Slow Uptake of PrEP: Behavioral Predictors and the Influence of Price on PrEP Uptake Among MSM with a High Interest in PrEP

Mart van Dijk; John B. F. de Wit; Thomas E. Guadamuz; Joel E. Martinez; Kai J. Jonas

doi:10.1007/s10461-021-03200-4

Slow Uptake of PrEP: Behavioral Predictors and the Influence of Price on PrEP Uptake Among MSM with a High Interest in PrEP

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 journal › Article › Academic › peer-review

Abstract

Despite the improved availability and affordability of PrEP in the Netherlands, PrEP uptake is low among men who have sex with men (MSM). To optimize uptake, it is important to identify facilitators and barriers of PrEP use. During our study period, the price of PrEP dropped significantly after generic PrEP was introduced. We investigated whether the price drop predicts PrEP uptake, alongside behavioral and demographic characteristics. Participants (N = 349) were recruited online and completed three questionnaires over a period of 6 months, between February 2017 and March 2019. After 6 months, 159 (45.6%) participants were using PrEP. PrEP uptake was greater among MSM who ever had postexposure prophylaxis (PEP) treatment, among MSM with a better perceived financial situation, and when the price of PrEP dropped. MSM in a tighter perceived financial situation may use PrEP more when it would be free or fully reimbursed.

Original language	English
Pages (from-to)	2382-2390
Number of pages	9
Journal	Aids and Behavior
Volume	25
Issue number	8
Early online date	21 Feb 2021
DOIs	https://doi.org/10.1007/s10461-021-03200-4
Publication status	Published - Aug 2021

Keywords

HIV prevention
MSM
PrEP
Costs

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title = "Slow Uptake of PrEP: Behavioral Predictors and the Influence of Price on PrEP Uptake Among MSM with a High Interest in PrEP",

abstract = "Despite the improved availability and affordability of PrEP in the Netherlands, PrEP uptake is low among men who have sex with men (MSM). To optimize uptake, it is important to identify facilitators and barriers of PrEP use. During our study period, the price of PrEP dropped significantly after generic PrEP was introduced. We investigated whether the price drop predicts PrEP uptake, alongside behavioral and demographic characteristics. Participants (N = 349) were recruited online and completed three questionnaires over a period of 6 months, between February 2017 and March 2019. After 6 months, 159 (45.6%) participants were using PrEP. PrEP uptake was greater among MSM who ever had postexposure prophylaxis (PEP) treatment, among MSM with a better perceived financial situation, and when the price of PrEP dropped. MSM in a tighter perceived financial situation may use PrEP more when it would be free or fully reimbursed.",

keywords = "HIV prevention, MSM, PrEP, Costs",

author = "{van Dijk}, Mart and {de Wit}, {John B. F.} and Guadamuz, {Thomas E.} and Martinez, {Joel E.} and Jonas, {Kai J.}",

note = "Funding Information: This study was funded by the Dutch Aidsfonds (Grant Number P-13301, made available to the last author). Publisher Copyright: {\textcopyright} 2021, The Author(s).",

year = "2021",

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doi = "10.1007/s10461-021-03200-4",

language = "English",

volume = "25",

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T1 - Slow Uptake of PrEP

T2 - Behavioral Predictors and the Influence of Price on PrEP Uptake Among MSM with a High Interest in PrEP

AU - van Dijk, Mart

AU - de Wit, John B. F.

AU - Guadamuz, Thomas E.

AU - Martinez, Joel E.

AU - Jonas, Kai J.

PY - 2021/8

Y1 - 2021/8

N2 - Despite the improved availability and affordability of PrEP in the Netherlands, PrEP uptake is low among men who have sex with men (MSM). To optimize uptake, it is important to identify facilitators and barriers of PrEP use. During our study period, the price of PrEP dropped significantly after generic PrEP was introduced. We investigated whether the price drop predicts PrEP uptake, alongside behavioral and demographic characteristics. Participants (N = 349) were recruited online and completed three questionnaires over a period of 6 months, between February 2017 and March 2019. After 6 months, 159 (45.6%) participants were using PrEP. PrEP uptake was greater among MSM who ever had postexposure prophylaxis (PEP) treatment, among MSM with a better perceived financial situation, and when the price of PrEP dropped. MSM in a tighter perceived financial situation may use PrEP more when it would be free or fully reimbursed.

AB - Despite the improved availability and affordability of PrEP in the Netherlands, PrEP uptake is low among men who have sex with men (MSM). To optimize uptake, it is important to identify facilitators and barriers of PrEP use. During our study period, the price of PrEP dropped significantly after generic PrEP was introduced. We investigated whether the price drop predicts PrEP uptake, alongside behavioral and demographic characteristics. Participants (N = 349) were recruited online and completed three questionnaires over a period of 6 months, between February 2017 and March 2019. After 6 months, 159 (45.6%) participants were using PrEP. PrEP uptake was greater among MSM who ever had postexposure prophylaxis (PEP) treatment, among MSM with a better perceived financial situation, and when the price of PrEP dropped. MSM in a tighter perceived financial situation may use PrEP more when it would be free or fully reimbursed.

KW - HIV prevention

KW - MSM

KW - PrEP

KW - Costs

U2 - 10.1007/s10461-021-03200-4

DO - 10.1007/s10461-021-03200-4

M3 - Article

C2 - 33611697

SN - 1090-7165

VL - 25

SP - 2382

EP - 2390

JO - Aids and Behavior

JF - Aids and Behavior

IS - 8

ER -

Slow Uptake of PrEP: Behavioral Predictors and the Influence of Price on PrEP Uptake Among MSM with a High Interest in PrEP

Abstract

Keywords

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