PrEP in the Context of Other HIV Risk Reduction Strategies Among Men Who Have Sex with Men: Results from the Flash! PrEP in Europe Survey

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 nee...

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Bibliographic Details
Published in:Archives of sexual behavior 2022-07, Vol.51 (5), p.2451-2464
Main Authors: Di Ciaccio, Marion, Delabre, Rosemary M., Vilotitch, Antoine, Corbelli, Giulio Maria, Villes, Virginie, Ros Sánchez, Alejandro, Zantkuijl, Paul, Sweers, Holger, Sanchez, Flor, Meulbroek, Michael, Cairns, Gus, Bernier, Adeline, Ghosn, Jade, Carvalho Rocha, Luìs Miguel, Cosmaro, Maria Luisa, Duken, Sascha Béla, Dan, Monica, Schlegel, Vincent, Stranz, Richard, Jonas, Kai J., Spire, Bruno, Rojas Castro, Daniela
Format: Article
Language:English
Subjects:
Anti-HIV Agents
Behavioral Science and Psychology
Condoms
Disease prevention
Europe
Gays & lesbians
HIV
HIV Infections
Homosexuality, Male
Human immunodeficiency virus
Humans
Life Sciences
Male
Mens health
Original Paper
Psychology
Public Health
Risk Reduction Behavior
Sexual and Gender Minorities
Sexual Behavior
Sexual Partners
Social Sciences
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Summary: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.
ISSN:0004-0002
1573-2800
DOI:10.1007/s10508-022-02322-7