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oai:repisalud.isciii.es:20.500.12105/87002024-11-28T20:43:00Zcom_20.500.12105_2052com_20.500.12105_2051com_20.500.12105_15322col_20.500.12105_19608col_20.500.12105_16967col_20.500.12105_16969

00925njm 22002777a 4500 dc Iniesta-Marmol, Carlos author Alvarez-del Arco, Debora author Garcia-Sousa, Luis Miguel author Alejos, Belén author Diaz Franco, Asuncion author Sanz, Nieves author Garrido, Jorge author Meulbroek, Michael author Pujol, Ferran author Moreno, Santiago author Fuster-Ruiz de Apodaca, María José author Coll, Pep author Antela, Antonio author Del Romero, Jorge author Ayerdi, Oskar author Riera, Melchor author Hernández, Juanse author Amo, Julia del author 2018 OBJECTIVE: To assess the awareness, knowledge, use, and willingness to use and need of PrEP among men who have sex with men (MSM) and transgender women (TW) who attended World Gay Pride (WGP) 2017 in Madrid. DESIGN AND METHODS: Online survey. Participants were recruited through gay-oriented dating apps and HIV Non-Governmental Organizations´ social media. Inclusion criteria included being MSM or TW, age 18 years old or above, and having attended WGP in Madrid. Information regarding the participant's awareness and knowledge, use or willingness to use, and need for PrEP was collected, as well as sociodemographic characteristics. Participants were considered to be in need of PrEP if they met one of the following indication criteria: having practiced unprotected anal intercourse with more than 2 partners, having practiced chemsex, or having engaged in commercial sex-all in the preceding 6 months. Descriptive and multivariable analyses with logistic regression were conducted. RESULTS: 472 participants met the inclusion criteria and completed the questionnaire. The mean age was 38, 97.7% were MSM, 77% had a university education, and 85% were living in Spain, mostly in big cities. Overall, 64% of participants were aware of PrEP, but only 33% knew correctly what PrEP was. 67% of HIV-negative participants were willing to take PrEP, although only 5% were taking it during WGP, mostly due to lack of access. 43% of HIV-negative respondents met at least one PrEP indication criteria. For HIV-negative men living in Spain, university education and living in big cities was associated with PrEP awareness. Lower education level and meeting PrEP criteria was associated with willingness to use PrEP. CONCLUSIONS: Our study shows that among MSM attending WGP 2017 in Madrid, there was limited PrEP awareness, low accuracy of PrEP knowledge, and a high need and willingness to use PrEP. Health authorities should strengthen existing preventive strategies and implement PrEP. PLoS One. 2018 Oct 19;13(10):e0204738 10.1371/journal.pone.0204738 1932-6203 1932-6203 PloS one http://hdl.handle.net/20.500.13003/9070 30339690 L624412842 2-s2.0-85055075524 http://hdl.handle.net/20.500.12105/8700 447761400005 Awareness, knowledge, use, willingness to use and need of Pre-Exposure Prophylaxis (PrEP) during World Gay Pride 2017