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The 2019 online pre-exposure prophylaxis (PrEP) user survey in the United Kingdom was conducted to assess HIV PrEP access, and user characteristics. One in five respondents continued experiencing difficulties accessing PrEP; users were almost exclusively gay or bisexual men at high risk of HIV. The majority obtained PrEP through health service clinics and rated PrEP positively. High STI rates were reported among users. Renal and sexual health checks are advised for those sourcing PrEP privately.


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  1. Cairns G. Nearly a quarter of people who want PrEP currently can’t get it, UK survey finds. Nam aidsmap. London; NAM; 25 June 2018. [Accessed 7 Aug 2019]. Available from: https://www.aidsmap.com/news/jun-2018/nearly-quarter-people-who-want-prep-currently-cant-get-it-uk-survey-finds
  2. Nash SDS, Croxford S, Guerra L, Lowndes C, Connor N, Gill ON. Progress towards ending the HIV epidemic in the United Kingdom - 2018 report. London: Public Health England; 2018. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/821273/Progress_towards_ending_the_HIV_epidemic_in_the_UK.pdf
  3. Public Health England (PHE). Health Protection Report: Volume 13 Number 31. Trends in new HIV diagnoses and in people receiving HIV-related care in the United Kingdom: data to the end of December 2018. London: Public Health England; 6 September 2019. Available from: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/835084/hpr3119_hiv18-v2.pdf
  4. Ogaz D, Miltz AR, Desai S, Saunders J, Charlett A, Gill ON. Preparing for PrEP in England: prevalence and incidence of HIV and bacterial STIs. Conference on Retroviruses and Opportunistic Infections; Mar 4–7 2019; Seattle, United States.
  5. Gill ON, Ogaz D, Blomquist P, Khawam J, Kirwan P, Brizzi F, et al. The fall in HIV infections in MSM in England during 2012 through 2016: When did it begin and what caused it? IUSTI World and European Congress; 2018; Dublin, Ireland.
  6. Health Protection Scotland (HPS) and Information Services Division (ISD). Implementation of HIV PrEP in Scotland: First Year Report. Edinburgh and Glasgow: HPS and ISD; February 2019.Available from: https://www.hps.scot.nhs.uk/web-resources-container/implementation-of-hiv-prep-in-scotland-first-year-report/
  7. Communicable Disease Surveillance Centre (CDSC). Pre-exposure prophylaxis for HIV (PrEP) provision in Wales. 1st July 2017 to 31st December 2018. Public Health Wales; February 2019.Available from: http://www.wales.nhs.uk/sitesplus/documents/888/PrEP_activity%2007022019_v1_.pdf
  8. National Health Service England (NHSE). PrEP Impact Trial Update – October 2019. Available from: https://www.england.nhs.uk/commissioning/spec-services/npc-crg/blood-and-infection-group-f/f03/prep-trial-updates/
  9. Serpa JA, Huynh GN, Nickell JB, Miao H. HIV Pre-Exposure Prophylaxis and Increased Incidence of Sexually Transmitted Infections in the United States. Clin Infect Dis. 2019;ciz552.  https://doi.org/10.1093/cid/ciz552  PMID: 31284300 
  10. Traeger MW, Cornelisse VJ, Asselin J, Price B, Roth NJ, Willcox J, et al. Association of HIV Preexposure Prophylaxis With Incidence of Sexually Transmitted Infections Among Individuals at High Risk of HIV Infection. JAMA. 2019;321(14):1380-90.  https://doi.org/10.1001/jama.2019.2947  PMID: 30964528 
  11. Ong J. STIs incidence and prevalence in PrEP programmes – highlights from a systematic review. 10th International AIDS Society Conference on HIV Science (IAS 2019); 21 Jul 2019; Mexico City,Mexico.
  12. Molina JM, Charreau I, Spire B, Cotte L, Chas J, Capitant C, et al. Efficacy, safety, and effect on sexual behaviour of on-demand pre-exposure prophylaxis for HIV in men who have sex with men: an observational cohort study. Lancet HIV. 2017;4(9):e402-10.  https://doi.org/10.1016/S2352-3018(17)30089-9  PMID: 28747274 
  13. Molina JM, Charreau I, Spire B, Cotte L, Pialoux G, Capitant C, et al. On demand PrEP with oral TDF-FTC in MSM: results of the ANRS Ipergay Trial. Conference on Retroviruses and Opportunistic Infections; Feb 22-25 2015; Seattle, United States.
  14. BHIVA/BASHH. BHIVA/BASHH guidelines on the use of HIV pre-exposure prophylaxis (PrEP) 2018. HIV Med. 2019;20(Suppl 2):s2-80.  https://doi.org/10.1111/hiv.12718  PMID: 30869189 
  15. Hayes R, Schmidt AJ, Pharris A, Azad Y, Brown AE, Weatherburn P, et al. Estimating the ‘PrEP Gap’: how implementation and access to PrEP differ between countries in Europe and Central Asia in 2019. Euro Surveill. 2019;24(41):1900598.  https://doi.org/10.2807/1560-7917.ES.2019.24.41.1900598  PMID: 31615599 
  16. The EMIS Network. EMIS-2017 – The European Men-Who-Have-Sex-With-Men Internet Survey. Key findings from 50 countries. Stockholm: European Centre for Disease Prevention and Control; 2019. Available from: https://www.ecdc.europa.eu/sites/default/files/documents/European-MSM-internet-survey-2017-findings.pdf

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