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Objectives   HIV  pre‐exposure prophylaxis (Pr EP ) is not approved in Switzerland and therefore must be paid for by the users themselves. We conducted a survey to find out whether men who have sex with men ( MSM ) in Switzerland are already taking Pr EP , or are considering using it, and whether it is being taken under medical supervision or not.    Methods  Grindr® is a geosocial networking app for  MSM . Between 5 and 24 January 2017, users of the app who were located in Switzerland by a global positioning system ( GPS ) were asked to participate in a ten‐question survey on Pr EP  use.    Results  Of the 2455 people who took part in the survey, 1893 were included in the analysis. Eighty‐two participants (4.3%) reported that they were currently taking Pr EP , 64 of whom (78%) said that they were under medical supervision. Seven Pr EP  users (9%) declared that they had not taken an  HIV  test within the previous 12 months. Nine hundred and forty‐four (49.9%) were considering taking Pr EP  in the next 6 months, and 1474 (77.9%) were considering taking it at some point in the future.    Conclusions  In an online survey carried out among sexually active  MSM  in Switzerland, only a minority of the individuals approached responded that they were currently using Pr EP . However, the majority of participants were considering taking Pr EP  in the future. We identified a substantial proportion of Pr EP  users taking Pr EP  outside a medical setting. Hence, a national programme facilitating access to medical care and providing Pr EP  is urgently needed.

Assessing the need for a pre‐exposure prophylaxis programme using the social media app Grindr®