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Prédicteurs associés à l’utilisation et à la perception d’efficacité de la prophylaxie pré- exposition (PrEP) chez les hommes ayant des rapports sexuels avec des hommes et chez les personnes transgenres éligibles à la PrEP en 2018 selon le Net Gay Baromètre (NGB)

Abstract : PrEP is an efficient tool to reduce HIV infection, mainly aimed at most-exposed MSM and trans people. However, even when aware of this preventive treatment and with a positive perception of its efficacy, a minority of eligible individuals use it. To further understand this situation, we sought to investigate the factors that predict being part of the PrEP-user group and being part of a non-using group with a positive view of the treatment, both eligible to PrEP at the time of the study, among the Net Gay Barometer 2018 participants. This edition recruited 10,853 participants, out of which 3,251 (38.7%) met PrEP eligibility criteria in France in 2018. Among them, the 445 PrEP-users and the 1,327 non-users with a positive perception of PrEP efficacy were compared to the 1,479 less informed or uncertain non-users, which formed the reference group in the multinomial logistic regression generated. Even if similar to other eligible participants, PrEP-users are more likely to engage in serodiscordant condomless anal sex and chemsex practices, but these at-risk behaviors tend to concern them significantly. Non-users with a positive perception of PrEP share similarities with them in terms of sexual practices, proximity to the Paris region, a better knowledge of risk reduction strategies and greater identification with the LGBTQI community. Participants in the reference group, more often bisexual, have a lesser knowledge of behavioural risk reduction strategies, while being more likely to declare regular condomless anal sex, which does not concern them significantly. Since PrEP is free of charge in France and has now been made accessible through general practitioners for first-time prescriptions, efforts must be made to promote this prevention tool towards a more distant public from LGBTQI communities, while maintaining a holistic approach in sexual health.
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https://halshs.archives-ouvertes.fr/halshs-03511257
Contributor : Alain Leobon Connect in order to contact the contributor
Submitted on : Wednesday, August 10, 2022 - 9:03:43 PM
Last modification on : Tuesday, September 6, 2022 - 3:36:41 AM

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  • HAL Id : halshs-03511257, version 1

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Alain Léobon, Eugénie Samson-Daoust. Prédicteurs associés à l’utilisation et à la perception d’efficacité de la prophylaxie pré- exposition (PrEP) chez les hommes ayant des rapports sexuels avec des hommes et chez les personnes transgenres éligibles à la PrEP en 2018 selon le Net Gay Baromètre (NGB). Bulletin Epidémiologique Hebdomadaire - BEH, Saint-Maurice (Val de Marne) : Institut de veille sanitaire, 2022, 2 (2), pp.26-35. ⟨halshs-03511257⟩

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