Prevalence and Correlates of Intimate Partner Violence Among Gay, Bisexual, and Other Men who have Sex with Men (GBMSM) Using PrEP in Pre-War Ukraine

Abstract Purpose This study aimed to establish the prevalence and correlates of intimate partner violence (IPV) in a sample of gay, bisexual, and other men who have sex with men (GBMSM) enrolled in a pre-exposure prophylaxis (PrEP) program in Ukraine during the COVID-19 pandemic. Method A cross-sectional online survey was conducted between January and February 2022, targeting GBMSM currently enrolled in Ukraine’s PrEP program. The survey collected information on sociodemographic characteristics, IPV experiences, sexual and substance use behaviors, and psychological and economic pressures induced by the pandemic. Multivariable logistic regression was used to assess the associations between these factors and IPV. Results Of the 1,176 participants, 39% reported experiencing some form of IPV in the past six months, with emotional IPV being the most prevalent. Substance use during sex, reported drops in quality of life, and economic pressures related to the COVID-19 pandemic were significantly associated with increased IPV risk. Conclusions The high prevalence of IPV among GBMSM in Ukraine highlights the urgent need for integrated support systems that address the multifaceted challenges faced by this community. Incorporating mental health services and community-based interventions into PrEP programs could help mitigate the impact of IPV and improve overall well-being for GBMSM in Ukraine, particularly in the context of ongoing conflict.