Switching to Non-daily Pre-exposure Prophylaxis Among Gay and Bisexual Men in Australia: Implications for Improving Knowledge, Safety, and Uptake
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Published:2022-06-17
Issue:4
Volume:19
Page:1979-1988
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ISSN:1868-9884
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Container-title:Sexuality Research and Social Policy
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language:en
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Short-container-title:Sex Res Soc Policy
Author:
Philpot Steven P.ORCID, Murphy Dean, Chan Curtis, Haire Bridget, Fraser Doug, Grulich Andrew E., Bavinton Benjamin R.
Abstract
Abstract
Introduction
Preexposure prophylaxis (PrEP) dosing options such as event-driven PrEP hold promise to increase PrEP uptake among gay, bisexual, and queer men (GBQM), but their impacts have not yet been realized and uptake by GBQM suitable for PrEP remains slow in countries where it is only considered an alternative option to daily PrEP.
Methods
We conducted semi-structured interviews between June 2020 and February 2021 with 40 GBQM in Australia to understand PrEP dosing behaviors, knowledge, and preferences.
Results
All participants commenced PrEP daily; 35% had ever switched to non-daily PrEP, mostly taking it event-driven. GBQM who preferred non-daily PrEP had infrequent or predictable sex, were concerned about cost given infrequency of sex, and/or wanted to minimize unnecessary drug exposure. Accurate knowledge of event-driven PrEP was poor. However, reflecting concepts underpinning critical pedagogy, having accurate knowledge was supported by access to consistent messaging across clinical, social, community, and public settings. Several participants who switched to event-driven PrEP had condomless sex events in which they were unable to adhere to pills due to unanticipated sex.
Conclusions and Policy Implications
Implementation of comprehensive and consistent education about correct dosing for event-driven PrEP across multiple settings is needed to ensure increased uptake and safe use. GBQM require messaging about non-condom based HIV prevention strategies when they cannot access daily or event-driven PrEP.
Funder
University of New South Wales
Publisher
Springer Science and Business Media LLC
Subject
Sociology and Political Science,Health (social science),Gender Studies
Reference39 articles.
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