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Acceptability of PrEP among HIV negative Portuguese men who have sex with men that attended 2014 Lisbon pride fair
INTRODUCTION: Consistent use of PrEP reduces HIV transmission from sexual practices amongst men who have sex with men (MSM) up to 92% [1]. Lisbon MSM cohort study estimates point that 59.3% of their participants at entrance (1593 HIV negative MSM enrolled between April 2011 and May 2013) were eligib...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International AIDS Society
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4225295/ https://www.ncbi.nlm.nih.gov/pubmed/25397480 http://dx.doi.org/10.7448/IAS.17.4.19734 |
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author | Miguel Rocha, Luís José Campos, Maria Brito, João Fuertes, Ricardo Rojas, Jesus Pinto, Nuno Mendão, Luís Esteves, Julio |
author_facet | Miguel Rocha, Luís José Campos, Maria Brito, João Fuertes, Ricardo Rojas, Jesus Pinto, Nuno Mendão, Luís Esteves, Julio |
author_sort | Miguel Rocha, Luís |
collection | PubMed |
description | INTRODUCTION: Consistent use of PrEP reduces HIV transmission from sexual practices amongst men who have sex with men (MSM) up to 92% [1]. Lisbon MSM cohort study estimates point that 59.3% of their participants at entrance (1593 HIV negative MSM enrolled between April 2011 and May 2013) were eligible for PrEP [2], according to the 2014 USA PrEP guidelines [3]. Studies about PrEP acceptability and implementation support policies aimed at increasing and rolling out its use. Hence, the exploratory study about PrEP acceptability in MSM at Lisbon. MATERIALS AND METHODS: A street-based intercept survey, adapted from Mantell et al. study [4], was the one used on MSM attending the 2014 Lisbon pride fair. The survey included socio-demographic data, PrEP awareness and readiness to use it, probability of MSM's social network to also use it, promptness to join PrEP-related studies, type of PrEP warranted and condomless anal sex practice in the last six months. RESULTS: A total of 110 HIV negative Portuguese MSM responded, with a median age of 33% and 84% of them identified themselves as gay. A majority of MSM were unaware of PrEP (59%); those that were aware, had heard of it trough CheckpointLx (31%), internet (22%) or health professionals (20%). 66% were likely or very likely to participate in PrEP-related studies. 57% of MSM were likely or very likely to use PrEP if available and reported that some, if not almost all of their social network, will do it too (70%). Type of PrEP preferred was oral, a pill a day (43%), followed by oral, intermittent intake (32%). Overall 41% of MSM had condomless anal sex practice in the last six months. CONCLUSIONS: In this MSM Portuguese sample, a general willingness to adopt PrEP was predominant, specially the oral daily intake. Forty-one percent of participants had had condomless anal sex practice in the last six months and therefore fitted within the criteria to be on Pre-Exposure Prophylaxis (PrEP), according to MSM Risk Index in 2014 USA PrEP guidelines. PrEP, when available in Portugal, should be a powerful tool for HIV prevention in this key population. |
format | Online Article Text |
id | pubmed-4225295 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | International AIDS Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-42252952014-11-12 Acceptability of PrEP among HIV negative Portuguese men who have sex with men that attended 2014 Lisbon pride fair Miguel Rocha, Luís José Campos, Maria Brito, João Fuertes, Ricardo Rojas, Jesus Pinto, Nuno Mendão, Luís Esteves, Julio J Int AIDS Soc Poster Sessions – Abstract P202 INTRODUCTION: Consistent use of PrEP reduces HIV transmission from sexual practices amongst men who have sex with men (MSM) up to 92% [1]. Lisbon MSM cohort study estimates point that 59.3% of their participants at entrance (1593 HIV negative MSM enrolled between April 2011 and May 2013) were eligible for PrEP [2], according to the 2014 USA PrEP guidelines [3]. Studies about PrEP acceptability and implementation support policies aimed at increasing and rolling out its use. Hence, the exploratory study about PrEP acceptability in MSM at Lisbon. MATERIALS AND METHODS: A street-based intercept survey, adapted from Mantell et al. study [4], was the one used on MSM attending the 2014 Lisbon pride fair. The survey included socio-demographic data, PrEP awareness and readiness to use it, probability of MSM's social network to also use it, promptness to join PrEP-related studies, type of PrEP warranted and condomless anal sex practice in the last six months. RESULTS: A total of 110 HIV negative Portuguese MSM responded, with a median age of 33% and 84% of them identified themselves as gay. A majority of MSM were unaware of PrEP (59%); those that were aware, had heard of it trough CheckpointLx (31%), internet (22%) or health professionals (20%). 66% were likely or very likely to participate in PrEP-related studies. 57% of MSM were likely or very likely to use PrEP if available and reported that some, if not almost all of their social network, will do it too (70%). Type of PrEP preferred was oral, a pill a day (43%), followed by oral, intermittent intake (32%). Overall 41% of MSM had condomless anal sex practice in the last six months. CONCLUSIONS: In this MSM Portuguese sample, a general willingness to adopt PrEP was predominant, specially the oral daily intake. Forty-one percent of participants had had condomless anal sex practice in the last six months and therefore fitted within the criteria to be on Pre-Exposure Prophylaxis (PrEP), according to MSM Risk Index in 2014 USA PrEP guidelines. PrEP, when available in Portugal, should be a powerful tool for HIV prevention in this key population. International AIDS Society 2014-11-02 /pmc/articles/PMC4225295/ /pubmed/25397480 http://dx.doi.org/10.7448/IAS.17.4.19734 Text en © 2014 Miguel Rocha L et al; licensee International AIDS Society http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Poster Sessions – Abstract P202 Miguel Rocha, Luís José Campos, Maria Brito, João Fuertes, Ricardo Rojas, Jesus Pinto, Nuno Mendão, Luís Esteves, Julio Acceptability of PrEP among HIV negative Portuguese men who have sex with men that attended 2014 Lisbon pride fair |
title | Acceptability of PrEP among HIV negative Portuguese men who have sex with men that attended 2014 Lisbon pride fair |
title_full | Acceptability of PrEP among HIV negative Portuguese men who have sex with men that attended 2014 Lisbon pride fair |
title_fullStr | Acceptability of PrEP among HIV negative Portuguese men who have sex with men that attended 2014 Lisbon pride fair |
title_full_unstemmed | Acceptability of PrEP among HIV negative Portuguese men who have sex with men that attended 2014 Lisbon pride fair |
title_short | Acceptability of PrEP among HIV negative Portuguese men who have sex with men that attended 2014 Lisbon pride fair |
title_sort | acceptability of prep among hiv negative portuguese men who have sex with men that attended 2014 lisbon pride fair |
topic | Poster Sessions – Abstract P202 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4225295/ https://www.ncbi.nlm.nih.gov/pubmed/25397480 http://dx.doi.org/10.7448/IAS.17.4.19734 |
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