Pre‐exposure prophylaxis for HIV infection and new sexually transmitted infections among men who have sex with men: real‐life experience from three sexual health clinics in France

2020 ◽  
Author(s):  
M. Colas ◽  
C. Vanhaecke ◽  
C. Courtieu ◽  
D. Lambert ◽  
T. Lihoreau ◽  
...  
Keyword(s):  
Sexual Health ◽  
Hiv Infection ◽  
Sexually Transmitted Infections ◽  
Life Experience ◽  
Real Life ◽  
Sexually Transmitted ◽  
Health Clinics ◽  
Sex With Men ◽  
Sexual Health Clinics ◽  
Exposure Prophylaxis

scholarly journals Fall in new HIV diagnoses among men who have sex with men (MSM) at selected London sexual health clinics since early 2015: testing or treatment or pre-exposure prophylaxis (PrEP)?

2017 ◽  
Vol 22 (25) ◽  
Author(s):  
Alison E Brown ◽  
Hamish Mohammed ◽  
Dana Ogaz ◽  
Peter D Kirwan ◽  
Mandy Yung ◽  
...  
Keyword(s):  
High Risk ◽  
Sexual Health ◽  
Hiv Testing ◽  
Health Clinics ◽  
High Risk Populations ◽  
Sex With Men ◽  
Sexual Health Clinics ◽  
Exposure Prophylaxis

Since October 2015 up to September 2016, HIV diagnoses fell by 32% compared with October 2014–September 2015 among men who have sex with men (MSM) attending selected London sexual health clinics. This coincided with high HIV testing volumes and rapid initiation of treatment on diagnosis. The fall was most apparent in new HIV testers. Intensified testing of high-risk populations, combined with immediately received anti-retroviral therapy and a pre-exposure prophylaxis (PrEP) programme, may make elimination of HIV achievable.

Unlinked anonymous HIV prevalence among New Zealand sexual health clinic attenders: 2005–2006

2008 ◽  
Vol 19 (11) ◽  
pp. 752-757 ◽  
Author(s):  
S M McAllister ◽  
N P Dickson ◽  
K Sharples ◽  
M R Reid ◽  
J M Morgan ◽  
...  
Keyword(s):  
New Zealand ◽  
Sexual Health ◽  
Health Clinic ◽  
Bisexual Men ◽  
Sexually Transmitted ◽  
Health Clinics ◽  
Undiagnosed Hiv ◽  
And Bisexual ◽  
Sex With Men ◽  
Sexual Health Clinics

This unlinked anonymous study aimed at determining the prevalence of HIV among sexual health clinic attenders having blood samples taken for syphilis and/or hepatitis B serology in six major New Zealand cities over a 12-month period in 2005–2006. Overall, seroprevalence was five per 1000 (47/9439). Among men who have sex with men (MSM), the overall prevalence and that of previously undiagnosed HIV were 44.1 and 20.1 per 1000, respectively. In heterosexual men, the overall prevalence was 1.2 per 1000 and in women 1.4 per 1000. HIV remains to be concentrated among homosexual and bisexual men. Comparison with a previous survey in 1996–1997 suggests an increase in the prevalence of undiagnosed HIV among MSM and also an increase in the number of MSM attending sexual health clinics. The low prevalence of HIV among heterosexuals suggests no extensive spread into the groups identified at risk of other sexually transmitted infections.

Incidence and predictors of HIV, chlamydia and gonorrhoea among men who have sex with men attending a peer-based clinic

Sexual Health ◽  
2018 ◽  
Vol 15 (5) ◽  
pp. 451 ◽  
Author(s):  
Linda A. Selvey ◽  
Claudia Slimings ◽  
Emma Adams ◽  
Justin Manuel
Keyword(s):  
Sexual Health ◽  
Hiv Infection ◽  
Hiv Incidence ◽  
Historical Cohort ◽  
Health Clinics ◽  
Younger Men ◽  
Risk Factor Data ◽  
Factor Data ◽  
Sex With Men ◽  
Sexual Health Clinics

Introduction Despite a range of interventions, annual numbers of new diagnoses of HIV infection among men who have sex with men (MSM) in Australia have not declined in recent years. Peer-based sexual health clinics targeting MSM, such as the M Clinic in Perth (WA, Australia), have been put in place to provide safe sex counselling and to increase testing rates among MSM and who are at high risk of HIV infection. The aim of this study was to assess the incidence of HIV, chlamydia and gonorrhoea among men attending the M Clinic. Methods: This was a historical cohort study of repeated M Clinic clients from January 2011 to June 2015 inclusive. Testing and risk factor data from M Clinic client software were used to estimate the incidence of HIV, chlamydia and gonorrhoea and associated factors. Results: The incidence of HIV, chlamydia and gonorrhoea was 1.87, 13.58 and 6.48 per 100 person-years respectively. Older men had a higher incidence of HIV infection but a lower incidence of chlamydia and gonorrhoea than younger men. Conclusions: The HIV incidence was higher than found in similar studies in other Australian sexual health clinics, but the incidence of chlamydia and gonorrhoea was similar. The high HIV incidence among clients of the M Clinic points to the importance of making pre-exposure HIV prophylaxis available to clients of the M Clinic and similar services.

scholarly journals O014 Investigating attitudes towards HIV Pre-Exposure Prophylaxis (PrEP). A questionnaire study in men who have sex with men attending sexual health clinics

2016 ◽  
Vol 92 (Suppl 1) ◽  
pp. A5.3-A6 ◽  
Author(s):  
Lauren Bull ◽  
Pavle Dimitrijevic ◽  
Alexander Scarborough ◽  
Sophie Beverley ◽  
Tristan Barber ◽  
...  
Keyword(s):  
Sexual Health ◽  
Questionnaire Study ◽  
Health Clinics ◽  
Sex With Men ◽  
Sexual Health Clinics ◽  
Exposure Prophylaxis

scholarly journals Perceived need of, and interest in, HIV pre-exposure prophylaxis amongst men who have sex with men attending three sexual health clinics in London, UK

2017 ◽  
Vol 29 (5) ◽  
pp. 435-442 ◽  
Author(s):  
Lauren Bull ◽  
Pavle Dimitrijevic ◽  
Sophie Beverley ◽  
Alex Scarborough ◽  
Sundhiya Mandalia ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Drug Use ◽  
Sexual Health ◽  
Perceived Need ◽  
Health Clinics ◽  
Sex With Men ◽  
Sexual Health Clinics ◽  
Exposure Prophylaxis ◽  
Hiv Negative

HIV pre-exposure prophylaxis (PrEP) has proven efficacy in reducing the risk of HIV infection in men who have sex with men (MSM), but has not yet been commissioned in the UK. The aim of this study was to investigate perceived need and benefit (or experience of) PrEP among HIV-negative MSM attending sexual health clinics. HIV-negative MSM attending three sexual health centres in London, UK were opportunistically invited to complete a questionnaire. Data collected comprised demographic data and sexual and drug use behaviours as well as questions regarding perceptions of risk and need for PrEP. Logistic regression analysis was undertaken to identify variables predicting acceptability of, and intention to use, PrEP. In addition, data were gathered in respondents already taking PrEP. Eight hundred and thirty-nine questionnaires were analysed. The median age of respondents was 35 years (IQR 28–41, range 18–78), 650 (77%) were of white ethnicity and 649 (77%) had a university education. Four hundred and fifty-six (54%) reported at least one episode of condomless anal sex in the preceding three months, 437 (52%) reported recreational drug use in the preceding three months and 311 (37%) had been diagnosed with a sexually transmitted infection within the preceding six months. Four hundred and sixty-three (64%) of 726 strongly agreed with the statement ‘I think I would benefit from PrEP’. Multivariate logistic regression analysis demonstrated that having receptive anal intercourse (RAI) without condoms, having an awareness of the risk of unprotected RAI and having belief in the effectiveness of PrEP were independent predictors for someone thinking they would benefit from taking PrEP. Eight percent of respondents (59/724) had already taken or were currently taking PrEP. The results suggest that individuals at risk are likely to perceive themselves as benefiting from PrEP. The majority perceived their risk of acquiring HIV and benefit from PrEP accurately. Overall they appeared to have little concern over the use of PrEP and generally positive attitudes. Further investigation is warranted to understand why those at risk do not perceive benefit from PrEP.

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