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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).
Although 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.
Although 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.
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