This from one fierce activist Gus Cairns, one of the best community science writers in the field: The importance of both this and PROUD cant be overestimated because these are effectiveness results, not efficacy ones. That means we didnt have to find a subgroup who had high adherence to prove that PrEP works. These show that if you give PrEP to the right, motivated and prepared, gay men, they will take PrEP (both daily and intermittently) and it will work. More than that: if you compare these results to any likely effectiveness youd see if you gave gay men condoms who had never used them before, then - even if you use the highest historically-observed condom usage rates in gay men, say 75% - you wouldnt see these levels of effectiveness. These studies demolish several assertions made by critics of PrEP: firstly that condoms work better than PrEP (they dont); secondly that people wont adhere to PrEP (they will); thirdly that there will be a public health disaster if people switch condoms for PrEP (there wont be. Condoms will remain an important part of HIV prevention and probably the method used by the majority of gay men for some time to come. If only for cost reasons, itll be a while before we see gay men using PrEP as their HIV prevention method of choice. However what these studies PROVE, as oppose to just suggest, is that if they did, we might see better control of HIV in gay men than we do now. - Gus Cairns aidsmap/page/2917367/
Posted on: Wed, 29 Oct 2014 11:27:05 +0000
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