Slow Uptake of PrEP: Behavioral Predictors and the Influence of Price on PrEP Uptake Among MSM with a High Interest in PrEP
Publication date
2021-08
Authors
van Dijk, Mart
de Wit, John
Guadamuz, Thomas E.
Martinez, Joel E.
Jonas, Kai J.
Editors
Advisors
Supervisors
Document Type
Article
Metadata
Show full item recordCollections
License
cc_by
Abstract
Despite the improved availability and affordability of PrEP in the Netherlands, PrEP uptake is low among men who have sex with men (MSM). To optimize uptake, it is important to identify facilitators and barriers of PrEP use. During our study period, the price of PrEP dropped significantly after generic PrEP was introduced. We investigated whether the price drop predicts PrEP uptake, alongside behavioral and demographic characteristics. Participants (N = 349) were recruited online and completed three questionnaires over a period of 6 months, between February 2017 and March 2019. After 6 months, 159 (45.6%) participants were using PrEP. PrEP uptake was greater among MSM who ever had postexposure prophylaxis (PEP) treatment, among MSM with a better perceived financial situation, and when the price of PrEP dropped. MSM in a tighter perceived financial situation may use PrEP more when it would be free or fully reimbursed.
Keywords
Costs, HIV prevention, MSM, PrEP, Social Psychology, Public Health, Environmental and Occupational Health, Infectious Diseases, SDG 3 - Good Health and Well-being
Citation
van Dijk, M, de Wit, J B F, Guadamuz, T E, Martinez, J E & Jonas, K J 2021, 'Slow Uptake of PrEP : Behavioral Predictors and the Influence of Price on PrEP Uptake Among MSM with a High Interest in PrEP', AIDS and Behavior, vol. 25, no. 8, pp. 2382-2390. https://doi.org/10.1007/s10461-021-03200-4