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      Acceptability of PrEP among HIV negative Portuguese men who have sex with men that attended 2014 Lisbon pride fair

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          Abstract

          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.

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          Most cited references 3

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          For the iPrEx Study Team. Preexposure chemoprophylaxis for HIV prevention in men who have sex with men

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            Knowledge and attitudes about PrEP among sexually active men who have sex with men and who participate in New York City Gay Pride Events

             JE Mantell (2021)
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              • Record: found
              • Abstract: not found
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              PrEP for the prevention of HIV in the USA: a clinical practice guideline

              (2014)
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                Author and article information

                Journal
                J Int AIDS Soc
                J Int AIDS Soc
                JIAS
                Journal of the International AIDS Society
                International AIDS Society
                1758-2652
                02 November 2014
                2014
                : 17
                : 4Suppl 3
                Affiliations
                [1 ]GAT Portugal, CheckpointLX, Lisboa, Portugal
                [2 ]GAT Portugal, Lisboa, Portugal
                Article
                19734
                10.7448/IAS.17.4.19734
                4225295
                © 2014 Miguel Rocha L et al; licensee International AIDS Society

                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.

                Categories
                Poster Sessions – Abstract P202

                Infectious disease & Microbiology

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