A Differentiated HIV Pre-Exposure Prophylaxis Delivery Model for High-Risk Groups in Nanning City, South China: Findings from a Pilot Program

血清不一致 暴露前预防 和男人发生性关系的男人 医学 家庭医学 人类免疫缺陷病毒(HIV) 妇科 病毒载量 抗逆转录病毒疗法 梅毒
作者
Yufei Wu,Huanhuan Chen,Junyu Zhan,Junhui Liu,Yanjun Li,Wenlong Cai,Shuaifeng Liu,Nengxiu Liang,Guanghua Lan
出处
期刊:Aids Education and Prevention [Guilford Publications]
卷期号:36 (6): 428-445
标识
DOI:10.1521/aeap.2024.36.6.428
摘要

In China, pre-exposure prophylaxis (PrEP) uptake among men who have sex with men (MSM) and HIV-serodiscordant couples is low. We offered differentiated PrEP options tailored to MSM in a community-based organization (CBO) setting, and to HIV-serodiscordant couples attempting conception in a specialized HIV care clinic. The CBO facilitated PrEP by linkage with a telemedicine platform for virtual consultation; additional online follow-up on social media was conducted by peers. PrEP was taken properly in 88.7% of visits. Retention was 82.4% at Month 6. MSM having HIV-infected partners over the past 6 months were more likely to adhere to PrEP; ≥ 50 years old and daily oral PrEP were significant predictors for failing in retention. Five pregnancies were reported in the clinic. A peer-led and social media, telemedicine-assisted PrEP model within a CBO is a feasible approach to roll out PrEP among MSM. Integrated PrEP in specialized HIV clinics is appropriate for serodiscordant couples attempting conception.

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