategies Among Men Who Have Sex with Men:Results from the Flash! PrEP in Europe Survey
Combination HIV prevention covers a range of biomedical, behavioral, and socio-structural interventions. Despite the growing availability of pre-exposure prophylaxis (PrEP), it is not always accessible in European Centre for Disease Prevention and Control reporting countries and may not meet the needs of all at-risk populations. Based on the Flash! PrEP in Europe data, multiple correspondence analysis and hierarchical clustering were used to identify patterns in HIV prevention strategies among 9980 men who have sex with men (MSM). PrEP interest was evaluated among four identified clusters: (A) "high condom use, sometimes Treatment as Prevention (TasP)"; (B) "mix of methods, infrequent condom use"; (C) "high condom use, tendency to choose partners based on serological status" and (D) "moderate use of condoms mixed with other prevention strategies". Clusters B and D had higher PrEP interest. These results suggest that MSM use a range of behavioral and biomedical risk reduction strategies that are often combined. On-demand PrEP may meet the needs of MSM who infrequently use condoms and other prevention methods