A proposal for a simplified measure of HIV preexposure prophylaxis prevention-effective adherence in self-report questionnaires

Author:

Fraser Doug1,Holt Martin2,Ong Jason J.34,Bourne Christopher156,Chan Curtis1,Grulich Andrew E.1,Bavinton Benjamin R.1

Affiliation:

1. The Kirby Institute, UNSW Sydney

2. Centre for Social Research in Health, UNSW Sydney, Sydney, NSW

3. Melbourne Sexual Health Centre, Alfred Health

4. Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria

5. Sydney Sexual Health Centre, Sydney

6. Centre for Population Health, NSW Health, St Leonards, NSW, Australia.

Abstract

Evaluating HIV preexposure prophylaxis (PrEP) use and HIV risk events concurrently remains challenging. We developed a single question method for measuring prevention-effective adherence with PrEP in self-report questionnaires. In a questionnaire completed by 409 gay and bisexual men, 46% reported condomless anal sex that was not covered by their own PrEP use, and this was more common among younger, lower-income participants. Refining this questionnaire item could improve measurement of prevention-effective adherence.

Publisher

Ovid Technologies (Wolters Kluwer Health)

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