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Updated: Jan 23, 2026

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Published on: January 31, 2020
Perceptions of people who inject drugs towards HIV pre-exposure prophylaxis in Australia
Phillip Read1, Karen J Chronister2, Catherine Kostovski3
1Kirketon Road Centre, South Eastern Sydney Local Health District, PO Box 22, Kings Cross, Sydney, NSW 1340, Australia; and Kirby Institute, UNSW Sydney, Kensington, NSW 2052, Australia; and Corresponding author.
Abstract:
Background People who inject drugs (PWID) are a priority for HIV prevention. This study aimed to determine perceptions, potential eligibility and willingness to use PrEP among PWID in Sydney.
Methods:
Clients completed a cross-sectional survey to collect data on demographics, perceived risk of HIV and willingness to use PrEP, which were then analysed.
Results:
Twelve (7%) of 172 HIV-negative participants were eligible for PrEP under current guidelines for injecting reasons, of whom three would also be eligible for sexual risk, leaving nine (5%) eligible for injecting reasons alone. Half had heard of PrEP and, of these, 65% would consider taking it. Most (88%) thought they would continue using needle syringe program services. A minority (8%) indicated they may be likely to share needles and syringes or be less concerned about injecting partners' HIV status (26%).
Conclusions:
Although PrEP will benefit a small proportion of PWID, this may equate to a significant number nationally. Policy development around PrEP incorporating affected populations will best support the community of people currently injecting to keep rates of HIV low.
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