Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

Between- and within-individual sociodemographic and psychological determinants of PrEP adherence among men who have sex with men prescribed a daily PrEP regimen in Wales

Gillespie, David ORCID: https://orcid.org/0000-0002-6934-2928, de Bruin, Marjin, Hughes, Dyfrig, Ma, Richard, Williams, Adam, Wood, Fiona ORCID: https://orcid.org/0000-0001-7397-4074, Couzens, Zoë, Jones, Adam and Hood, Kerenza ORCID: https://orcid.org/0000-0002-5268-8631 2023. Between- and within-individual sociodemographic and psychological determinants of PrEP adherence among men who have sex with men prescribed a daily PrEP regimen in Wales. AIDS and Behavior 27 , pp. 1564-1572. 10.1007/s10461-022-03890-4

[thumbnail of Gillespie et al AIBE 2022.pdf]
Preview
PDF - Published Version
Available under License Creative Commons Attribution.

Download (643kB) | Preview
License URL: http://creativecommons.org/licenses/by/4.0/
License Start date: 2 November 2022

Abstract

We investigated the determinants of daily PrEP use and coverage of condomless anal sex (CAS) by PrEP among men who have sex with men in Wales, UK. We measured PrEP use by electronic monitors and CAS by secure online surveys. We defned PrEP use based on daily medication cap openings and coverage as CAS episodes preceded by≥3 days of PrEP use and followed by≥2 days of PrEP use. We included 57 participants (5463 observations). An STI diagnosis was associated with lower PrEP use but also lower PrEP coverage. Older adults had higher PrEP use. A belief that other PrEP users took PrEP as prescribed was associated with lower PrEP coverage. An STI diagnosis is an important cue for an intervention, refecting episodes of high-risk sexual behaviour and low PrEP coverage. Other results provide a basis for the development of an evidence-informed intervention for promoting coverage of PrEP

Item Type: Article
Date Type: Publication
Status: Published
Schools: Medicine
Centre for Trials Research (CNTRR)
Publisher: Springer
ISSN: 1573-3254
Funders: Cancer Research UK
Date of First Compliant Deposit: 7 October 2022
Date of Acceptance: 3 October 2022
Last Modified: 06 Sep 2023 10:12
URI: https://orca.cardiff.ac.uk/id/eprint/153138

Actions (repository staff only)

Edit Item Edit Item

Downloads

Downloads per month over past year

View more statistics