Introduction: Pre-exposure prophylaxis (PrEP) coverage among men who have sex with men (MSM) in China is suboptimal, and longitudinal data on uptake dynamics are scarce. This study describes temporal trends in PrEP use and identifies correlates of recent uptake among MSM in Qingdao, China.
Methods: Prospective cohort study conducted on MSM in Qingdao. Participants were enrolled between January 2024 and June 2024, with follow-up surveys conducted every six months until June 2025. The primary outcome was PrEP use in the past six months. Cochran–Armitage tests…