Willingness to Use PrEP among MSM
Citation
Kamitani, E., Wichser, M. E., Mizuno, Y., DeLuca, J. B., & Higa, D. H. (2023).What factors are associated with willingness to use HIV pre-exposure prophylaxis (PrEP) among U.S. men who have sex with men not on PrEP? A systematic review and meta-analysis. Journal of the Association of Nurses in AIDS Care, 34(2), 135-145. doi: 10.1097/JNC.0000000000000384
Visual Abstract
Background
Pre-exposure prophylaxis (PrEP) is a medicine used to prevent HIV. PrEP use among men who have sex with men (MSM) is still limited. Many MSM indicate that they are willing to use PrEP but are not on PrEP. This gap might point to challenges of getting PrEP.
Questions addressed in the review
- What are the factors related to the willingness to use PrEP among MSM who are not on PrEP?
Search date
The search was conducted in 2021 and repeated in 2022. The search covered the years 2000-2020.
Study characteristics
Twenty-three studies were included in the review. Most of the studies looked at a single point in time.
Key results
The results showed 12 characteristics were related to a person’s willingness to use PrEP*:
- Being Hispanic/Latino
- Being Black/African American
- Being younger
- Having an income of $20,000 or less per year
- Having less than a college degree
- Having recent anal sex without a condom
- Having six or more sex partners in the past 12 months
- Being diagnosed with a sexually transmitted infection in past 12 months
- Receiving an HIV behavioral program in past 12 months
- Having fewer concerns about long-term reactions to PrEP
- Believing in more PrEP benefits
- Having a greater belief of a high chance of HIV infection
*Among MSM who were not on PrEP
Quality of the evidence
The majority of studies had low risk of bias.
Study funding source
This study was funded by the Centers for Disease Control and Prevention