Participants receive negative results by email or text message, but if a retest is needed or a result is positive, they are called by phone. A healthcare provider evaluates the lab and behavioral survey results and prescribes further testing, telephone counseling, or PrEP.
Dr. Sullivan explained that over 85% of men provide specimens of acceptable quality and that 4 of 15 men rated themselves as more likely to stay on PrEP if a home kit was available.
"We would need to get about 40% coverage of PrEP with 50% or higher adherence in order to prevent a quarter of new HIV transmissions in MSM," Dr. Sullivan said.
He explained that, using propensity scoring and adjusting for confounding, his research team was able to ascribe about 1 in 7 HIV infections to rectal STIs. "So were it not for rectal STI's, one in seven HIV transmissions in men who have sex with men would not exist."
"We need to figure out how to align the public health systems, which really have the responsibility and have traditionally provided these services, with some intermediaries where the expertise of the Health Department and its resources can get the services to the men who need it the most," Dr. Sullivan told Contagion
Lorraine L. Janeczko, MPH, is a medical science writer who creates news, continuing medical education and feature content in a wide range of specialties for clinicians, researchers and other readers. She has completed a Master of Public Health degree through the Department of Epidemiology of the Johns Hopkins Bloomberg School of Public Health and a Dana Postdoctoral Fellowship in Preventive Public Health Ophthalmology from the Wilmer Eye Institute, the Johns Hopkins University School of Medicine and the Bloomberg School.
DISCLOSURES: The studies are supported by the National Institutes of Health, the Centers for Disease Control and Prevention, and the MAC (Make-Up Art Cosmetics) AIDS Fund.
Patrick S. Sullivan, PhD, DVM, professor in the Department of Epidemiology of the Rollins School of Public Health and co-director of the Prevention Sciences Core at the Center for AIDS Research (CFAR)
at Emory University in Atlanta, Technology Innovations in STD Prevention and Control.
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