Baseline characteristics of gay and bisexual men in a HIV pre-exposure prophylaxis demonstration project with equity quotas in Auckland, New Zealand

Baseline characteristics of gay and bisexual men in a HIV pre-exposure prophylaxis demonstration project with equity quotas in Auckland, New Zealand

Peter J. W. Saxton A E , Sunita Azariah B , Richard A. Franklin B , Rose F. Forster B , Suzanne F. Werder B , Renee Jenkins B , Jason M. Myers C , Joseph G. Rich C , Whatitiri P. Te Wake C and Mark D. Fisher D

+ Author Affiliations

- Author Affiliations

A Gay Men’s Sexual Health research group, Department of Social and Community Health, School of Population Health, University of Auckland, Private Bag 92019, Auckland 1142, New Zealand.

B Auckland Regional Sexual Health Service, Auckland District Health Board, Private Bag 92024, Auckland, New Zealand.

C New Zealand AIDS Foundation, PO Box 6663, Wellesley St, Auckland 1141, New Zealand.

D Body Positive, PO Box 68-766, Wellesley St, Auckland 1141, New Zealand.

E Corresponding author. Email: [email protected] [mailto:[email protected]]

Sexual Health 16(1) 47-55 https://doi.org/10.1071/SH18056

Submitted: 28 March 2018 Accepted: 8 August 2018 Published: 2 October 2018

Abstract

Background: In New Zealand, pre-exposure prophylaxis (PrEP) should target gay and bisexual men (GBM), and equity is an important principle. Baseline characteristics of GBM offered PrEP in a demonstration project with an enrolment quota of 50% non-Europeans are described. Methods: An open-label, single-arm treatment evaluation study design (‘NZPrEP’) was used. The settings were four publicly funded sexual health clinics in Auckland in 2017. The study population was 150 GBM recruited from clinics, community sources and social media. Participants self-completed an online questionnaire about PrEP awareness, attitudes and sexual risk behaviour in the last 3 months. Baseline characteristics are described and examined to determine whether these were associated with PrEP initiation status (self-referral vs doctor/nurse recommendation). Results: In total, 150 GBM of whom half (52%) were non-European, including 21.3% Maori, 19.3% Asian and 8.7% Pacific, were enrolled into the study. Two-thirds (65.3%) self-referred for PrEP and one-third (34.7%) were recommended PrEP by the doctor/nurse. Participants reported a high number of male condomless receptive anal intercourse partners (MenAICLR) (median 3, range 0-50), with 10% reporting 10 or more MenAICLR and 45.3% reporting group sex. In the previous year, 65.3% had a sexually transmissible infection (STI); 18% had rectal chlamydia or gonorrhoea at enrolment. Almost half (47.7%) had...