Inequities in PrEP use according to Medicare status in a publicly funded sexual health clinic; a retrospective analysis.

Sex Health

Sydney Sexual Health Centre, Sexual Health and Blood Borne Viruses, Population and Community Health, South East Sydney Local Health District, NSW Health, Sydney, NSW 2000, Australia; and The Kirby Institute, UNSW, Sydney, NSW 2052, Australia.

Published: February 2024

AI Article Synopsis

  • New HIV diagnoses are affecting overseas-born men who have sex with men (MSM) more than others, highlighting a public health concern.
  • A study at the Sydney Sexual Health Centre in 2021 analyzed the PrEP usage among 1367 MSM, finding that over half were born overseas and many were ineligible for Medicare.
  • Results indicated that Medicare-ineligible clients had lower rates of PrEP usage at their first visit, suggesting barriers to access and awareness of PrEP among this group.

Article Abstract

New HIV diagnoses continue to disproportionately affect overseas-born men who have sex with men (MSM). A retrospective study of all pre-exposure prophylaxis (PrEP)-eligible MSM attending Sydney Sexual Health Centre for the first time in 2021 analysed self-reported PrEP-use, PrEP prescribed at the initial consult, and PrEP taken during 2021 using binomial logistic regression models. A total of 1367 clients were included in the analysis, 716 (52.4%) were born overseas and 414 (57.8%) were Medicare-ineligible. Medicare-ineligible clients were less likely to be on PrEP at initial visit (OR 0.45, 95% CI 0.26-0.77). This study suggests inequities in PrEP access and/or awareness in Medicare-ineligible MSM in Australia.

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Source
http://dx.doi.org/10.1071/SH23141DOI Listing

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