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07.09.2021 | Original Paper

Pre-exposure Prophylaxis Persistence Among Greek Sexual Minority Men: Results from PrEP for Greece (P4G) Study

Zeitschrift:
AIDS and Behavior
Autoren:
Mweya Waetjen, Martha Papadopoulou, Rey Flores, Vana Sypsa, Sotiris Roussos, Sophocles Chanos, Nikos Dedes, Chuanhong Liao, Dimitrios Paraskevis, Angelos Hatzakis, John Schneider, Mina Psichogiou
Wichtige Hinweise
Mweya Waetjen and Martha Papadopoulou are co-first authors.

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Abstract

Nearly half the new HIV infections in Greece occur in sexual minority men, yet pre-exposure prophylaxis is not currently supported in the national HIV program. We examined factors associated with PrEP persistence among Greek SMM in PrEP for Greece, the first PrEP study in Greece. Participants (n = 100) were recruited from 2016 to 2018 through respondent-driven sampling among SMM in Athens, receiving supplies for daily PrEP at interval visits over 12-months. PrEP persistence, operationalized as Total PrEP Time, was high, 74% of participants achieving perfect persistence. Higher alcohol risk scores (OR 1.27, 95% CI 1.08–1.49) and adherence to HIV testing guidelines (OR 1.23, 95% CI 1.00–1.51) were associated with persistence. Housing impermanence (OR 0.14, 95% CI 0.04–0.48) and serostatus disclosure concerns (OR 0.77, 95% CI 0.60–0.97) were associated with limited PrEP persistence. While PrEP persistence among Greek SMM is high, socioeconomic factors and societal attitudes may challenge prevention efforts.

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