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- Title
HIV pre‐exposure prophylaxis services, provision, and delivery in the European treatment network of HIV, hepatitis and global emerging infectious diseases (NEAT ID).
- Authors
Liegeon, Geoffroy; Duffy, Annie; Brooks, Caroline; Honour, Hannah; Pozniak, Anton; Molina, Jean Michel
- Abstract
Objectives: We conducted a survey to evaluate HIV pre‐exposure prophylaxis (PrEP) practices in a European clinical research network on HIV, hepatitis, and global infectious diseases (NEAT ID). Methods: An online survey comprising 22 questions was sent via a secure electronic tool to the investigating physician of each of the 342 NEAT ID study centres across 15 European countries in November 2020. Results: In total, 50 sites from 12 countries responded (15% response rate). Most sites were in Western Europe, two were in Poland, and one was in Hungary. Of the responding sites, 45 provided PrEP services for a total of 27 416 PrEP users, with 1361 new PrEP initiators each month. These centres supplied PrEP for men who have sex with men (100%), people who inject drugs (84%), sex workers (84%), women (62%), and transgender women (31%). PrEP persistence after 1 year was >90%, 75%–90%, and 40%–75% in 17, 24, and 4 centres, respectively. In total, 32/45 (71%) centres reported strong community‐based organization commitment at their site, and 15/45 (33%) centres developed task‐shifting processes to deliver PrEP through nurses (11/15), pharmacists (5/15), and key‐population peers (2/15). The biggest barriers to implementation of PrEP were low awareness of and knowledge about PrEP (47%), unwillingness to disclose sexual identity or at‐risk behaviour (36%), and lack of administrative support (29%). Of the 45 centres, 32 (71%) have already been involved in PrEP research and 43 (96%) were interested in participating in such studies. Conclusions: The few NEAT ID centres that responded to the survey showed disparities in PrEP deployment and practices despite a common interest in participating in research in this field.
- Subjects
EUROPE; HIV prevention; PREVENTION of communicable diseases; DISCLOSURE; SCIENTIFIC observation; CROSS-sectional method; CLINICAL medicine research; WORLD health; SEX work; QUANTITATIVE research; PRE-exposure prophylaxis; SURVEYS; HUMAN services programs; HEALTH literacy; SEXUAL orientation identity; DESCRIPTIVE statistics; MEN who have sex with men; TASK shifting
- Publication
HIV Medicine, 2024, Vol 25, Issue 3, p353
- ISSN
1464-2662
- Publication type
Article
- DOI
10.1111/hiv.13580