
Background There is growing interest in novel sexually transmissible infection (STI) prevention strategies, including doxycycline postexposure prophylaxis (doxy-PEP). We assessed interest in doxy-PEP and other STI prevention strategies among gay and bisexual men and nonbinary people in Australia, as well as prior antibiotic use for STI prevention, and knowledge of antimicrobial resistance (AMR). Methods We conducted a national, online survey in June to July 2023. Multivariable logistic regression was used to identify factors associated with the acceptability of doxy-PEP. Results Of 2046 participants, 26.9% had been diagnosed with an STI in the previous year. Condoms were rated as an acceptable STI prevention strategy by 45.1% of the sample, STI preexposure prophylaxis by 54.0%, and doxy-PEP by 75.8%. Previous antibiotic use for STI prevention was reported by 7.5% of the sample, and 2.6% were currently using antibiotics for STI prevention. Over half the sample (62.1%) had some knowledge of AMR. Of those who knew something about AMR, 76.2% were concerned about it. Interest in using doxy-PEP was independently associated with previous use of antibiotics for STI prevention (adjusted odds ratio, 3.09; 95% confidence interval, 1.78–5.35; P < 0.001), whereas those who were concerned about AMR were less interested in it (adjusted odds ratio, 0.51; 95% confidence interval, 0.36–0.72; P < 0.001). Conclusions Doxycycline postexposure prophylaxis was highly acceptable to gay and bisexual men and nonbinary people in Australia, and few factors distinguished between interest in using it or not. We recommend community and professional discussion and education about the effective use of doxy-PEP, AMR, and who would most benefit from doxy-PEP.
Male, Adult, Health Knowledge, Attitudes, Practice, Adolescent, sexually transmitted diseases, Sexually Transmitted Diseases, 610, 32 Biomedical and Clinical Sciences, anzsrc-for: 4202 Epidemiology, Original Studies, anzsrc-for: 4206 Public Health, Sexual and Gender Minorities, Young Adult, anzsrc-for: 32 Biomedical and Clinical Sciences, prevention, SDG 3 - Good Health and Well-being, Surveys and Questionnaires, 616, Humans, post exposure prophylaxis, Homosexuality, Male, 3202 Clinical Sciences, Practice, anzsrc-for: 42 Health Sciences, antimicrobial drug resistance, Prevention, Health Knowledge, Australia, 42 Health Sciences, 3 Good Health and Well Being, Homosexuality, Middle Aged, Patient Acceptance of Health Care, Anti-Bacterial Agents, Emerging Infectious Diseases, Infectious Diseases, anzsrc-for: 11 Medical and Health Sciences, Attitudes, Doxycycline, 4206 Public Health, anzsrc-for: 06 Biological Sciences, Sexually Transmitted Infections, anzsrc-for: 3202 Clinical Sciences, Female, Antimicrobial Resistance, Infection, sexual and gender minorities, Post-Exposure Prophylaxis
Male, Adult, Health Knowledge, Attitudes, Practice, Adolescent, sexually transmitted diseases, Sexually Transmitted Diseases, 610, 32 Biomedical and Clinical Sciences, anzsrc-for: 4202 Epidemiology, Original Studies, anzsrc-for: 4206 Public Health, Sexual and Gender Minorities, Young Adult, anzsrc-for: 32 Biomedical and Clinical Sciences, prevention, SDG 3 - Good Health and Well-being, Surveys and Questionnaires, 616, Humans, post exposure prophylaxis, Homosexuality, Male, 3202 Clinical Sciences, Practice, anzsrc-for: 42 Health Sciences, antimicrobial drug resistance, Prevention, Health Knowledge, Australia, 42 Health Sciences, 3 Good Health and Well Being, Homosexuality, Middle Aged, Patient Acceptance of Health Care, Anti-Bacterial Agents, Emerging Infectious Diseases, Infectious Diseases, anzsrc-for: 11 Medical and Health Sciences, Attitudes, Doxycycline, 4206 Public Health, anzsrc-for: 06 Biological Sciences, Sexually Transmitted Infections, anzsrc-for: 3202 Clinical Sciences, Female, Antimicrobial Resistance, Infection, sexual and gender minorities, Post-Exposure Prophylaxis
| selected citations These citations are derived from selected sources. This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 1 | |
| popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
| influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Average | |
| impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Average |
