Evidence map›Paper›PMID 27093430›Full record

ArticlePloS one2016

Who Will Use Pre-Exposure Prophylaxis (PrEP) and Why?: Understanding PrEP Awareness and Acceptability amongst Men Who Have Sex with Men in the UK--A Mixed Methods Study.

Jamie Frankis, Ingrid Young, Paul Flowers, Lisa McDaid

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 64 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Jamie FrankisSchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom.
Ingrid YoungMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom.
Paul FlowersSchool of Health and Life Sciences, Glasgow Caledonian University, Glasgow, United Kingdom.
Lisa McDaidMRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom.
Glasgow Caledonian University · GBMRC/CSO Social and Public Health Sciences Unit · GBUniversity of Glasgow · GB

Funding

Chief Scientist Office PDF/14/02Medical Research Council MC_U130031238Medical Research Council MC_U130031238/MC_UU_12017/2Medical Research Council MC_UU_12017/11Medical Research Council MC_UU_12017/2
6 · The paper itself

Abstract

backgroundRecent clinical trials suggest that pre-exposure prophylaxis (PrEP) may reduce HIV transmission by up to 86% for men who have sex with men (MSM), whilst relatively high levels of PrEP acceptability have been reported to date. This study examines PrEP awareness amongst sub-groups of MSM communities and acceptability amongst MSM in a low prevalence region (Scotland, UK), using a mixed methods design.

methodsQuantitative surveys of n = 690 MSM recruited online via social and sociosexual media were analysed using descriptive statistics and multivariate logistic regression. In addition, n = 10 in-depth qualitative interviews with MSM were analysed thematically.

resultsUnder one third (29.7%) of MSM had heard of PrEP, with awareness related to living in large cities, degree level education, commercial gay scene use and reporting an HIV test in the last year. Just under half of participants (47.8%) were likely to use PrEP if it were available but there was no relationship between PrEP acceptability and previous PrEP awareness. Younger men (18-25 years) and those who report higher risk UAI were significantly more likely to say they would use PrEP. Qualitative data described specific PrEP scenarios, illustrating how risk, patterns of sexual practice and social relationships could affect motivation for and nature of PrEP use.

conclusionThese findings suggest substantial interest PrEP amongst MSM reporting HIV risk behaviours in Scotland. Given the Proud results, there is a strong case to investigate PrEP implementation within the UK. However, it appears that disparities in awareness have already emerged along traditional indicators of inequality. Our research identifies the need for comprehensive support when PrEP is introduced, including a key online component, to ensure equity of awareness across diverse MSM communities (e.g. by geography, education, gay scene use and HIV proximity), as well as to responding to the diverse informational and sexual health needs of all MSM communities.

Indexed as

Health Knowledge, Attitudes, PracticePre-Exposure ProphylaxisAdolescentAdultAnti-HIV AgentsAwarenessCross-Sectional StudiesHIV InfectionsHomosexuality, MaleHumansMaleMiddle AgedPatient Acceptance of Health CarePost-Exposure ProphylaxisQualitative ResearchScotlandAnti-HIV Agents

Identifiers

PMID27093430
PMCPMC4836740
OpenAlexW2322026197

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.