{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T01:37:04Z","timestamp":1782869824435,"version":"3.54.5"},"reference-count":41,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2023,6,3]],"date-time":"2023-06-03T00:00:00Z","timestamp":1685750400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:p>Background: HIV pre-exposure prophylaxis (PrEP) is part of India\u2019s HIV prevention policy. We aimed to determine awareness of and willingness-to-use PrEP among men-who-have-sex-with-men (MSM) and transgender-persons (TG) in Delhi, India.<\/jats:p>\n                  <jats:p>Methods: A cross-sectional study was conducted at five purposively selected targeted-intervention projects in Delhi. Participants included self-identified MSM\/TG aged \u226518\u00a0years, with negative\/unknown HIV serostatus. A structured interview schedule, developed using formative research, was used. Primary outcomes were awareness of, and willingness-to-use PrEP. Socio-demographic and behaviour variables included age, living situation, education, anal-sex, condom-use and experiences of physical-violence. Determinants of outcome were identified in univariable logistic regression; variables associated at p &lt; .25 were included in multivariable regression models.<\/jats:p>\n                  <jats:p>Results: Of 400 (224 MSM, 176\u00a0TG), mean \u00b1 SD age 25.7 \u00b1 7.2\u00a0years, 14.5% (95% CI 11.0, 18.0) were aware of PrEP, while 63.3% (95% CI: 58.6, 68.1) reported willingness-to-use PrEP. PrEP-awareness was independently associated with formal-education (adjusted odds ratio; AOR = 1.20), professional occupation (AOR = 5.45) and condom-use (AOR = 3.07). Willingness-to-use PrEP was higher if participants had recent anal-sex (AOR = 2.29), had used condoms during anal-sex (AOR = 2.09), or recently experienced physical-violence (AOR = 3.65).<\/jats:p>\n                  <jats:p>Conclusions: PrEP awareness was low, but most were willing to use PrEP, implying that communication is key to PrEP awareness and uptake.<\/jats:p>","DOI":"10.1177\/09564624231174936","type":"journal-article","created":{"date-parts":[[2023,6,3]],"date-time":"2023-06-03T07:15:46Z","timestamp":1685776546000},"page":"763-776","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Low awareness but high acceptability of pre-exposure prophylaxis for HIV among men who have sex with men and transgender persons in Delhi, India"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7488-5134","authenticated-orcid":false,"given":"Adhish Kumar","family":"Sethi","sequence":"first","affiliation":[{"name":"Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4563-3675","authenticated-orcid":false,"given":"Partha","family":"Haldar","sequence":"additional","affiliation":[{"name":"Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjay Kumar","family":"Rai","sequence":"additional","affiliation":[{"name":"Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashi","family":"Kant","sequence":"additional","affiliation":[{"name":"Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shobini","family":"Rajan","sequence":"additional","affiliation":[{"name":"National AIDS Control Organization, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Parveen","family":"Kumar","sequence":"additional","affiliation":[{"name":"Delhi State AIDS Control Society, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jitendra Kumar","family":"Mishra","sequence":"additional","affiliation":[{"name":"Targeted Intervention Division, Delhi State AIDS Control Society, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhawani","family":"Singh","sequence":"additional","affiliation":[{"name":"National AIDS Control Organization, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,6,3]]},"reference":[{"key":"bibr1-09564624231174936","volume-title":"India HIV Estimates 2021: Fact Sheet","author":"National AIDS Control Organization","year":"2022"},{"key":"bibr2-09564624231174936","unstructured":"National AIDS Control Organisation. Sankalak: status of national AIDS response. 4th ed. New Delhi: NACO, Ministry of Health and Family Welfare, Government of India, p. 361. Available from: http:\/\/naco.gov.in\/sites\/default\/files\/Sankalak_Report_1.pdf (2022, accessed 28 February 2023)"},{"key":"bibr3-09564624231174936","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.2591"},{"key":"bibr4-09564624231174936","volume-title":"Guidelines on long-acting injectable cabotegravir for HIV prevention","author":"World Health Organization","year":"2022"},{"key":"bibr5-09564624231174936","unstructured":"National Technical Guidelines for pre-exposure prophylaxis. New Delhi: NACO, Ministry of Health and Family Welfare, Government of India, p. 58. Available from: http:\/\/naco.gov.in\/sites\/default\/files\/National_Technical_Guidelines_(Web).pdf (2021, accessed 25 July 2022)."},{"key":"bibr6-09564624231174936","volume-title":"Cipla gets approval to sell its version of Truvada in India","author":"Datta J","year":"2016"},{"key":"bibr7-09564624231174936","volume-title":"Home \u2013 YRGCARE [Internet]"},{"key":"bibr8-09564624231174936","volume-title":"APSACS introduces HIV preventive medicine in State","author":"Boda T","year":"2022"},{"key":"bibr9-09564624231174936","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2031-8"},{"key":"bibr10-09564624231174936","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25883"},{"key":"bibr11-09564624231174936","doi-asserted-by":"publisher","DOI":"10.1111\/hiv.12572"},{"key":"bibr12-09564624231174936","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0247352"},{"key":"bibr13-09564624231174936","doi-asserted-by":"publisher","DOI":"10.1089\/trgh.2019.0076"},{"key":"bibr14-09564624231174936","doi-asserted-by":"publisher","DOI":"10.1080\/09540121.2021.1887801"},{"key":"bibr15-09564624231174936","unstructured":"National AIDS Control Organization. National integrated biological and behavioural surveillance (IBBS) 2014-15: high risk groups. New Delhi: NACO, Ministry of Health and Family Welfare, Government of India, p. 278. Available from: http:\/\/naco.gov.in\/sites\/default\/files\/IBBS_Report_2014-15.pdf (2015, accessed 10 September 2021)."},{"key":"bibr16-09564624231174936","unstructured":"National AIDS Control Organization. National integrated biological and behavioural surveillance (IBBS), hijras\/transgender people, India 2014-15. New Delhi: NACO, Ministry of Health and Family Welfare, Government of India, p. 130. Available from: http:\/\/naco.gov.in\/sites\/default\/files\/TG-IBBS_ReportPrint_text_Edited.pdf (2016, accessed 20 March 2021)."},{"key":"bibr17-09564624231174936","unstructured":"National AIDS Control Organization. Operational guidelines for implementing HIV targeted interventions among men who have sex with men in India: guidelines for CBOs\/NGOs, SACS and TSUs. New Delhi: National AIDS Control Organization, p. 190. Available from: http:\/\/naco.gov.in\/sites\/default\/files\/MSM-OG.pdf (2016, accessed 18 April 2021)."},{"key":"bibr18-09564624231174936","unstructured":"National AIDS Control Organization. Operational guidelines for implementing targeted interventions among hijras and transgender people in India: guidelines for CBOs\/NGOs and SACS\/TSU. New Delhi: National AIDS Control Organization, p. 161. 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Geneva: Joint United Nations Programme on HIV\/AIDS, p. 373. Available from: https:\/\/www.unaids.org\/sites\/default\/files\/media_asset\/2022-global-aids-update_en.pdf (2022, accessed 24 October 2022)."},{"key":"bibr38-09564624231174936","doi-asserted-by":"publisher","DOI":"10.1071\/SH20058"},{"key":"bibr39-09564624231174936","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciy182"},{"key":"bibr40-09564624231174936","doi-asserted-by":"publisher","DOI":"10.12688\/gatesopenres.13042.1"},{"key":"bibr41-09564624231174936","doi-asserted-by":"publisher","DOI":"10.1071\/SH18065"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624231174936","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09564624231174936","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09564624231174936","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:44:41Z","timestamp":1777675481000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09564624231174936"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,3]]},"references-count":41,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1177\/09564624231174936"],"URL":"https:\/\/doi.org\/10.1177\/09564624231174936","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,3]]}}}