ArticleAIDS and behavior2026
Assessing Demand for Long-Acting Injectable PrEP and Emerging PrEP Options for HIV Prevention in Australia: Results from a Cross-Sectional Survey of Men Who have Sex with Men.
Article in AIDS and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Long-acting injectable Cabotegravir (CAB-LA) received regulatory approval in Australia but is not available for prevention. This online cross-sectional study of 1,687 gay, bisexual, and other men who have sex with men (GBMSM) in Australia between May to November 2022 assessed interest in and preference for CAB-LA and other existing and hypothetical PrEP options. When asked for their top preference, the most preferred options were monthly oral pills (28.2%), followed by six-monthly injections (24.6%), removable implants (15.5%), daily oral (14.0%), event-driven oral (13.4%), and CAB-LA (3.9%). Common potential reasons to like CAB-LA included not having to remember to take pills (65.0%), protection against HIV (63.8%), and longer-term protection compared to other methods (46.9%). Common concerns included not knowing enough about CAB-LA yet (46.7%), cost may be unaffordable (44.6%), and potential side effects (n = 547, 32.4%). There were 654 (40.3%) participants who would want long-acting PrEP injections if they could switch back and forth between other forms of PrEP. Interest in using CAB-LA was associated with younger age (aOR = 0.98, 95%CI = 0.97-0.99), having ever taken PrEP (aOR = 2.06, 95%CI = 1.48-2.88), having 11 or more sexual partners in the last 6 months (aOR = 1.65, 95%CI = 1.25-2.17), believing some friends or sex partners are taking PrEP (aOR = 1.58, 95%CI = 1.18-2.11), reporting wanting to try CAB-LA if it was more effective than oral PrEP (aOR = 2.05, 95%CI = 1.48-2.86), or believing CAB-LA is more effective than event-driven oral PrEP (aOR = 1.48, 95%CI = 1.10-1.99). This analysis demonstrated Australian GBMSM have a diverse range of preferences of PrEP options, and access to newer options is needed to increase HIV prevention coverage.
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