{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T20:46:01Z","timestamp":1778964361278,"version":"3.51.4"},"reference-count":35,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2016,8,1]],"date-time":"2016-08-01T00:00:00Z","timestamp":1470009600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2016,10]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Nonoccupational post\u2010exposure prophylaxis (<jats:styled-content style=\"fixed-case\">nPEP<\/jats:styled-content>) is a strategy to reduce the risk of <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> infection in those with high\u2010risk exposure. This study characterized <jats:styled-content style=\"fixed-case\">nPEP<\/jats:styled-content> awareness among gay, bisexual and other men who have sex with men (<jats:styled-content style=\"fixed-case\">MSM<\/jats:styled-content>) in Metro Vancouver, British Columbia, Canada after a pilot <jats:styled-content style=\"fixed-case\">nPEP<\/jats:styled-content> programme established in 2012.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Momentum Health Study participants were <jats:styled-content style=\"fixed-case\">MSM<\/jats:styled-content> aged \u226516 years recruited via respondent\u2010driven sampling (<jats:styled-content style=\"fixed-case\">RDS<\/jats:styled-content>) who completed a computer\u2010assisted self\u2010interview. Stratifying patients by <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> status, we used multivariable logistic regression with backward selection to identify factors associated with <jats:styled-content style=\"fixed-case\">nPEP<\/jats:styled-content> awareness. All analyses were <jats:styled-content style=\"fixed-case\">RDS<\/jats:styled-content>\u2010adjusted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 51.9% (112 of 173) of <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010positive and 48.5% (272 of 500) of <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010negative participants had heard of <jats:styled-content style=\"fixed-case\">nPEP<\/jats:styled-content>. Only 3% (five of 106) of <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010negative participants who reported recent high\u2010risk sex used <jats:styled-content style=\"fixed-case\">nPEP<\/jats:styled-content>. Generally, <jats:styled-content style=\"fixed-case\">nPEP<\/jats:styled-content> awareness was higher for participants who engaged in sexual activities with increased <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> transmission potential. Factors associated with greater awareness among <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010negative participants included recent alcohol use, higher communal sexual altruism, previous sexually transmitted infection diagnosis, and greater perceived condom use self\u2010efficacy. Other factors associated with greater awareness among <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010negative participants included white race\/ethnicity, gay sexual identity, more formal education, lower personal sexual altruism, and Vancouver residence. Greater <jats:styled-content style=\"fixed-case\">nPEP<\/jats:styled-content> awareness among <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010positive participants was associated with greater perceived agency to ask sexual partners\u2019 <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content> status and more frequently reporting doing so, a higher number of lifetime receptive sex partners, and greater access to condoms.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Following implementation of an <jats:styled-content style=\"fixed-case\">nPEP<\/jats:styled-content> pilot programme, <jats:styled-content style=\"fixed-case\">nPEP<\/jats:styled-content> awareness among <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\u2010negative <jats:styled-content style=\"fixed-case\">MSM<\/jats:styled-content> was 51% and use was 3%. These data support the need to expand access to and actively promote <jats:styled-content style=\"fixed-case\">nPEP<\/jats:styled-content> services.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.12369","type":"journal-article","created":{"date-parts":[[2016,8,2]],"date-time":"2016-08-02T16:31:39Z","timestamp":1470155499000},"page":"662-673","source":"Crossref","is-referenced-by-count":15,"title":["Awareness and use of nonoccupational post\u2010exposure prophylaxis among men who have sex with men in Vancouver, Canada"],"prefix":"10.1111","volume":"17","author":[{"given":"SY","family":"Lin","sequence":"first","affiliation":[{"name":"British Columbia Centre for Excellence in HIV\/AIDS Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"NJ","family":"Lachowsky","sequence":"additional","affiliation":[{"name":"British Columbia Centre for Excellence in HIV\/AIDS Vancouver BC Canada"},{"name":"Faculty of Medicine University of British Columbia Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Hull","sequence":"additional","affiliation":[{"name":"British Columbia Centre for Excellence in HIV\/AIDS Vancouver BC Canada"},{"name":"Faculty of Medicine University of British Columbia Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Rich","sequence":"additional","affiliation":[{"name":"British Columbia Centre for Excellence in HIV\/AIDS Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Z","family":"Cui","sequence":"additional","affiliation":[{"name":"British Columbia Centre for Excellence in HIV\/AIDS Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Sereda","sequence":"additional","affiliation":[{"name":"British Columbia Centre for Excellence in HIV\/AIDS Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Jollimore","sequence":"additional","affiliation":[{"name":"Health Initiative for Men Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K","family":"Stephenson","sequence":"additional","affiliation":[{"name":"Vancouver Coastal Health Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Thumath","sequence":"additional","affiliation":[{"name":"Faculty of Nursing University of British Columbia Vancouver BC Canada"},{"name":"British Columbia Centre for Disease Control Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JSG","family":"Montaner","sequence":"additional","affiliation":[{"name":"British Columbia Centre for Excellence in HIV\/AIDS Vancouver BC Canada"},{"name":"Faculty of Medicine University of British Columbia Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"EA","family":"Roth","sequence":"additional","affiliation":[{"name":"Department of Anthropology Faculty of Social Sciences University of Victoria Victoria BC Canada"},{"name":"Centre for Addictions Research BC Victoria BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"RS","family":"Hogg","sequence":"additional","affiliation":[{"name":"British Columbia Centre for Excellence in HIV\/AIDS Vancouver BC Canada"},{"name":"Faculty of Health Sciences Simon Fraser University Burnaby BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"DM","family":"Moore","sequence":"additional","affiliation":[{"name":"British Columbia Centre for Excellence in HIV\/AIDS Vancouver BC Canada"},{"name":"Faculty of Medicine University of British Columbia Vancouver BC Canada"},{"name":"British Columbia Centre for Disease Control Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,8]]},"reference":[{"key":"e_1_2_5_2_1","unstructured":"Public Health Agency of Canada.HIV and AIDS in Canada: Surveillance Report to December 31 2013.Minister of Public Works and Government Services Canada.2014."},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0047260"},{"key":"e_1_2_5_4_1","unstructured":"Public Health Agency of Canada.Population\u2010specific HIV\/AIDS Status Report: gay bisexual two\u2010spirit and other men who have sex with men. 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