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US PrEP study achieves high levels of engagement and adherence among black men who have sex with men
Gus Cairns, 2016-08-27 10:00:00
What was described
at the AIDS2016 conference as “The first PrEP trial devised and run by four
black gay men” has shown that high levels of PrEP use, retention and adherence
can be achieved in a demonstration project if its recruitment and support
structures are tailored to the needs of black men who have sex with men (BMSM).
the HPTN073 “My Life, My Health, My Choice” study which recruited 226 participants, was
too small to demonstrate a statistically significant reduction in HIV cases,
HIV incidence was 62% lower in men electing to take PrEP during the study than
the minority who never did.
BMSM only form 0.4% of the US population, 20% of new HIV infections occur in this
group. Fifty-seven per cent of African-Americans diagnosed with HIV are MSM,
and HIV incidence in black MSM under 25 has nearly doubled in the last decade. However
other PrEP demonstration projects such as the ADAPT study have found lower
uptake of and adherence to PrEP in black MSM than in other groups, and particularly
in young men.