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Thus, we know that our findings offer a snapshot of a very complex situation. But, despite our best efforts, uptake has been slow among people who might benefit from it. We enrolled participants over a three-year period and followed each participant for one full year. This highlights the continued need to monitor uptake over time. There are some caveats about our study that readers should take into consideration. Some people who remain skeptical about PrEP have claimed that PrEP uptake will decrease condom use, and that this poses a public health crisis particularly when it comes to STIs.

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Unfortunately, willingness to take PrEP did not increase over the study, which we were surprised by.

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Study finds less than half of “highly” sexually active gay & bi men in NYC willing to take PrEP

Basically, we found that more and more men were learning about PrEP over the course of the study. People enrolled later in the study were no more willing to start PrEP than those enrolled earlier in the study, and the level of unwillingness expressed by an individual at his first appointment did not budge in the year that passed while he was in the study. Other cities may observe different patterns and this could be directly related to how well a given location is doing to spread the word about PrEP. Unfortunately, willingness to take PrEP did not increase over the study, which we were surprised by. It also requires that people engage with the healthcare system more than they normally would.

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Were we to repeat the study today, the findings would likely be different. This was a study of men in NYC. But, despite our best efforts, uptake has been slow among people who might benefit from it. Thus, our findings confirm what others have noted: It also requires that people engage with the healthcare system more than they normally would. But PrEP may have its own drawbacks for some people, which may help account for our surprising finding that over half of men who may be at risk for HIV were not interested in taking PrEP.

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