A cohort of gay men receiving PEP after non-occupational HIV exposure: a pilot study of sexual practices and attitudes towards PrEP

Date Commenced:
2011
Project Status
Ongoing
Expected Date of Completion:
Ongoing
Project Supporters

Internal HEPP

Currently recruiting
Yes
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About the Project

Rationale

Successes in antiretroviral (ARV) treatment have stimulated its use as non-occupational post-exposure prophylaxis (PEP) and potentially as pre-exposure prophylaxis (PrEP). Little is known whether the use of ARVs as prevention may affect sexual practices among gay men, particularly condom use. The new evidence about PrEP effectiveness may challenge HIV prevention in Australia. For policy development, information is needed about the acceptability of ARVs as HIV prophylaxis and its potential effect on sexual practices in Australian gay communities. This study is set as a pilot to (i) develop and test the methodology of recruitment and data collection in a cohort of NPEP users who are most likely to use PrEP in the future and (ii) assess the current status of use and acceptability of PEP and PrEP and their current effect on sexual practices.

Aims
  1. To quantify the difference in sexual practices (both HIV risk and risk reduction) before and after the course of non-occupational PEP among gay men receiving PEP.
  2. To assess sexual practices of gay men during the course of PEP.
  3. To quantify the temporal change in sexual practices among gay men users of PEP over the period of two years during which the results of clinical trials of PrEP will be reported. 
  4. To assess the willingness of gay men to use PrEP
Design & Method

This is a longitudinal observational study of homosexual men who are prescribed NPEP in the St. Vincent’s hospital, NSW, and followed with attitudinal/behavioural data collection for six months after their completion of the NPEP course. 

Progress/Update

ongoing

Benefits

As a pilot study, this cohort will prepare and test the methodology of recruitment and data collection in a cohort of NPEP users.

Output

Methodology and background data for the future studies of PrEP users; study report

Project Members
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Dr Iryna Zablotska-Manos
Associate Professor
Other Investigators

John McAllister, RN

Project Collaborators: External

St. Vincent’s Hospital, Sydney, NSW

Project Contacts

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    Dr Iryna Zablotska-Manos
    Associate Professor

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