{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:46:13Z","timestamp":1787168773410,"version":"build-2736575974"},"reference-count":61,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Public Health Surveill"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n In Brazil, men who have sex with men (MSM) are disproportionately affected by the HIV epidemic, mirroring global trends. Despite advancements in HIV prevention, such as pre-exposure prophylaxis (PrEP), uptake remains uneven among different MSM age groups, influenced by various sexual behaviors, risk perceptions, and social stigmas.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to investigate factors associated with PrEP intentions among Brazilian MSM across different age groups.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A cross-sectional electronic survey was conducted with Brazilian MSM aged 18 years and above.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n PrEP intentions were expressed by 55.1% (2390\/4341) of participants. Among those under 25 years old, frequent barebacking was associated with a 25.4-fold higher prevalence of PrEP intentions (95% CI 18.18\u201035.48). Conversely, having one or more casual sexual partners in the last 30 days (2164\/3838) was associated with a 22% lower frequency of PrEP intentions (95% CI 0.72\u20100.85). The practice of chemsex was also associated with a lower prevalence of PrEP intentions (adjusted prevalence ratio [aPR] 0.96; 95% CI 0.94\u20100.98). Among individuals aged 25\u201049 years, the practice of double penetration was associated with a higher prevalence of PrEP intentions (aPR 1.22; 95% CI .13\u20101.32), as was being a receptive or versatile partner (aPR 1.27; 95% CI 1.04\u20101.55 and aPR 1.23; 95% CI 1.01\u20101.49). In addition, within this age range, a higher prevalence of PrEP intentions (over 10% 258\/429]) was found among those with specific characteristics, such as a previous diagnosis of syphilis (aPR 1.12; 95% CI 1.03\u20101.22). However, being single (aPR 0.90; 95% CI 0.83\u20100.97) and having a partner who used PrEP (aPR 0.82; 95% CI 0.72\u20100.93) were associated with a lower prevalence of PrEP intentions. For MSM aged \u226550 years, a higher prevalence of PrEP intentions was associated with the practice of double penetration (aPR 1.31; 95% CI 1.20\u20101.43), as well as being a receptive (aPR 1.27; 95% CI 1.04\u20101.55) or versatile partner (aPR 1.23; 95% CI 1.01\u20101.50). The practice of group sex was independently associated with a lower prevalence of PrEP intentions exclusively among MSM aged \u226550 years (aPR 0.82; 95% CI 0.75\u20100.89).<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The study highlights significant generational differences in factors influencing PrEP intentions among Brazilian MSM. It underscores the need for tailored HIV prevention strategies that consider the unique behaviors and perceptions of different age groups. By addressing these nuances, public health initiatives can more effectively promote PrEP use, catering to the diverse needs of the MSM community and contributing to the reduction of HIV infection rates.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/58405","type":"journal-article","created":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T07:25:32Z","timestamp":1732087532000},"page":"e58405-e58405","source":"Crossref","is-referenced-by-count":4,"title":["Intention to Use Pre-Exposure Prophylaxis Among Age Groups of Brazilian Men Who Have Sex With Men: National Cross-Sectional Study"],"prefix":"10.2196","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2710-2122","authenticated-orcid":false,"given":"Alvaro Francisco Lopes de","family":"Sousa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9767-3938","authenticated-orcid":false,"given":"Caique Jordan Nunes","family":"Ribeiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6416-0455","authenticated-orcid":false,"given":"Guilherme Reis de Santana","family":"Santos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6119-5193","authenticated-orcid":false,"given":"Emerson Lucas Silva","family":"Camargo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5913-8886","authenticated-orcid":false,"given":"Herica Emilia F\u00e9lix de","family":"Carvalho","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4244-6217","authenticated-orcid":false,"given":"Guilherme","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9780-4309","authenticated-orcid":false,"given":"Leticia Genova","family":"Vieira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3195-8767","authenticated-orcid":false,"given":"Liliane Moretti","family":"Carneiro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6916-4025","authenticated-orcid":false,"given":"Ana Paula Morais","family":"Fernandes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1916-6348","authenticated-orcid":false,"given":"Talita Morais","family":"Fernandes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9962-6537","authenticated-orcid":false,"given":"M\u00e1rcio","family":"Bezerra-Santos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0720-3105","authenticated-orcid":false,"given":"Rita de Cassia Dias","family":"Nascimento","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5694-2094","authenticated-orcid":false,"given":"Lucas Almeida","family":"Andrade","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8534-1960","authenticated-orcid":false,"given":"Anderson Reis de","family":"Sousa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1406-4585","authenticated-orcid":false,"given":"In\u00eas","family":"Fronteira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0704-4319","authenticated-orcid":false,"given":"Isabel Am\u00e9lia Costa","family":"Mendes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,7,8]]},"reference":[{"issue":"11","key":"R1","doi-asserted-by":"publisher","first-page":"3603","DOI":"10.1007\/s10461-023-04074-4","article-title":"Experiences of stigma and HIV status associated with awareness and usage of safer sex functions in dating apps among MSM, 2019 American men\u2019s internet survey (AMIS) study","volume":"27","author":"Zhang","journal-title":"AIDS Behav"},{"issue":"1","key":"R2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-18661-0","article-title":"Trends in HIV prevalence and risk factors among men who have sex with men in Mozambique: implications for targeted interventions and public health strategies","volume":"24","author":"Ribeiro Banze","journal-title":"BMC Public Health"},{"issue":"10279","key":"R3","doi-asserted-by":"publisher","first-page":"1116","DOI":"10.1016\/S0140-6736(21)00321-4","article-title":"The persistent and evolving HIV epidemic in American men who have sex with men","volume":"397","author":"Mayer","journal-title":"Lancet"},{"issue":"10279","key":"R4","doi-asserted-by":"publisher","first-page":"1095","DOI":"10.1016\/S0140-6736(21)00395-0","article-title":"Epidemiology of HIV in the USA: epidemic burden, inequities, contexts, and responses","volume":"397","author":"Sullivan","journal-title":"The Lancet"},{"issue":"10","key":"R5","doi-asserted-by":"publisher","first-page":"3809","DOI":"10.1007\/s10508-024-02968-5","article-title":"From HIV to Mpox: socio-discursive analysis of communicable diseases, stigma, and pathologization in sexual minorities in Brazil","volume":"53","author":"Cruz Neto","journal-title":"Arch Sex Behav"},{"key":"R6","unstructured":"UNAIDS. Estat\u00edsticas Globais do HIV. 2023. URL: https:\/\/unaids.org.br\/estatisticas [Accessed 24-06-2025]"},{"key":"R7","unstructured":"Geneva: Joint United Nations Programme on HIV\/AIDS. The path that ends aids 2023 unaids global aids update. 2023. URL: http:\/\/www.wipo.int\/amc\/en\/mediation\/rules [Accessed 13-03-2024]"},{"key":"R8","unstructured":"Brasil. Boletim Epidemiol\u00f3gico - HIV e Aids 2023. 2023. URL: https:\/\/www.gov.br\/aids\/pt-br\/central-de-conteudo\/boletins-epidemiologicos\/2023\/hiv-aids\/boletim-epidemiologico-hiv-e-aids-2023.pdf\/view [Accessed 24-06-2025]"},{"issue":"spe","key":"R9","doi-asserted-by":"publisher","DOI":"10.1590\/1518-8345.6222.3715","article-title":"Determinants of sexual exposure to HIV in Portuguese and Brazilian adolescents: a path analysis","volume":"30","author":"Teixeira","journal-title":"Rev Lat Am Enfermagem"},{"issue":"5","key":"R10","doi-asserted-by":"publisher","first-page":"343","DOI":"10.1097\/OLQ.0000000000001599","article-title":"Factors associated with the intention to use HIV preexposure prophylaxis for young and older men who have sex with men","volume":"49","author":"Hulstein","journal-title":"Sex Transm Dis"},{"issue":"suppl 1","key":"R11","doi-asserted-by":"publisher","DOI":"10.1590\/0037-8682-0231-2021","article-title":"HIV incidence estimates by sex and age group in the population aged 15 years or over, Brazil, 1986-2018","volume":"55","author":"Szwarcwald","journal-title":"Rev Soc Bras Med Trop"},{"issue":"37","key":"R12","doi-asserted-by":"publisher","first-page":"1025","DOI":"10.15585\/mmwr.mm6737a2","article-title":"Age-associated trends in diagnosis and prevalence of infection with HIV among men who have sex with men - United States, 2008-2016","volume":"67","author":"Mitsch","journal-title":"MMWR Morb Mortal Wkly Rep"},{"issue":"7","key":"R13","doi-asserted-by":"publisher","first-page":"e429","DOI":"10.1016\/S2352-3018(21)00069-2","article-title":"Age patterns of HIV incidence in eastern and southern Africa: a modelling analysis of observational population-based cohort studies","volume":"8","author":"Risher","journal-title":"Lancet HIV"},{"issue":"4","key":"R14","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19042359","article-title":"Aging with HIV: increased risk of HIV comorbidities in older adults","volume":"19","author":"Roomaney","journal-title":"Int J Environ Res Public Health"},{"issue":"4","key":"R15","doi-asserted-by":"publisher","DOI":"10.1177\/1557988319863542","article-title":"HIV testing among middle-aged and older men who have sex with men (MSM): a blind spot?","volume":"13","author":"Sousa","journal-title":"Am J Mens Health"},{"issue":"6","key":"R16","doi-asserted-by":"publisher","first-page":"548","DOI":"10.1097\/JNC.0000000000000433","article-title":"Sexual practices and predisposition to PrEP use among men ages 50 years and older who have sex with men: a cross-sectional study","volume":"34","author":"Nunes","journal-title":"J Assoc Nurses AIDS Care"},{"key":"R17","doi-asserted-by":"crossref","unstructured":"Queiroz A Sousa AFL Sousa AR . Sexuality \u201cin apps\u201d? older men who have sex with men and their use of dating apps in brazil. In: Ageing, Men and Social Relations. 2023. [doi: 10.46692\/9781447363088]","DOI":"10.46692\/9781447363088.006"},{"issue":"11","key":"R18","doi-asserted-by":"publisher","first-page":"3687","DOI":"10.1007\/s10461-021-03347-0","article-title":"Alarmingly high HIV prevalence among adolescent and young men who have sex with men (MSM) in urban Indonesia","volume":"25","author":"Johnston","journal-title":"AIDS Behav"},{"key":"R19","doi-asserted-by":"publisher","DOI":"10.1177\/20499361231206918","article-title":"Intention to use PrEP among men who have sex with men and engage in chemsex: an international descriptive study","volume":"10","author":"de Sousa","journal-title":"Ther Adv Infect Dis"},{"key":"R20","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2023.1198339","article-title":"Pre-exposure prophylaxis among Brazilian men who have sex with men: a comparative study between migrants and non-migrants","volume":"11","author":"Sousa","journal-title":"Front Public Health"},{"issue":"10","key":"R21","doi-asserted-by":"publisher","DOI":"10.2196\/22388","article-title":"Risk-taking behaviors and adherence to HIV pre-exposure prophylaxis in users of geosocial networking apps: real-world, multicenter study","volume":"22","author":"Wang","journal-title":"J Med Internet Res"},{"key":"R22","doi-asserted-by":"publisher","DOI":"10.1590\/1980-549720230019","article-title":"Inconsistent condom use with casual partners among men who have sex with men in Brazil: a cross-sectional study","volume":"26","author":"Hentges","journal-title":"Rev Bras Epidemiol"},{"issue":"Suppl 4","key":"R23","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.26005","article-title":"Progress towards the UNAIDS 90-90-90 targets among persons aged 50 and older living with HIV in 13 African countries","volume":"25 Suppl 4","author":"Farley","journal-title":"J Int AIDS Soc"},{"issue":"10","key":"R24","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25826","article-title":"Association between HIV PrEP indications and use in a national sexual network study of US men who have sex with men","volume":"24","author":"Weiss","journal-title":"J Int AIDS Soc"},{"key":"R25","unstructured":"Luiz RR Magnanini MMF Medronho AR Carvalho DM Bloch BV . O tamanho da amostra em investiga\u00e7\u00f5es epidemiol\u00f3gicas [Book in Spanish]. In: Epidemiologia. S\u00e3o Paulo: Atheneu; 2011:415-427."},{"key":"R26","unstructured":"Hulley sb Browner WS Cummings SR Grady D Newman TB . Delineando a Pesquisa Clinica: Uma Abordagem Epidemiol\u00f3gica [Book in Spanish]. Porto Alegre: ArtmedArtmed; 2015."},{"issue":"1","key":"R27","doi-asserted-by":"publisher","first-page":"391","DOI":"10.1007\/s13178-021-00550-5","article-title":"Low psychological well-being in men who have sex with men (MSM) during the shelter-in-place orders to prevent the COVID-19 spread: results from a nationwide study","volume":"19","author":"Camargo","journal-title":"Sex Res Social Policy"},{"issue":"1","key":"R28","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-020-10135-3","article-title":"Knowledge of PEP and PrEP among people living with HIV\/aids in Brazil","volume":"21","author":"Sousa","journal-title":"BMC Public Health"},{"key":"R29","doi-asserted-by":"publisher","DOI":"10.1590\/1518-8345.4975.3474","article-title":"Factors associated with chemsex in Portugal during the COVID-19 pandemic","volume":"29","author":"Chone","journal-title":"Rev Lat Am Enfermagem"},{"issue":"12","key":"R30","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311X00202420","article-title":"Chemsex practice among men who have sex with men (MSM) during social isolation from COVID-19: multicentric online survey","volume":"36","author":"Sousa","journal-title":"Cad Saude Publica"},{"issue":"8","key":"R31","doi-asserted-by":"publisher","first-page":"2316","DOI":"10.1007\/s10461-016-1511-x","article-title":"Health services use and HIV prevalence among migrant and national female sex workers in Portugal: are we providing the services needed?","volume":"21","author":"Dias","journal-title":"AIDS Behav"},{"issue":"3","key":"R32","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1590\/0034-7167-2023-0004","article-title":"Chemsex and its repercussions on the health of men who have sex with men (MSM): a global health perspective","volume":"76","author":"Sousa","journal-title":"Rev Bras Enferm"},{"issue":"3","key":"R33","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1111\/phn.13308","article-title":"Chemsex among men who have sex with men during the Mpox health crisis in Brazil: A nationwide web survey","volume":"41","author":"Santos","journal-title":"Public Health Nurs"},{"issue":"6","key":"R34","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20064881","article-title":"Adherence to pre-exposure prophylaxis (PrEP) among men who have sex with men (MSM) in Portuguese-speaking countries","volume":"20","author":"Sousa","journal-title":"Int J Environ Res Public Health"},{"issue":"1","key":"R35","doi-asserted-by":"publisher","first-page":"1","DOI":"10.2174\/18746136-v17-230720-2023-12","article-title":"Barriers and facilitators to HIV\/AIDS testing among Latin immigrant men who have sex with men (MSM): a systematic review of the literature","volume":"17","author":"Felipe da Cruz","journal-title":"TOAIDJ"},{"issue":"11","key":"R36","doi-asserted-by":"publisher","first-page":"5841","DOI":"10.1590\/1413-812320212611.30532020","article-title":"Consumption of sexually explicit media and unprotected anal sex in men who have sex with men","volume":"26","author":"Martins","journal-title":"Cien Saude Colet"},{"issue":"4","key":"R37","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0281654","article-title":"Important steps for PrEP uptake among adolescent men who have sex with men and transgender women in Brazil","volume":"18","author":"Soares","journal-title":"PLoS ONE"},{"issue":"1","key":"R38","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjid.2022.102733","article-title":"Travestis, transgender women and young MSM are at high risk for PrEP early loss to follow-up in Rio de Janeiro, Brazil","volume":"27","author":"Echeverr\u00eda-Guevara","journal-title":"Braz J Infect Dis"},{"issue":"suppl 1","key":"R39","doi-asserted-by":"publisher","DOI":"10.11606\/s1518-8787.2020054005462","article-title":"Factors associated with condomless anal sex among adolescent men who have sex with men and transgender women in three Brazilian state capitals: a PrEP1519 study","volume":"58","author":"Ros\u00e1rio","journal-title":"Rev Saude Publica"},{"issue":"3","key":"R40","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19031704","article-title":"High rates of sexualized drug use or chemsex among Brazilian transgender women and young sexual and gender minorities","volume":"19","author":"Jalil","journal-title":"Int J Environ Res Public Health"},{"key":"R41","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2023.1124971","article-title":"An uncharted territory of sexualized drug use: exploring the dynamics of chemsex among young and adolescent MSM including self-identified gay men in urban Dhaka, Bangladesh","volume":"14","author":"Irfan","journal-title":"Front Psychol"},{"issue":"2","key":"R42","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0298914","article-title":"A pilot program of HIV pre-exposure prophylaxis in Thai youth","volume":"19","author":"Rungmaitree","journal-title":"PLoS ONE"},{"issue":"3","key":"R43","doi-asserted-by":"publisher","first-page":"1","DOI":"10.15585\/mmwr.rr6903a1","article-title":"Preexposure prophylaxis for prevention of HIV acquisition among adolescents: clinical considerations, 2020","volume":"69","author":"Tanner","journal-title":"MMWR Recomm Rep"},{"issue":"Suppl 3","key":"R44","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25540","article-title":"Evaluation of a pre-exposure prophylaxis programme for men who have sex with men and transgender women in Thailand: learning through the HIV prevention cascade lens","volume":"23 Suppl 3","author":"Ramautarsing","journal-title":"J Int AIDS Soc"},{"issue":"1","key":"R45","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1111\/hiv.13543","article-title":"Incidence of sexually transmitted infections and association with behavioural factors: time-to-event analysis of a large pre-exposure prophylaxis (PrEP) cohort","volume":"25","author":"Hovaguimian","journal-title":"HIV Med"},{"issue":"7","key":"R46","doi-asserted-by":"publisher","first-page":"474","DOI":"10.1136\/sextrans-2023-055774","article-title":"Predictors of starting and stopping chemsex in men who have sex with men in England: findings from the AURAH2 prospective study","volume":"99","author":"Hammond","journal-title":"Sex Transm Infect"},{"issue":"1","key":"R47","doi-asserted-by":"publisher","DOI":"10.1186\/s13011-021-00353-2","article-title":"Social capital and chemsex initiation in young gay, bisexual, and other men who have sex with men: the pink carpet Y cohort study","volume":"16","author":"Tan","journal-title":"Subst Abuse Treat Prev Policy"},{"issue":"1","key":"R48","doi-asserted-by":"publisher","first-page":"23","DOI":"10.1177\/1757913918778872","article-title":"Sexualised drug taking among men who have sex with men: a systematic review","volume":"139","author":"Tomkins","journal-title":"Perspect Public Health"},{"issue":"11","key":"R49","doi-asserted-by":"publisher","first-page":"3637","DOI":"10.1007\/s10461-018-2122-5","article-title":"Threefold increase in PrEP uptake over time with high adherence among young men who have sex with men in Chicago","volume":"22","author":"Morgan","journal-title":"AIDS Behav"},{"issue":"7","key":"R50","doi-asserted-by":"publisher","first-page":"2123","DOI":"10.1007\/s10508-017-1083-5","article-title":"Are anal sex roles associated with preferences for pre-exposure prophylaxis administration modalities among men who have sex with men?","volume":"47","author":"Goedel","journal-title":"Arch Sex Behav"},{"issue":"1","key":"R51","doi-asserted-by":"publisher","first-page":"8","DOI":"10.3961\/jpmph.23.345","article-title":"Pre-exposure prophylaxis adherence among men who have sex with men: a systematic review and meta-analysis","volume":"57","author":"Hudrudchai","journal-title":"J Prev Med Public Health"},{"issue":"1","key":"R52","doi-asserted-by":"publisher","DOI":"10.1177\/1557988319827396","article-title":"Pleasure and PrEP: pleasure-seeking plays a role in prevention choices and could lead to PrEP initiation","volume":"13","author":"Mabire","journal-title":"Am J Mens Health"},{"key":"R53","doi-asserted-by":"publisher","DOI":"10.1177\/23259582241283196","article-title":"Sexual practices and HIV risk perception among men who have sex with men in Brazil","volume":"23","author":"de Ara\u00fajo","journal-title":"J Int Assoc Provid AIDS Care"},{"issue":"11","key":"R54","doi-asserted-by":"publisher","first-page":"3482","DOI":"10.1007\/s10461-021-03274-0","article-title":"PrEP willingness and adherence self-efficacy among men who have sex with men with recent condomless anal sex in urban China","volume":"25","author":"Sun","journal-title":"AIDS Behav"},{"issue":"3","key":"R55","doi-asserted-by":"publisher","DOI":"10.1002\/jia2.25883","article-title":"Increasing awareness of HIV pre-exposure prophylaxis (PrEP) and willingness to use HIV PrEP among men who have sex with men: a systematic review and meta-analysis of global data","volume":"25","author":"Sun","journal-title":"J Int AIDS Soc"},{"key":"R56","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.946771","article-title":"\u201cHow PrEPared are you?\u201d: Knowledge of and attitudes toward PrEP among overseas-born and newly arrived gay, bisexual, and other men who have sex with men in Australia","volume":"10","author":"Sudarto","journal-title":"Front Public Health"},{"issue":"2","key":"R57","doi-asserted-by":"publisher","first-page":"42","DOI":"10.33696\/AIDS.2.006","article-title":"Older versus younger men who have sex with men: awareness of and potential barriers to the use of pre-exposure prophylaxis (PrEP) medication to prevent the transmission of HIV","volume":"2","author":"Klein","journal-title":"J AIDS HIV Treat"},{"key":"R58","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2021.108875","article-title":"Chemsex practices and pre-exposure prophylaxis (PrEP) trajectories among individuals consulting for PrEP at a large sexual health clinic in Montr\u00e9al, Canada (2013-2020)","volume":"226","author":"Flores Anato","journal-title":"Drug Alcohol Depend"},{"issue":"6","key":"R59","doi-asserted-by":"publisher","first-page":"1392","DOI":"10.1080\/00918369.2023.2170757","article-title":"Chemsex among men who have sex with men: a systematic scoping review of research methods","volume":"71","author":"Amundsen","journal-title":"J Homosex"},{"key":"R60","doi-asserted-by":"publisher","DOI":"10.18471\/rbe.v36.38071","article-title":"Sexually transmitted infections in men in the prison system: integrative review","volume":"36","author":"Oliveira","journal-title":"Rev baiana enferm"},{"issue":"1","key":"R61","doi-asserted-by":"publisher","first-page":"1","DOI":"10.26694\/reufpi.v12i1.3933","article-title":"Sexually explicit media consumption and HIV\/AIDS risk practices in northeastern Brazil","volume":"12","author":"Chaves","journal-title":"Rev Enferm UFPI"}],"container-title":["JMIR Public Health and Surveillance"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/publichealth.jmir.org\/2025\/1\/e58405","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T17:50:12Z","timestamp":1782841812000},"score":1,"resource":{"primary":{"URL":"https:\/\/publichealth.jmir.org\/2025\/1\/e58405"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7,8]]},"references-count":61,"URL":"https:\/\/doi.org\/10.2196\/58405","relation":{},"ISSN":["2369-2960"],"issn-type":[{"value":"2369-2960","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7,8]]},"article-number":"v11i11e58405"}}