Drug use, depression and sexual risk behaviour: a syndemic among early pre-exposure prophylaxis (PrEP) adopters in Belgium?

Nöstlinger, Christiana; Reyniers, Thijs; Smekens, Tom; Apers, Hanne; Laga, Marie; Wouters, Kristien; Vuylsteke, Béa

doi:10.1080/09540121.2020.1739218

Cited by 22 publications

(21 citation statements)

References 34 publications

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“…Also, a quantitative study among 1,500 MSM in Australia found that PrEP users had a more "adventurous" sex life as they were more likely to have engaged in group sex and had a higher number of sex partners (Prestage et al, 2019). Overall, we found that drug use in the context of sex was high, similar to other studies that reported high levels of recreational drug use or chemsex among PrEP users (Closson et al, 2018;Gafos et al, 2019;Nöstlinger et al, 2020;Roux et al, 2018). However, PrEP users in our study did not have an increased interest in using (novel) recreational drugs while having sex since they started using PrEP.…”

Section: Discussionsupporting

confidence: 83%

Quality of Sex Life and Perceived Sexual Pleasure of PrEP Users in the Netherlands

Dijk

Wit

Guadamuz

et al. 2021

The Journal of Sex Research

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Next to its benefits for HIV prevention, PrEP may have psychosocial benefits relating to improved quality of sex life. The aim of the current study was to investigate the onset of changes in the quality of sex life and sexual pleasure of PrEP users in the first months of commencing PrEP use. Moreover, we investigated what factors were related to the quality of sex life of PrEP users. We recruited 145 participants via the Dutch PrEP-advocacy website PrEPnu.nl, and they received follow-up questionnaires after three and six months. We found that PrEP users reported an increase in the quality of their sex life, which was related to reduced fear of HIV since they started using PrEP but not to decreased condom use. PrEP users were more interested in experimenting with sex practices, but they did not always feel more desirable as a sex partner because of PrEP use. Health-care providers and health promotion campaigns could emphasize the positive effects of PrEP on the quality of sex life, in addition to the HIV-preventive effects of PrEP, to decrease PrEP stigma and increase PrEP uptake.

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Section: Discussionsupporting

confidence: 83%

Quality of Sex Life and Perceived Sexual Pleasure of PrEP Users in the Netherlands

Dijk

Wit

Guadamuz

et al. 2021

The Journal of Sex Research

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“…In addition, there was a paucity of literature on integrated services, going beyond stand-alone PrEP delivery interventions. Yet PrEP services should ultimately be effectively integrated into services able to respond to potential syndemics in PrEP users such as sexualised drug use and mental health problems [70,71]. Additionally, there is reportedly a high unmet HIV prevention need among sub-Saharan African women attending family planning services [72].…”

Section: Recommendations For Future Researchmentioning

confidence: 99%

The current landscape of pre-exposure prophylaxis service delivery models for HIV prevention: a scoping review

Vanhamel

Rotsaert

Reyniers

et al. 2020

BMC Health Serv Res

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Background: Strengthening HIV prevention is imperative given the continued high HIV incidence worldwide. The introduction of oral PrEP as a new biomedical HIV prevention tool can be a potential game changer because of its high clinical efficacy and the feasibility of its provision to different key populations. Documenting the existing experience with PrEP service delivery in a variety of real-world settings will inform how its uptake and usage can be maximised. Methods: We conducted a scoping review using the five-step framework provided by Arksey and O'Malley. We systematically searched the existing peer-reviewed international and grey literature describing the implementation of real-world PrEP service delivery models reporting on four key components: the target population of PrEP services, the setting where PrEP was delivered, PrEP providers' professionalisation and PrEP delivery channels. We restricted our search to English language articles. No geographical or time restrictions were set. Results: This review included 33 articles for charting and analysing of the results. The identified service delivery models showed that PrEP services mainly targeted people at high risk of HIV acquisition, with some models targeting specific key populations, mainly men who have sex with men. PrEP was often delivered centralised and in a clinical or hospital setting. Yet also community-based as well as home-based PrEP delivery models were reported. Providers of PrEP were mainly clinically trained health professionals, but in some rare cases community workers and lay providers also delivered PrEP. In general, in-person visits were used to deliver PrEP. More innovative digital options using mHealth and telemedicine approaches to deliver specific parts of PrEP services are currently being applied in a minority of the service delivery models in mainly high-resource settings. Conclusions: A range of possible combinations was found between all four components of PrEP service delivery models. This reflects differentiation of care according to different contextual settings. More research is needed on how integration of services in these contexts could be expanded and optimised to respond to key populations with unmet HIV prevention needs in different settings.

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“…interventions. Yet PrEP services should ultimately be effectively integrated into services able to respond to potential syndemics in PrEP users such as sexualised drug use and mental health problems [70,71]. Additionally, there is reportedly a high unmet HIV prevention need among sub-Saharan African women attending family planning services [72].…”

Section: Recommendations For Future Researchmentioning

confidence: 99%

The current landscape of pre-exposure prophylaxis service delivery models for HIV prevention: a scoping review

Vanhamel

Rotsaert

Reyniers

et al. 2020

Preprint

Self Cite

View full text Add to dashboard Cite

Background: Strengthening HIV prevention is imperative given the continued high HIV incidence worldwide. The introduction of oral PrEP as a new biomedical HIV prevention tool can be a potential game changer because of its high clinical efficacy and the feasibility of its provision to different key populations. Documenting the existing experience with PrEP service delivery in a variety of real-world settings will inform how its uptake and usage can be maximised. Methods: We conducted a scoping review using the five-step framework provided by Arksey and O’Malley. We systematically searched the existing peer-reviewed international and grey literature describing the implementation of real-world PrEP service delivery models reporting on four key components: the target population of PrEP services, the setting where PrEP was delivered, PrEP providers’ professionalisation and PrEP delivery channels. We restricted our search to English language articles. No geographical or time restrictions were set.Results: This review included 33 articles for charting and analysing of the results. The identified service delivery models showed that PrEP services mainly targeted people at high risk of HIV acquisition, with some models targeting specific key populations, mainly men who have sex with men. PrEP was often delivered centralised and in a clinical or hospital setting. Yet also community-based as well as home-based PrEP delivery models were reported. Providers of PrEP were mainly clinically trained health professionals, but in some rare cases community workers and lay providers also delivered PrEP. In general, in-person visits were used to deliver PrEP. More innovative digital options using mHealth and telemedicine approaches to deliver specific parts of PrEP services are currently being applied in a minority of the service delivery models in mainly high-resource settings.Conclusions: A range of possible combinations was found between all four components of PrEP service delivery models. This reflects differentiation of care according to different contextual settings. More research is needed on how integration of services in these contexts could be expanded and optimised to respond to key populations with unmet HIV prevention needs in different settings.

show abstract

Drug use, depression and sexual risk behaviour: a syndemic among early pre-exposure prophylaxis (PrEP) adopters in Belgium?

Cited by 22 publications

References 34 publications

Quality of Sex Life and Perceived Sexual Pleasure of PrEP Users in the Netherlands

Quality of Sex Life and Perceived Sexual Pleasure of PrEP Users in the Netherlands

The current landscape of pre-exposure prophylaxis service delivery models for HIV prevention: a scoping review

The current landscape of pre-exposure prophylaxis service delivery models for HIV prevention: a scoping review

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