Awareness, willingness to use pre-exposure prophylaxis, and use of post-exposure prophylaxis for HIV prevention among men who have sex with men in Mexico.

Autor:	Chapin-Bardales J; Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA., Algarin AB; Center for Health Promotion and Disease Prevention, Edson College of Nursing and Health Innovation, Arizona State University-Downtown Campus, Phoenix, AZ, USA., Baruch-Dominguez R; Escuela de Salud Pública de México, Cuernavaca, México., Smith LR; Division of Infectious Diseases and Global Public Health, University of California San Diego, La Jolla, CA, USA., Hernandez-Avila M; Mexican Institute of Social Security, Mexico City, Mexico., Sanchez T; Department of Epidemiology, Emory University Rollins School of Public Health, Atlanta, GA, USA.
Jazyk:	angličtina
Zdroj:	International journal of STD & AIDS [Int J STD AIDS] 2024 Aug; Vol. 35 (9), pp. 675-688. Date of Electronic Publication: 2024 Apr 30.
DOI:	10.1177/09564624241248254
Abstrakt:	Background: Little is known about awareness and willingness to use or purchase HIV pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) in Mexico. Methods: MSM in Mexico were recruited via advertisements on online social venues to participate in Encuesta de Sexo Entre Hombres, an online behavioral survey. Awareness of PrEP, willingness to take PrEP if available for free, willingness to purchase PrEP, awareness of post-exposure prophylaxis (PEP), and ever PEP use were assessed in descriptive and multivariate analyses. Results: Overall, 54.8% (4588/8376) of participants were aware of PrEP. Of those aware, 77.6% were willing to use PrEP if free and 52.6% were willing to purchase PrEP, generally at a maximum monthly cost of $500MXP. Both awareness of and willingness to use PrEP if free or for purchase were significantly greater among MSM who were younger, and varied by demographic, recent healthcare use, and behavioral risk factors. Only 8.2% had ever used PEP, which was highly associated with healthcare utilization. Conclusions: About half of Mexican MSM were aware of PrEP. The majority of those aware were willing to use PrEP if available for free and many were willing to purchase PrEP at low cost. Leveraging demographic, recent healthcare use, and behavioral risk characteristics associated with awareness and willingness to use PrEP could be useful in designing future PrEP programs for MSM in Mexico. Expanding healthcare settings in which PEP is available may also support identifying candidates for PrEP and scaling up PrEP implementation. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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