ArticleFrontiers in reproductive health2026
Pre-exposure prophylaxis against HIV infection among male population under perceived risk of sexually transmitted infections in Vojvodina, Serbia: a cross-sectional study on knowledge and attitudes.
Article in Frontiers in reproductive health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Globally, awareness and use of pre-exposure prophylaxis (PrEP) for preventing HIV vary widely. This cross-sectional study assessed knowledge, attitudes, and experiences related to PrEP use among sexually active men in Vojvodina, Serbia. Methods: Study was conducted from July to December 2024. Data were collected by seven district public health institutes in Vojvodina and two NGO community checkpoints. Participants were adult men with perceived high-risk sexual behaviour, infection symptoms, or seeking sexual health advice, regardless of their sexual orientation. Participation was anonymous and involved a structured self-administered questionnaire. Results: Among 597 participants (28.3% of clients counselled and/or tested across nine centres), 71.0% were aware of PrEP and 17.2% had previously used it. About 55% of participants had correct basic PrEP knowledge, 28.8% incomplete, and 18.8% insufficient. Overall, 80.2% expressed a positive attitude toward PrEP, 11.7% were undecided, and 8.1% have negative attitude. Age categories (31-40 years: OR = 1.66, 95% CI: 1.01-2.73, Discussion: Despite high awareness, use of PrEP was limited, and accurate knowledge strongly predicted positive attitudes, underscoring the importance of education and counselling. Enhancing public health capacity, reducing stigma, and improving information flow are essential for effective, equitable HIV prevention in Serbia and the wider Central and Eastern Europe region.
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