Current experiences of accessing and using HIV pre-exposure prophylaxis (PrEP) in the United Kingdom: a cross-sectional online survey, May to July 2019

O’Halloran, Charlotte; Owen, Greg; Croxford, Sara; Sims, Lee B; Gill, O Nöel; Nutland, Will; Delpech, Valérie

doi:10.2807/1560-7917.es.2019.24.48.1900693

Cited by 22 publications

(56 citation statements)

References 5 publications

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“…Consistent with previous studies targeting MSM PrEP users [ 15 , 16 , 17 , 18 , 19 ], our participants reported a high and stable prevalence of sexual risk behaviors (e.g., CAI, multiple male sex partnerships and SDU) over the study period. According to the CDC’s clinical practice guideline [ 21 ], they should receive STI testing at least every three months.…”

Section: Discussionsupporting

confidence: 90%

“…As PrEP use became more common, studies suggested that many MSM reduced condom use after initiating PrEP. The prevalence of STI among MSM PrEP users ranged from 14.2 to 50.6%, while the STI incidence in this group was as high as 34.2–119.8 per 100 person-year [ 15 , 16 , 17 , 18 , 19 ]. A recent meta-analysis suggested that PrEP use was associated with a 24% increase in the prevalence of STI and a 59% increase in the risk of rectal STI among users [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

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Factors Predicting Uptake of Sexually Transmitted Infections Testing among Men Who Have Sex with Men Who Are “Pre-Exposure Prophylaxis Tourists”—An Observational Prospective Cohort Study

Wang

Fang

Yaemim

et al. 2021

IJERPH

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The term “Pre-exposure prophylaxis (PrEP) tourists” refers to individuals who obtain PrEP in other countries and use it in their home countries. A prospective observational cohort study was conducted among a group of men who have sex with men (MSM) who obtained PrEP in private clinics in Thailand and used it in Hong Kong. Participants completed two web-based self-administered surveys when obtaining PrEP in Thailand and three months afterwards. Out of 110 participants at baseline, 67 completed the follow-up. The prevalence of sexually transmitted infection (STI) testing was 47.8% during the follow-up period. Eleven participants received an STI diagnosis, and seven of them were incident infections in the past three months. Participants who perceived a higher chance for STI infection (adjusted odds ratios (AOR): 1.90, 95% CI: 1.00, 3.75) and reported higher intention to take up STI testing at baseline (AOR: 1.62, 95% CI: 1.05, 2.50) were more likely to receive STI testing during the follow-up period. Baseline perceptions that service providers would think they were having risky behaviors because of PrEP use was negatively associated with the dependent variable (AOR: 0.51, 95% CI: 0.31, 0.86). Service planning and health promotion related to STI testing is needed for MSM “PrEP tourists”.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Factors Predicting Uptake of Sexually Transmitted Infections Testing among Men Who Have Sex with Men Who Are “Pre-Exposure Prophylaxis Tourists”—An Observational Prospective Cohort Study

Wang

Fang

Yaemim

et al. 2021

IJERPH

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“…Another interesting result of the present study is that PrEP’s affordability and accessibility determine the will to use it. A survey carried out in England in 2019 showed that 30.9% of users gained PrEP throughout the Internet [ 41 ]. This could be due to the fact that, in England, online purchasing of PrEP has been available since 2015 under the supervision of the National Health System.…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes and Practices Regarding Pre-Exposure Prophylaxis (PrEP) in a Sample of Italian Men Who Have SEX with MEN (MSM)

Voglino

Gualano

Rousset

et al. 2021

IJERPH

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Background: Pre-exposure prophylaxis (PrEP) is suitable for high human immunodeficiency virus (HIV)-infection risk people, foremost among whom are males who have sex with other males (MSM). This study evaluated knowledge, attitudes and practices regarding PrEP in a sample of Italian MSM, in order to hypothesize strategies to implement PrEP awareness and use. No previous study has assessed this issue; Methods: An online survey was given to an opportunistic sample of Italian MSM. The questionnaire investigated sexual behaviour and habits, HIV/acquired immune deficiency syndrome (AIDS) knowledge and PrEP awareness, attitudes and practices. Univariable and multivariable logistic regressions were conducted to identify factors associated with PrEP knowledge; Results: A total of 196 MSM participated in this survey. Overall data showed that 87.2% of participants knew what PrEP is, but only 7.5% have ever used it. The main reason for not using PrEP was the cost of the therapy (26.9%). The principal source of PrEP information was the Internet (68.4%). Being regularly tested for HIV was significantly associated with PrEP knowledge (adjusted odds ratio (AdjOR) = 3.16; confidence interval (CI) = 1.06–9.29); Conclusions: Knowledge regarding PrEP was well established, but PrEP use was not equally widespread. It is necessary to improve research on PrEP usage in order to PrEP access to be granted.

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“…However, we anticipate that individuals are likely to switch from private to publicly funded PrEP as access improves over time. In addition, some supplementary data exist from community-based surveys to help estimate the proportion of PrEP users who source this privately [11]. HIV: human immunodeficiency virus; PrEP: pre-exposure prophylaxis; Q: calendar quarter.…”

Section: Measure 2: Number Of Attendees In the Reporting Quarter Who mentioning

confidence: 99%

Minimum dataset for monitoring national human immunodeficiency virus pre-exposure prophylaxis (HIV PrEP) programmes: a five-nation consensus, 2019

2021

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Human immunodeficiency virus (HIV) pre-exposure prophylaxis (PrEP), the use of antiretroviral medication to prevent HIV acquisition, is a highly effective biomedical prevention tool. The World Health Organization (WHO) recommends PrEP for people at substantial risk of HIV infection, as part of combination prevention, and highlights the need for robust evaluation of PrEP programmes. Based on suggested WHO core indicators, we created a concise set of HIV PrEP-related dataset variables, to harmonise the monitoring and evaluation of PrEP programmes across five closely related nations (England, Northern Ireland, Ireland, Scotland and Wales). The dataset is based on the PrEP cascade and is intended to represent the minimum variables needed for reporting and comparison of meaningful data at national and multinational level. The dataset can be modified for settings with different health and surveillance systems. It is intended for public health, academic, clinical and health planning, and public audiences. Here we describe the dataset and illustrate its use with data from the first year of the Scottish National PrEP programme.

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Current experiences of accessing and using HIV pre-exposure prophylaxis (PrEP) in the United Kingdom: a cross-sectional online survey, May to July 2019

Cited by 22 publications

References 5 publications

Factors Predicting Uptake of Sexually Transmitted Infections Testing among Men Who Have Sex with Men Who Are “Pre-Exposure Prophylaxis Tourists”—An Observational Prospective Cohort Study

Factors Predicting Uptake of Sexually Transmitted Infections Testing among Men Who Have Sex with Men Who Are “Pre-Exposure Prophylaxis Tourists”—An Observational Prospective Cohort Study

Knowledge, Attitudes and Practices Regarding Pre-Exposure Prophylaxis (PrEP) in a Sample of Italian Men Who Have SEX with MEN (MSM)

Minimum dataset for monitoring national human immunodeficiency virus pre-exposure prophylaxis (HIV PrEP) programmes: a five-nation consensus, 2019

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