Table 4 Populations who would benefit from PrEP, Healthcare Services that should offer PrEP, and Reasons PrEP should not be offered according to HIV physicians from Brazil and Mexico, 2020
Total | Brazil | Mexico | P valuea | |
|---|---|---|---|---|
(N = 481) n (%) | (N = 339; 70.5%) n (%) | (N = 142; 29.5%) n (%) | ||
Populations who would benefit from PrEP (yes) | ||||
Gay, bisexual, and other men who have sex with men (MSM) | 426 (88.6) | 305 (90) | 121 (85.2) | .13 |
Sex workers | 422 (87.7) | 327 (96.5) | 95 (66.9) | <.001 |
Transgender people | 388 (80.7) | 286 (84.4) | 102 (71.8) | .001 |
Partners in a sero-discordant relationship | 363 (75.5) | 271 (79.9) | 92 (64.8) | <.001 |
Injectable drug users | 291 (60.5) | 227 (67.0) | 64 (45.1) | <.001 |
Young adults or adolescents | 228 (47.4) | 157 (46.3) | 71 (50) | .46 |
Non-injectable drug users | 188 (36.1) | 150 (44.2) | 38 (26.8) | <.001 |
Healthcare services that should offer PrEP (yes) | ||||
HIV/STI clinics | 395 (82.1) | 270 (79.7) | 125 (88) | .03 |
Specialized clinics | 341 (70.9) | 271 (79.9) | 70 (49.3) | <.001 |
Family clinics | 191 (39.7) | 143 (42.2) | 48 (33.8) | .09 |
Private clinics/hospitals | 178 (37) | 137 (40.4) | 41 (28.9) | .02 |
Primary care | 172 (35.8) | 124 (36.6) | 48 (33.8) | .56 |
Reasons PrEP should not be offered (yes) | ||||
“Behavioral interventions should be prioritized instead of PrEP” | 261 (54.3) | 148 (43.7) | 113 (79.6) | <.001 |
“Public PrEP will reduce the budget for antiretroviral treatment” | 202 (42) | 120 (35.4) | 82 (57.8) | <.001 |
“I think PrEP should not be provided by public services” | 49 (10.2) | 26 (7.7) | 23 (16.2) | <.01 |
“Low number of PrEP users to maintain PrEP as public policy” | 43 (8.9) | 15 (4.4) | 28 (19.7) | <.001 |