Photo by charlesdeluvio from unsplash
Sexually transmitted proctitis is associated with HIV transmission in men who have sex with men (MSM) and transgender women (TGW). 2 In our clinicbased, crosssectional study from Brighton UK, 152… Click to show full abstract
Sexually transmitted proctitis is associated with HIV transmission in men who have sex with men (MSM) and transgender women (TGW). 2 In our clinicbased, crosssectional study from Brighton UK, 152 MSM/ TGW attended with a proctitis between January and May 2021 (gonorrhoea=69, chlamydia=74, herpes simplex virus=3, syphilis=1, Mycoplasma genitalium=0, coinfections=0) and 85 (56%, 95% CI=47.6% to 64.0%) MSM/TGW with a proctitis were using HIV HIVPrEP (78% daily dosing). One MSM/TGW not using HIVPrEP was diagnosed with HIV. MSM/TGW not using HIVPrEP were significantly younger than HIVPrEP users (27 years vs 33 years, p=0.008) (table 1). The reasons for MSM/TGW not being on HIVPrEP included: poor access to HIVPrEP and having a low perceived risk of HIV. All 67 MSM/TGW not previously on HIVPrEP were offered HIVPrEP and 47 (70%) commenced HIVPrEP following their episode of proctitis. More innovate strategies are needed to increase the awareness and access to HIVPrEP for MSM/TGW to optimise the effect of HIVPrEP as an HIV prevention strategy.