Date post: | 28-Nov-2014 |
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Australian Federation of AIDS Organisations
Pride, prejudice and... PrEPPride, prejudice and... PrEP: : appraising the impact of new appraising the impact of new
prevention technologiesprevention technologies
Dean MurphyDean Murphy
AFAO HIV Educators’ Conference 2010AFAO HIV Educators’ Conference 2010
BackgroundBackground
• By the end of 2010, results of some clinical trials By the end of 2010, results of some clinical trials of HIV pre-exposure prophylaxis (PrEP) will be of HIV pre-exposure prophylaxis (PrEP) will be released.released.
• This presentation: This presentation: – PrEP trialsPrEP trials– HIV-related stigma and discriminationHIV-related stigma and discrimination– Possible impacts of PrEP Possible impacts of PrEP
Current PrEP trials: whenCurrent PrEP trials: when
Current PrEP trials: what; whoCurrent PrEP trials: what; who
Current PrEP trials: whereCurrent PrEP trials: where
Expectations
• We don’t know much about expectations of PrEP among gay men & MSM
• PrEP study by MSM Global Forum is starting now
• In US, low levels of awareness of PrEP among gay and bisexual men, and very low levels of non-prescribed use
• However, high acceptability if efficacious
HIV-related stigma and HIV-related stigma and discriminationdiscrimination
• Experience of stigma associated with:– More social engagement with other PLHIV– Greater importance of own serostatus identity– [Not associated with having HIV-negative or status
unknown regular or casual partners]
• Expression of stigma associated with:– Less social engagement with PLHIV and gay men– More perceived HIV transmission risk– Greater importance of own serostatus identity– [Not associated with having HIV-positive regular or
casual partners]
PrEP and increased HIV-related stigma?
• Attitudes towards people who seroconvert in the post-PrEP era
• PrEP ‘failures’ (i.e. viral breakthrough)• Disclosure (e.g. for seroodiscordant couples)• Responsibility/criminalisation• Access• Designation of new risk groups (who are
recommended for PrEP)• Resources
PrEP and decreased HIV-related stigma?
• Reduced HIV transmission risk • More serodiscordant relationships• Less stigmatising attitude towards HIV in general • Serostatus identity?• Re-engagement with HIV prevention
• New risk reduction strategies?
Keeping up to date…Keeping up to date…
• AIDS Vaccine Advocacy Coalition (AVAC)AIDS Vaccine Advocacy Coalition (AVAC)– http://www.avac.org (This site has replaced prepwatch.org)http://www.avac.org (This site has replaced prepwatch.org)
• Community HIV/AIDS Mobilization Project (CHAMP)Community HIV/AIDS Mobilization Project (CHAMP)– http://www.champnetwork.org/iprep-research-agendahttp://www.champnetwork.org/iprep-research-agenda
• AFAOAFAO– http://www.afao.org.au/http://www.afao.org.au/
• National Institutes of HealthNational Institutes of Health– http://clinicaltrials.gov/