Awareness of non-occupational HIV postexposure prophylaxis among French people living with HIV: the need for better targeting
- 1 January 2007
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in AIDS
- Vol. 21 (Suppl 1), S71-S76
- https://doi.org/10.1097/01.aids.0000255088.44297.26
Abstract
Since 1998, French HIV prevention guidelines have recommended the use of HIV post-exposure prophylaxis (PEP) after unprotected sex with a HIV-positive partner who should be informed about this option. This study analysed factors associated with PEP awareness in a population of individuals living with HIV/AIDS (PLHAs).In 2003, a face-to-face survey was conducted among PLHAs selected from a random stratified sample of 102 French hospital departments delivering HIV care. Those who knew about PEP and those who did not were compared to identify factors related to PEP awareness in the sub-sample who reported that they had been sexually active in the prior 12 months.Among the 2,280 sexually active PLHAs, the median age was 40 years. Women comprised 26% of the sample, 41% were homosexual men and 16% were immigrants. Thirty percent of individuals reported not being aware of the availability of PEP. After multiple adjustment, factors associated with lack of PEP awareness were a low educational level, unemployment, older age, and CD4 cell counts<200. In addition, homosexual men showed a higher level of PEP awareness compared with the other participants, especially when compared with immigrant heterosexual men and women. Individuals who reported having unprotected sex with a non-HIV-positive steady partner also independently showed lower levels of PEP awareness. Finally, reporting having casual partners was associated with better awareness.Awareness of PEP is insufficient among PLHAs, especially among immigrants. Programmes aimed at improving positive prevention among PLHAs are much needed and should be promoted.Keywords
This publication has 10 references indexed in Scilit:
- Behavioral and Cognitive Barriers to Safer Sex Between Men in Steady Relationships: Implications for Prevention StrategiesAIDS Education and Prevention, 2004
- Knowledge of HIV Postexposure Prophylaxis in a Population of HIV-Positive Outpatients: Results of a French National SurveyJAIDS Journal of Acquired Immune Deficiency Syndromes, 2004
- Profilaxis postexposición al virus de la inmunodeficiencia humana no ocupacional. Conocimientos y prácticas de profesionales y grupos con conductas de riesgoMedicina Clinica, 2003
- Increase in the share of steady partners as a source of HIV infection: a 17-year study of seroconversion among gay menAIDS, 2001
- Management of the risk of HIV infection in male homosexual couplesAIDS, 2001
- Is offering post-exposure prevention for sexual exposures to HIV related to sexual risk behavior in gay men?AIDS, 2000
- Sexual risk behaviors among heterosexual HIV serodiscordant couples in the era of post-exposure prevention and viral suppressive therapyAIDS, 2000
- Gay men report high rates of unprotected anal sex with partners of unknown or discordant HIV statusAIDS, 1999
- Abbreviated Regimens of Zidovudine Prophylaxis and Perinatal Transmission of the Human Immunodeficiency VirusNew England Journal of Medicine, 1998
- Prophylaxis against HIV-1 infection in chimpanzees by nevirapine, a nonnucleoside inhibitor of reverse transcriptaseNature Medicine, 1997