Use of PrEP in MSM and observed modification of sexual behaviour in real life settings

Postgraduate Thesis uoadl:2867179 278 Read counter

Unit:
Κατεύθυνση Διεθνής Ιατρική - Διαχείριση Κρίσεων Υγείας
Library of the School of Health Sciences
Deposit date:
2019-03-28
Year:
2019
Author:
Kelapostolou Dimitrios
Supervisors info:
Εμ. Πικουλής, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Σπ. Στεργιόπουλος, Επ. Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Μ. Κοντός, Αν. Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Use of PrEP in MSM and observed modification of sexual behaviour in real life settings
Languages:
English
Translated title:
Use of PrEP in MSM and observed modification of sexual behaviour in real life settings
Summary:
Objectives: This systematic review’s objective is to assess if there is any correlation between the implementation of PrEP and modifications in sexual behavior, in the target population (MSM) that could be linked with the reported rise of HCV and other STI’s.
Methods: We conducted a systematic review of studies of implementation of PrEP either in RCT environment or in real life settings through Health Clinics. Only data regarding MSM were included as it is the target population and literature only in English was used due to lack of sufficient knowledge, of other languages, of authors.
Results: PrEP uptake was not correlated with rise of STI’s and high risk behavior in the controlled environment of RCT’s and OLT’s, where safe sex counseling was provided.
Conclusion: As long as PrEP is given as part of a comprehensive HIV prevention strategy it will have multiple benefits for the population with no increase in high risk behaviors and STI incidence. Informal use of PrEP can lead to substance abuse because of qualitative characteristics of the MSM population interested in PrEP and must be countered through formal provision with no barriers to access.
Main subject category:
Health Sciences
Keywords:
PrEP, MSM, HIV, HCV, STIs
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
34
Number of pages:
49
Dimitrios Kelapostolou MSc.pdf (783 KB) Open in new window