TY - JOUR
T1 - PrEP in the Context of Other HIV Risk Reduction Strategies Among Men Who Have Sex with Men
T2 - Results from the Flash! PrEP in Europe Survey
AU - Di Ciaccio, Marion
AU - Delabre, Rosemary M.
AU - Vilotitch, Antoine
AU - Corbelli, Giulio Maria
AU - Villes, Virginie
AU - Ros Sánchez, Alejandro
AU - Zantkuijl, Paul
AU - Sweers, Holger
AU - Sanchez, Flor
AU - Meulbroek, Michael
AU - Cairns, Gus
AU - Bernier, Adeline
AU - Ghosn, Jade
AU - Carvalho Rocha, Luìs Miguel
AU - Cosmaro, Maria Luisa
AU - Duken, Sascha Béla
AU - Dan, Monica
AU - Schlegel, Vincent
AU - Stranz, Richard
AU - Jonas, Kai J.
AU - Spire, Bruno
AU - Rojas Castro, Daniela
N1 - © 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2022/7
Y1 - 2022/7
N2 - 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.
AB - 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.
KW - ACCEPTABILITY
KW - BEHAVIORS
KW - Community-based research
KW - Europe
KW - GAY
KW - HIV prevention
KW - MSM
KW - PATTERNS
KW - POSTEXPOSURE PROPHYLAXIS
KW - PREEXPOSURE PROPHYLAXIS
KW - PREVENTION TASP
KW - PrEP
KW - Sexual orientation
U2 - 10.1007/s10508-022-02322-7
DO - 10.1007/s10508-022-02322-7
M3 - Article
C2 - 35725849
SN - 0004-0002
VL - 51
SP - 2451
EP - 2464
JO - Archives of Sexual Behavior
JF - Archives of Sexual Behavior
IS - 5
ER -