Open AccessApplying a PrEP Continuum of Care for Men Who Have Sex With Men in Atlanta, Georgia
Author(s) -
Colleen F. Kelley,
Erin Kahle,
Aaron J. Siegler,
Travis Sanchez,
Carlos del Rı́o,
Patrick S. Sullivan,
Eli S. Rosenberg
Publication year - 2015
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/civ664
Subject(s) - atlanta , men who have sex with men , medicine , pre exposure prophylaxis , continuum of care , human immunodeficiency virus (hiv) , family medicine , health care , cohort , treatment as prevention , gerontology , demography , viral load , metropolitan area , syphilis , pathology , sociology , economics , economic growth , antiretroviral therapy
Reductions in human immunodeficiency virus (HIV) incidence with pre-exposure prophylaxis (PrEP) for men who have sex with men (MSM) will require significant coverage of those at risk. We propose a simplified framework, similar to the HIV care continuum, to achieve protection with PrEP as follows: 1. At-risk MSM; 2. Awareness of and willingness to take PrEP; 3. Access to healthcare; 4. Receiving a prescription; and 5. Adhering to effective PrEP. We evaluated the PrEP care continuum on an Atlanta cohort of MSM and projected how many MSM might achieve protection from HIV. Even with optimistic estimates, few Atlanta MSM (15%) are projected to achieve protection from HIV with PrEP given the significant barriers described. Each continuum step represents an important point for intervention that could substantially increase the overall effectiveness of PrEP. In addition, novel strategies for PrEP delivery are needed to achieve the necessary effectiveness for Atlanta MSM at risk of HIV.
Accelerating Research
Robert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom
Address
John Eccles HouseRobert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom