HIV pre-exposure prophylaxis and treatment as prevention: a review of awareness and acceptability among men who have sex with men in the Asia-Pacific region and the Americas

Sexual Health ◽  
2014 ◽  
Vol 11 (2) ◽  
pp. 166 ◽  
Author(s):  
Martin Holt
Keyword(s):  
The United States ◽  
Hiv Treatment ◽  
Asia Pacific ◽  
Treatment As Prevention ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
Acceptability Research ◽  
Prevention Trials ◽  
Sex With Men ◽  
Exposure Prophylaxis

This review assesses acceptability research for HIV pre-exposure prophylaxis (PrEP) and treatment as prevention (TasP) among men who have sex with men (MSM) in the Asia-Pacific region and the Americas, evaluating awareness and attitudes. There has been limited research on the acceptability of PrEP outside the United States and no research to date evaluating the acceptability of TasP since the findings of the HIV Prevention Trials Network 052 trial were released. Existing research suggests that PrEP is reasonably acceptable to MSM, but few men are likely to perceive the need for it. Studies of HIV treatment optimism suggest that MSM are likely to be sceptical of TasP.

The key role of adherence for the effectiveness of antiretroviral-based prevention: state of the science and implications for the Asia-Pacific region

Sexual Health ◽  
2014 ◽  
Vol 11 (2) ◽  
pp. 155 ◽  
Author(s):  
K. Rivet Amico
Keyword(s):  
At Risk ◽  
Hiv Treatment ◽  
Asia Pacific ◽  
Treatment As Prevention ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
Effective Prevention ◽  
Widespread Access ◽  
Hiv Treatment As Prevention ◽  
Exposure Prophylaxis

Remarkable advances have been made in the last few years in biomedical strategies to prevent onward transmission of HIV (treatment as prevention (TasP)) and prevent infection among at-risk populations through pre-exposure prophylaxis (PrEP). Numerous issues remain heavily debated, primarily concerning the feasibility of leveraging resources for both widespread access to antiretroviral therapy (ART) for those living with HIV and access to effective prevention antiretrovirals (ARVs) among those at risk for infection. Even with consistent and wide-spread access to ARVs, the behavioural pathway from ARV access to successful rapid and durable suppression or reaching levels of PrEP adherence that confer high rates of protection is increasingly well recognised. For either ‘biobehavioural’ strategy to have maximal individual and community benefit, individuals accessing them must actually use them. In this review, the unique and overlapping factors influencing adherence to ART and PrEP are identified, with an emphasis on the behavioural, social and structural facilitators and barriers to TasP and PrEP success. The implications of the current research base and evidence generated specifically within the Asia-Pacific region are discussed.

The United States and the Asia-Pacific Region: Security Strategy for the Obama Administration

2009 ◽  
Author(s):  
Ralph A. Cossa ◽  
Brad Glosserman ◽  
Michael A. McDevitt ◽  
Nirav Patel ◽  
James Przystup ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Asia Pacific ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
Security Strategy ◽  
Obama Administration

scholarly journals ECONOMIC ENVIRONMENT OF ARCTIC LIQUEFIED NATURAL GAS SUPPLIESTO THE ASIAN-PACIFIC REGION COUNTRIES UNDER THE END OF THE “TRADE WAR” BETWEEN THE USA AND CHINA

2020 ◽  
Vol 68 (2/2020) ◽  
pp. 12-21
Author(s):  
M. V. Ulchenko ◽  
Keyword(s):  
United States ◽  
Growth Rate ◽  
Natural Gas ◽  
South Korea ◽  
The United States ◽  
Liquefied Natural Gas ◽  
Asia Pacific ◽  
Russian Arctic ◽  
Pacific Region ◽  
Asia Pacific Region

Currently, the Asia-Pacific market is a priority goal for almost all major producers of liquefied natural gas(LNG). This is due to the relatively high price that local consumers are willing to pay, as well as the accelerated growth rate of natural gas consumption. At the same time, China is the main driver of growth in demand for LNGin the world, has concluded a trade agreement with the United States, which involves the purchase of energy resources worth more than $ 52 billion over two years. Given the decline in LNG prices, as well as increased competition, the issue of the prospects for sales of Russian Arctic gas on the market of the Asia-Pacific region becomes particularly relevant.The study provides a generalized assessment of the needs of the main importers of LNG ––China, South Korea and Japan, with a planning horizon of 4–5 years. The relatively high growth rates of the economy, partial rejection of nuclear energy, struggle to improve the environmental situation, as well as the desire to diversify supply routes explain the needs of the countries in the Asia-Pacific region for additional volumes of LNGin the near future. The analysis showed that both Japan and South Korea are interested in increasing the volume of imports of Russian arctic LNG, whose key advantages over most competitors are the price and relative proximity of sales markets. At the same time, the reduction in the number of operating gas drilling rigs in the United States indicates that it will not be possible to maintain the growth rate of LNG production at the level of 2018 and 2019.

scholarly journals United States-Vietnam relations in light of geopolitics of the usa in Asia-Pacific region in 1945-1975

2020 ◽  
Vol 10 (27) ◽  
pp. 96-106
Author(s):  
Ivan Desiatnikov ◽  
Keyword(s):  
United States ◽  
Soviet Union ◽  
Vietnam War ◽  
The United States ◽  
Asia Pacific ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
The Soviet Union ◽  
The Us ◽  
The Republic

The article focuses on the analysis of US-Vietnam relations during the period from 1945 to 1975. The aim of the article is to trace the changes that took place in the US-Vietnam relationship over that period, to identify the factors that influenced them, as well as the approaches used by the heads of the countries to tackle their foreign policy objectives in the region. The author traces the evolution of US policy in Vietnam pursued by Presidents H. Truman, D. Eisenhower, J. Kennedy, L. Johnson and R. Nixon. The United States had diametrically opposed position on relations with the Vietnamese governments, namely, confrontation and military conflict with the Democratic Republic of Vietnam, and cooperation, military and economic aid to the Republic of Vietnam. The author concludes that the US attitude towards Vietnam was determined by the international situation at that time, including the beginning of the Cold War. The policies of Presidents D. Eisenhower and J. Kennedy were to restrain the expansion of the Communist bloc's sphere of influence. The direct involvement of the US military in the Vietnam conflict, initiated by L. Johnson, pursued the goal of enhancing the prestige of the United States in the global confrontation with the USSR. The split between the Soviet Union and China was used by the US to get out of the Vietnam War and mend relations with China as a counterweight to the Soviet Union in the Asia-Pacific region. Instead, the Republic of Vietnam, which had been the "junior partner" of the United States, was left to its fate.

scholarly journals Quality of HIV Websites With Information About Pre-Exposure Prophylaxis or Treatment as Prevention for Men Who Have Sex With Men: Systematic Evaluation (Preprint)

2018 ◽  
Author(s):  
Taylor Silverman ◽  
Nicole Asante ◽  
Jacob J van den Berg
Keyword(s):  
Hiv Prevention ◽  
Hiv Infection ◽  
Rating Scale ◽  
The United States ◽  
Treatment As Prevention ◽  
Key Words And Phrases ◽  
Prevention Strategies ◽  
Hiv Prevention Strategies ◽  
Sex With Men ◽  
Exposure Prophylaxis

BACKGROUND Knowledge and uptake of high-efficacy HIV prevention strategies such as pre-exposure prophylaxis (PrEP) and treatment as prevention (TasP) remain low among men who have sex with men (MSM) who are at the highest risk for HIV infection in the United States. Electronic health (eHealth) interventions are promising tools for disseminating information about these critical yet underutilized strategies and addressing key barriers to uptake among target populations. However, existing HIV prevention websites are understudied and unevaluated. OBJECTIVE This study aimed to systematically review and evaluate existing HIV websites that include information about PrEP or TasP for MSM. METHODS From March 2018 to May 2018, 2 trained research assistants (RAs) entered relevant key words and phrases into 3 commonly used search engines and applied exclusion criteria to all returned results to identify 31 websites included in this review. RAs independently scored each website for authority, usability, interactivity, and PrEP/TasP-related content based on a standardized rating scale and then averaged the results. RESULTS No website received a perfect score in any of the 4 categories, and the average website score was 62% (37/60). Less than a quarter of the websites (23%, 7/31) received a score of more than 75% (7.5/10) for content. Approximately two-thirds of the websites (65%, 20/31) received a score of 50% (5/10) or lower for interactivity. The average score in usability was 68% (6.8/10) and in authority was 69% (6.9/10). Other deficiencies observed included difficulty locating relevant content and lack of information targeting audiences with the highest likelihood of HIV infection. CONCLUSIONS Existing HIV prevention websites with information about PrEP or TasP for MSM fail to provide adequate content as well as present that content to users in an interactive and audience-conscious way. Future eHealth interventions should attempt to rectify these deficiencies to successfully engage and educate MSM at high risk for HIV regarding prevention strategies.

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