[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-401447-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-401447-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","im-ready-program-racial-and-location-disparities-in-prep-awareness-and-uptake-in-canada","I’m Ready Program - Racial and location disparities in PrEP awareness and uptake in Canada","","I’m Ready Program presents Fast-Track Cities 2024 background on HIV infection and PrEP use in Canada, focusing on how race and location affect PrEP awareness and uptake. It draws on evidence from increasing national PrEP use alongside persistent inequities, with limited race-disaggregated data. The ENGAGE study results show high awareness but low PrEP use among gbMSM, linked to mistrust and access barriers. The I’m Ready HIV self-testing app reports PrEP indications, awareness, use, and retention rates among 8,803 participants.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/im-ready-program-racial-and-location-disparities-in-prep-awareness-and-uptake-in-canada/401447/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/im-ready-program-racial-and-location-disparities-in-prep-awareness-and-uptake-in-canada/401447.png","ImageObject",300,407,{"name":42,"@type":43},"Elsa","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-04","2026-09-27",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",9,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the main objective of the I’m Ready Program presentation?","Question",{"text":63,"@type":64},"To examine differences in PrEP awareness and uptake among key populations and across different locations in Canada.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What did the ENGAGE study show about awareness versus PrEP use among gbMSM?",{"text":68,"@type":64},"Awareness was high (e.g., 84.6% in Montreal to 94.2% in Toronto), but only a small share used PrEP (14.5% in Montreal, 21.6% in Toronto, 21.8% in Vancouver).",{"name":70,"@type":61,"acceptedAnswer":71},"How does the I’m Ready program evaluate PrEP indication, awareness, use, and retention?",{"text":72,"@type":64},"Among 8,803 respondents to selected questions, 85% had indications for PrEP, 54% were aware, 17% used PrEP, and 6% were retained on PrEP.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},401447,1790717506,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":139,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145,"preview_page_count":4},137455077381,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","13-15 October 2024 | Maison de la Mutualité, Paris  \nI’m Ready Program: Racial and location disparities in PrEP awareness and uptake in Canada  \nSean B . Rourke, Kristin McBain, Wale Ajiboye, Jason M . Lo Hog Tian, Rick Galli, Wangari Tharao, Maureen Owino, Lena Soje, Albert McLeod, Margaret Kisikaw Pieysis, Trevor Stratton, Nathan Lachowsky, and Caley Shukalek  \nFAST-TRACK CITIES 2024  \nBackground: HIV Infection and PrEP Use in Canada  \nNew HIV Infection 2020-2022 HIV PrEP Use ( 2019-2022)  \nFast-Track Cities 2024 • October 13-15, 2024  \nFAST-TRACK CITIES 2024  \nBackground and Context  \n• In the last 5 years, PrEP use has increased from 61 to 89 per 100,000 people in Canada. 1  \n• In the ENGAGE study, of the 1,159 gay, bisexual and men who have sex with men indicated for PrEP, only less than 25% reported use.  \n• Despite increased usage, disparities in HIV incidence and PrEP access persist among racialized communities and key populations.  \n• Race-based data on PrEP awareness and uptake among Indigenous, Black and racialized communities is very limited in Canada.  \n• Disaggregated data on PrEP awareness and uptake will enhance equity-focused policy and program implementation, and progress towards ending the HIV epidemic.  \nFast-Track Cities 2024 • October 13-15, 2024  \nSource: 1. Public Health Agency of Canada, Trends in HIV Pre-Exposure Prophylaxis [HIV-PrEP] use in 9 Canadian provinces, 2019–2022, November 2023  \nFAST-TRACK CITIES 2024  \nENGAGE Study: PrEP Access among GBMSM  \n• Recruited 2,449 sexually active gay, bisexual and men who have sex with men (gbMSM) between 2017 to 2019.1  \n• Implemented in three large cities in Canada – Toronto, Montreal and Vancouver.  \n• Of the 1,159 people indicated for PrEP, 84.6%(Montreal) to 94.2%(Toronto) were aware of PrEP.  \n• Only 14.5%(Montreal), 21.6%(Toronto) and 21.8%(Vancouver) gbMSM used PrEP.  \n• Not using PrEP was associated with low-risk perception, distrust in its effectiveness, lack of a primary care provider, and no insurance.  \nFast-Track Cities 2024 • October 13-15, 2024  \nSource: 1. Cox J et al; Engage Study Team. Use of HIV pre-exposure prophylaxis among urban Canadian gay, bisexual and other men who have sex with men: a cross-sectional analysis of the Engage cohort study. CMAJ Open. 2021 May 21;9(2):E529-E538 . doi: 10.9778/cmajo.20200198. PMID: 34021010;  \nPMCID: PMC8177951 .  \nFAST-TRACK CITIES 2024  \nObjective  \nTo examine differences in PrEP awareness and uptake among different potentially affected and key populations and in different locations across Canada.  \nFast-Track Cities 2024 • October 13-15, 2024  \nFAST-TRACK CITIES 2024  \nI’m Ready: National HIV Self-Testing Program  \n• I’m Ready Research Program is the first Canadian national HIV self-testing program-a mobile app intervention to promote uptake of HIV self-testing across Canada.  \n• 12,007 participants downloaded the I’m Ready Test App and answered a pre-test survey.  \n• 8,803 participants (73%) answered three questions on HIV risk and two questions on PrEP awareness and uptake.  \n• Of these, 85%(n=7,439) had indications for PrEP, of which 54%(n=3,989) were aware of PrEP and 17%(n=682) used PrEP.  \nFast-Track Cities 2024 • October 13-15, 2024  \nFAST-TRACK CITIES 2024  \nParticipants Demographics (N=8,803)  \nAge  \n25-34 age group: 43%  \n18-24 age group: 31%  \nGender Cis-man: 65%  \nCis-woman: 30%  \nGender minorities 1 : 5%  \nSexual orientation Gay or bisexual: 42%  \nHeterosexual: 38%  \nSexual minorities 2 : 20%  \nEducation> High school: 70% High school: 23%  \nLocation  \nVery large urban (>200k): 53% Large urban (100k-199k) and small (\u003C29k): 23%  \nEmployment Full time: 47%  \nStudent: 21%  \n1. Gender minorities: Transgender, non-binary, genderqueer and self-described gender  \n2. Sexual minorities: Queer, lesbian, pansexual, heteroflexible, questioning, asexual and self-described  \nFast-Track Cities 2024 • October 13-15, 2024  \nFAST-TRACK CITIES 2024  \n100%  \n90%  \n80%  \n70%  \n60%  \n50%  \n40%  \n30%  \n20%  \n10%","cbCaidtYDhdx7wY8","https://ap.wps.com/l/cbCaidtYDhdx7wY8","pdf",960444,17,"English","# Background and Context\n## ENGAGE Study: PrEP Access among GBMSM\n## Objective\n# I’m Ready: National HIV Self-Testing Program\n## Participants Demographics (N=8,803)\n## PrEP Cascade\n## PrEP Cascade by Race\n## Intersecting identities among Black populations","[{\"question\":\"What is the main objective of the I’m Ready Program presentation?\",\"answer\":\"To examine differences in PrEP awareness and uptake among key populations and across different locations in Canada.\"},{\"question\":\"What did the ENGAGE study show about awareness versus PrEP use among gbMSM?\",\"answer\":\"Awareness was high (e.g., 84.6% in Montreal to 94.2% in Toronto), but only a small share used PrEP (14.5% in Montreal, 21.6% in Toronto, 21.8% in Vancouver).\"},{\"question\":\"How does the I’m Ready program evaluate PrEP indication, awareness, use, and retention?\",\"answer\":\"Among 8,803 respondents to selected questions, 85% had indications for PrEP, 54% were aware, 17% used PrEP, and 6% were retained on PrEP.\"}]","I’m Ready Program - Racial and location disparities in PrEP awareness and uptake in Canada | PDF",1790519996,43]