تقرير
Baseline characteristics of gay and bisexual men in a HIV pre-exposure prophylaxis demonstration project with equity quotas in Auckland, New Zealand.
| العنوان: | Baseline characteristics of gay and bisexual men in a HIV pre-exposure prophylaxis demonstration project with equity quotas in Auckland, New Zealand. |
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| المؤلفون: | Saxton PJW; Gay Men's Sexual Health research group, Department of Social and Community Health, School of Population Health, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand., Azariah S; Auckland Regional Sexual Health Service, Auckland District Health Board, Private Bag 92024, Auckland, New Zealand., Franklin RA; Auckland Regional Sexual Health Service, Auckland District Health Board, Private Bag 92024, Auckland, New Zealand., Forster RF; Auckland Regional Sexual Health Service, Auckland District Health Board, Private Bag 92024, Auckland, New Zealand., Werder SF; Auckland Regional Sexual Health Service, Auckland District Health Board, Private Bag 92024, Auckland, New Zealand., Jenkins R; Auckland Regional Sexual Health Service, Auckland District Health Board, Private Bag 92024, Auckland, New Zealand., Myers JM; New Zealand AIDS Foundation, PO Box 6663, Wellesley St, Auckland 1141, New Zealand., Rich JG; New Zealand AIDS Foundation, PO Box 6663, Wellesley St, Auckland 1141, New Zealand., Te Wake WP; New Zealand AIDS Foundation, PO Box 6663, Wellesley St, Auckland 1141, New Zealand., Fisher MD; Body Positive, PO Box 68-766, Wellesley St, Auckland 1141, New Zealand. |
| المصدر: | Sexual health [Sex Health] 2019 Feb; Vol. 16 (1), pp. 47-55. |
| نوع المنشور: | Evaluation Study; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: CSIRO Pub Country of Publication: Australia NLM ID: 101242667 Publication Model: Print Cited Medium: Internet ISSN: 1449-8987 (Electronic) Linking ISSN: 14485028 NLM ISO Abbreviation: Sex Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Collingwood, Vic. Australia : CSIRO Pub., c2004- |
| مواضيع طبية MeSH: | Health Knowledge, Attitudes, Practice* , Health Risk Behaviors* , Pre-Exposure Prophylaxis*, HIV Infections/*prevention & control , Homosexuality, Male/*ethnology , Homosexuality, Male/*statistics & numerical data, Adolescent ; Adult ; Ethnicity ; Humans ; Male ; Middle Aged ; Minority Groups ; New Zealand/epidemiology ; Sexual Behavior ; Sexual and Gender Minorities/statistics & numerical data ; State Medicine ; Surveys and Questionnaires ; White People ; Young Adult |
| مستخلص: | Background In New Zealand, pre-exposure prophylaxis (PrEP) should target gay and bisexual men (GBM), and equity is an important principle. Baseline characteristics of GBM offered PrEP in a demonstration project with an enrolment quota of 50% non-Europeans are described. Methods: An open-label, single-arm treatment evaluation study design ('NZPrEP') was used. The settings were four publicly funded sexual health clinics in Auckland in 2017. The study population was 150 GBM recruited from clinics, community sources and social media. Participants self-completed an online questionnaire about PrEP awareness, attitudes and sexual risk behaviour in the last 3 months. Baseline characteristics are described and examined to determine whether these were associated with PrEP initiation status (self-referral vs doctor/nurse recommendation). Results: In total, 150 GBM of whom half (52%) were non-European, including 21.3% Maori, 19.3% Asian and 8.7% Pacific, were enrolled into the study. Two-thirds (65.3%) self-referred for PrEP and one-third (34.7%) were recommended PrEP by the doctor/nurse. Participants reported a high number of male condomless receptive anal intercourse partners (MenAICLR) (median 3, range 0-50), with 10% reporting 10 or more MenAICLR and 45.3% reporting group sex. In the previous year, 65.3% had a sexually transmissible infection (STI); 18% had rectal chlamydia or gonorrhoea at enrolment. Almost half (47.7%) had recently used drugs with sex, including 8.1% who used methamphetamine. Participants recommended PrEP had lower education, lived less centrally and had a higher STI prevalence than PrEP self-referrers, but their risk behaviour was similar. Conclusions: Early PrEP adopters in New Zealand have high HIV risk. Demonstration projects should consider equity mechanisms so that minorities can participate meaningfully. |
| تواريخ الأحداث: | Date Created: 20181003 Date Completed: 20200513 Latest Revision: 20221207 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1071/SH18056 |
| PMID: | 30274568 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1449-8987 |
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| DOI: | 10.1071/SH18056 |