Newly diagnosed HIV and use of HIV-PrEP among non-western born MSM attending STI clinics in the Netherlands: a large retrospective cohort study

• DOI: 10.3389/fpubh.2023.1196958
• Publication Date: 2023-06-19T08:02:05Z
• Authors: Ymke J. Evers; Cornelia J. D. Go...; Christian J. P. A...; Nicole H. T. M. D...
• Keywords: Pre-exposure prophylaxis

Introduction The World Health Organization recommends HIV-PrEP for all people at risk HIV infection, which includes men who have sex with (MSM). Substantial part of new diagnoses in the Netherlands are non-western born MSM. This study evaluated and reported PrEP use among MSM compared it to western-born To inform public health efforts context equitable access, we further assessed sociodemographic factors related higher lower Methods Surveillance data consultations Dutch STI-clinics (2016–2021) were analyzed. provide via national pilot-program since August 2019. In (born Eastern-Europe/Latin-America/Asia/Africa/Dutch-Antilles/Suriname), association (by multivariable generalized estimating equations) past 3 months logistic regression; restricted an at-risk person-level data-subset from 2019). Results New infections diagnosed 1.1% (493/44,394) MSM-consultations (vs. 0.4% MSM, 742/210,450). Low education (aOR: 2.2, 95%CI: 1.7–2.7, vs. high education) age under 25 years 1.4, 1.1–1.8, above 35 years) associated diagnoses. was 40.7% (1,711/4,207; 34.9% 6,089/17,458). aged 0.3, 0.2–0.4), living less urban areas 0.7, 0.6–0.8), having low level 0.6, 0.5–0.7). Conclusion Our confirmed that important key population prevention. Access prevention, including HIV-PrEP, should be optimized HIV, specifically those younger, live areas, a level.