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: firstname.lastname@example.org).
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