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Willingness to Use HIV Pre-Exposure Prophylaxis Has Declined Among Australian Gay and Bisexual Men: Results From Repeated National Surveys, 2011–2013

Holt, Martin PhD*; Lea, Toby PhD*; Murphy, Dean PhD*,†; Ellard, Jeanne PhD; Rosengarten, Marsha PhD*,§; Kippax, Susan PhD; De Wit, John PhD*,¶

JAIDS Journal of Acquired Immune Deficiency Syndromes: 1 October 2014 - Volume 67 - Issue 2 - p 222–226
doi: 10.1097/QAI.0000000000000287
Brief Report: Epidemiology and Prevention

Abstract: We surveyed willingness to use pre-exposure prophylaxis (PrEP) and the likelihood of decreased condom use among Australian gay and bisexual men in 2011 and 2013 (n = 2384). Willingness to use PrEP declined from 28.2% to 23.3% [adjusted odds ratio = 0.83, 95% confidence interval (CI): 0.68 to 1.00, P = 0.050]. Willingness to use PrEP was the greatest among men with HIV-positive partners and among those who had taken HIV postexposure prophylaxis. Among men willing to use PrEP, the likelihood of decreased condom use remained stable between 2011 and 2013 (8.0% vs. 11.9%; adjusted odds ratio = 1.40, 95% CI: 0.80 to 2.45, P = 0.23). A minority of men remain willing to use PrEP and appear to be appropriate candidates for it.

*Centre for Social Research in Health, UNSW Australia, Sydney, Australia;

Australian Federation of AIDS Organisations, Sydney, Australia;

Australian Research Centre in Sex, Health and Society, La Trobe University, Melbourne, Australia;

§Department of Sociology, Goldsmiths, University of London, London, UK;

Social Policy Research Centre, UNSW Australia, Sydney, Australia; and

Social and Organizational Psychology, Utrecht University, Utrecht, The Netherlands.

Correspondence to: Martin Holt, PhD, Centre for Social Research in Health, UNSW Australia, Sydney, Australia NSW 2052 (e-mail:

Supported by a research promotion grant from the Centre for Social Research in Health.

The authors have no conflicts of interest to disclose.

Received February 10, 2014

Accepted June 16, 2014

© 2014 by Lippincott Williams & Wilkins