title: Awareness and Willingness to Use Pre-exposure Prophylaxis (PrEP) Among Men Who Have Sex with Men and Transgender Women in Brazil.
abstract: Antiretroviral pre-exposure prophylaxis (PrEP) is recommended to prevent HIV infection among high-risk men who have sex with men (MSM) though not available in Brazil where the HIV epidemic persists unabated in this group. This cross-sectional study describes PrEP awareness and willingness and associated factors among MSM and transvestite/transgender women (trans women) pre-screened for the PrEP Brasil study. Awareness was reported by 61.3 % of the participants and was associated with age, education, site, study period and prior HIV testing. Most participants (82.1 %) were willing to use PrEP, which was associated with site, study period, number of male condomless anal sexual partners and anal sex with HIV positive/unknown partners. PrEP information is need among young and less educated individuals. Willingness to use PrEP was high and future studies should be conducted to confirm PrEP acceptability and the characteristics of the population who chose to adopt this intervention.
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI/FIOCRUZ), Avenida Brasil 4365, Manguinhos, Rio de Janeiro, 21040-360, Brazil. brenda.hoagland@ini.fiocruz.br.
authors.forename: Brenda
authors.initials: B
authors.lastname: Hoagland
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI/FIOCRUZ), Avenida Brasil 4365, Manguinhos, Rio de Janeiro, 21040-360, Brazil.
authors.forename: Raquel B
authors.initials: RB
authors.lastname: De Boni
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI/FIOCRUZ), Avenida Brasil 4365, Manguinhos, Rio de Janeiro, 21040-360, Brazil.
authors.forename: Ronaldo I
authors.initials: RI
authors.lastname: Moreira
authors.affiliation: Centro de Referência e Treinamento em DST/AIDS, São Paulo, Brazil.
authors.forename: José Valdez
authors.initials: JV
authors.lastname: Madruga
authors.affiliation: Universidade de São Paulo, São Paulo, Brazil.
authors.forename: Esper G
authors.initials: EG
authors.lastname: Kallas
authors.affiliation: Centro de Referência e Treinamento em DST/AIDS, São Paulo, Brazil.
authors.forename: Silvia Pereira
authors.initials: SP
authors.lastname: Goulart
authors.affiliation: Universidade de São Paulo, São Paulo, Brazil.
authors.forename: Natalia
authors.initials: N
authors.lastname: Cerqueira
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI/FIOCRUZ), Avenida Brasil 4365, Manguinhos, Rio de Janeiro, 21040-360, Brazil.
authors.forename: Thiago S
authors.initials: TS
authors.lastname: Torres
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI/FIOCRUZ), Avenida Brasil 4365, Manguinhos, Rio de Janeiro, 21040-360, Brazil.
authors.forename: Paula M
authors.initials: PM
authors.lastname: Luz
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI/FIOCRUZ), Avenida Brasil 4365, Manguinhos, Rio de Janeiro, 21040-360, Brazil.
authors.forename: Nilo Martinez
authors.initials: NM
authors.lastname: Fernandes
authors.affiliation: Bridge HIV, San Francisco Department of Public Health, San Francisco, CA, USA.
authors.forename: Albert Y
authors.initials: AY
authors.lastname: Liu
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI/FIOCRUZ), Avenida Brasil 4365, Manguinhos, Rio de Janeiro, 21040-360, Brazil.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Grinsztejn
authors.affiliation: Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI/FIOCRUZ), Avenida Brasil 4365, Manguinhos, Rio de Janeiro, 21040-360, Brazil.
authors.forename: Valdilea G
authors.initials: VG
authors.lastname: Veloso
mesh_terms: D000328:Adult; D001364:Awareness; D001938:Brazil; D003430:Cross-Sectional Studies; D015658:HIV Infections / Q000517:prevention & control* / Q000523:psychology*; D007722:Health Knowledge, Attitudes, Practice; D018451:Homosexuality, Male / Q000523:psychology*; D006801:Humans; D008297:Male; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D065129:Pre-Exposure Prophylaxis; D012725:Sexual Behavior; D012747:Sexual Partners; D015819:Substance Abuse, Intravenous / Q000150:complications / Q000523:psychology; D063106:Transgender Persons / Q000523:psychology*; D055815:Young Adult; D005260:Female
keywords: Awareness; HIV prevention; MSM; Pre-exposure prophylaxis; Transgender women; Transvestite; Willingness