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Interest in event-driven PrEP among men who have sex with men using daily PrEP in Mexico in 2019-2020: a cross-sectional assessment in a large-scale demonstration project.
Gómez-Castro, José; Aguilera-Mijares, Santiago; Martínez-Dávalos, Araczy; Bautista-Arredondo, Sergio; Vermandere, Heleen.
Afiliación
  • Gómez-Castro J; Center for Evaluation Research and Surveys, National Institute of Public Health, Cuernavaca, México.
  • Aguilera-Mijares S; Center for Evaluation Research and Surveys, National Institute of Public Health, Cuernavaca, México.
  • Martínez-Dávalos A; Center for Evaluation Research and Surveys, National Institute of Public Health, Cuernavaca, México.
  • Bautista-Arredondo S; Center for Evaluation Research and Surveys, National Institute of Public Health, Cuernavaca, México.
  • Vermandere H; Center for Evaluation Research and Surveys, National Institute of Public Health, Cuernavaca, México.
AIDS Care ; 36(11): 1681-1689, 2024 Nov.
Article en En | MEDLINE | ID: mdl-39116427
ABSTRACT
This study aimed to evaluate the interest in event-driven PrEP (ED-PrEP) among men who have sex with men (MSM) using daily PrEP in Mexico's PrEP demonstration project between 2019 and 2020. We compared participants interested or not in ED-PrEP during their first-month visit and identified associated factors. Of 1,021 MSM attending their first-month visit, 7% had previous knowledge of ED-PrEP, but 40% were interested in ED-PrEP. However, over 50% perceived the scheme as less protective than daily PrEP. Having doubts about ED-PrEP's level of protection was related to less interest in the scheme (aOR = 0.11; CI = 0.07-0.18), just like reporting perceived barriers such as having frequent sex (aOR = 0.06; CI = 0.03-0.14), unplanned sex (aOR = 0.17; CI = 0.11-0.27), forgetting the medicine (aOR = 0.06; CI = 0.03-0.12), or difficulty carrying the medicine (aOR = 0.13; CI = 0.07-0.25). Finally, reporting not taking PrEP for >20 days in the last month (aOR = 0.05; CI = 0.01-0.27) diminished interest in ED-PrEP. In conclusion, few MSM daily PrEP users knew about ED-PrEP yet many were interested in it, suggesting the importance of awareness campaigns regarding ED-PrEP's effectiveness. The lack of interest in ED-PrEP among participants with poor adherence to daily PrEP indicates that they might prefer long-acting PrEP or HIV prevention strategies without medication.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Homosexualidad Masculina / Fármacos Anti-VIH / Profilaxis Pre-Exposición Límite: Adult / Humans / Male / Middle aged País/Región como asunto: Mexico Idioma: En Revista: AIDS Care Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Homosexualidad Masculina / Fármacos Anti-VIH / Profilaxis Pre-Exposición Límite: Adult / Humans / Male / Middle aged País/Región como asunto: Mexico Idioma: En Revista: AIDS Care Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2024 Tipo del documento: Article Pais de publicación: Reino Unido