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March 5, 2026Can J Public HealthOpen Access

Estimating the percentage and number of people with indications for HIV pre-exposure prophylaxis (PrEP) within two key populations, Canada, 2021

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Authors

QYQiuying YangHWHong-xing WuNLNathan Lachowsky

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Overview

Analysis estimates the number of individuals needing HIV PrEP in key populations, suggesting significant underutilization.

Key Points

  • This analysis aims to estimate the prevalence of PrEP indications among gay, bisexual, and other men who have sex with men and people who inject drugs in Canada.
  • Conducted a secondary data analysis using national surveys.
  • Estimated the percentage of GBMSM and PWID meeting PrEP indications.
  • Applied these percentages to recent population estimates to calculate PrEP need.
  • Gathered data on existing PrEP use among those with indications.
  • Estimated 24.1% of GBMSM and 22.3% of PWID had indications for PrEP.
  • Corresponding numbers indicate 99,300 GBMSM and 22,400 PWID had PrEP indications in Canada.
  • Two-thirds of indicated GBMSM were not using PrEP.
  • No PWID with indications reported current PrEP use.

Cite This Study

Yang et al. (2026) studied this question.

synapsesocial.com/papers/69a91de0d6127c7a504c1182https://doi.org/10.17269/s41997-026-01170-5
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