Bridging the serodivide: attitudes of PrEP users towards sex partners living with HIV

Mart Van Dijk*, John B.F. De Wit, Thomas E Guadamuz, Joel E Martinez, Kai J. Jonas

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

3 Citations (Web of Science)


The introduction of biomedical HIV prevention methods, such as pre-exposure prophylaxis (PrEP), holds the potential to overcome the serodivide. We investigated the attitudes of PrEP users towards having sex with partners living with HIV. PrEP users in the Netherlands were recruited online and completed three questionnaires over a period of six months. We investigated changes over time in feelings of fear of HIV, comfort, and attitudes towards condom use when having sex with men living with HIV (MLHIV). A majority of PrEP users in our sample (up to 71.6%) had sex with MLHIV. Feeling comfortable to have sex with MLHIV did not change over time, but was already at a high level at T1. Most importantly, feeling safe not to use condoms with HIV-positive partners significantly increased, and did so in a rather short period of time after the onset of PrEP use (3-6 months). Taken together, the findings suggest that that PrEP may contribute to decreasing the serodivide between MSM rather quickly after the onset of PrEP use.

Original languageEnglish
Pages (from-to)349-352
Number of pages4
JournalAids Care-Psychological and Socio-Medical Aspects of Aids/Hiv
Issue number3
Early online date19 Jul 2021
Publication statusPublished - 4 Mar 2022


  • HIV stigma
  • PrEP
  • RISK
  • condom use
  • serodivide

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