Is HIV pre-exposure prophylaxis among men who have sex with men effective in a real-world setting? experience with one-on-one counseling and support in a sexual health center in Paris, 2018–2020
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Authors
Thomas, Bérenger
Piron, Prescillia
Rochebrochard, Elise de La
Segouin, Christophe
Troude, Pénélope
Issue Date
2022-11-01
Type
Article
Language
en_US
Keywords
HIV Prevention , Pre-Exposure Prophylaxis , MSM , Retention in Care , Sexually Transmitted Infections
Alternative Title
Abstract
HIV pre-exposure prophylaxis (PrEP) is highly effective but depends on patients’ care engagement, which is often mediocre and poorly measured in real-world settings. This study aimed to assess the effectiveness of a PrEP program in a sexual health center that included accompanying measures to improve engagement. A retrospective observational study was conducted. All men who have sex with men (MSM) who initiated PrEP for the first time between 1 August 2018 and 30 June 2019 in the Fernand-Widal sexual health center, Paris, France, were included. Among the 125 MSM who initiated PrEP, the median age was 33 and most had only male partners. At initiation, 58% were considered at very high risk of HIV infection, mainly due to a history of post-exposure prophylaxis. During the first year, patients attended a median of three visits (Q1–Q3, 2–4). At 12 months, 96% (95% CI, 92.6 to 99.4) had a successful PrEP course, assessed by a novel metric. These results highlight the possibility of achieving a high PrEP success ratio among MSM in a real-world setting. The accompanying measures and one-on-one counseling by a trained counselor could explain the effectiveness of this PrEP program.
Description
Citation
Thomas, B., Piron, P., de La Rochebrochard, E., Segouin, C., & Troude, P. (2022). Is HIV Pre-Exposure Prophylaxis among Men Who Have Sex with Men Effective in a Real-World Setting? Experience with One-On-One Counseling and Support in a Sexual Health Center in Paris, 2018-2020. International journal of environmental research and public health, 19(21), 14295. https://doi.org/10.3390/ijerph192114295
Publisher
International Journal of Environmental Research and Public Health