Estimating the impact of HIV combination prevention in men who have sex with men, the Bangkok MSM Cohort Study, Thailand

Int J STD AIDS. 2020 Jun;31(7):637-641. doi: 10.1177/0956462420920394. Epub 2020 May 23.

Abstract

In Thailand, pre-exposure prophylaxis (PrEP) is recommended for human immunodeficiency virus (HIV) prevention among at-risk men who have sex with men (MSM). We modeled the impact of PrEP and condom use as independent and combined interventions on the estimated number of HIV infections among a hypothetical population of 10,000 MSM in Bangkok, Thailand. Our model demonstrated a 92% (95% confidence interval 89.7, 94.2) reduction in HIV infections among Thai MSM who took daily PrEP and self-reported using condoms correctly and consistently (100% condom use). Increased use of PrEP and condoms likely would have a substantial impact on the HIV epidemic in Thailand.

Keywords: Bangkok; HIV; Pre-exposure prophylaxis; Thailand; condom; men who have sex with men.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Anti-HIV Agents / administration & dosage
  • Cohort Studies
  • Condoms / statistics & numerical data*
  • HIV Infections / drug therapy
  • HIV Infections / epidemiology
  • HIV Infections / prevention & control*
  • Homosexuality, Male / psychology
  • Homosexuality, Male / statistics & numerical data*
  • Humans
  • Male
  • Medication Adherence
  • Pre-Exposure Prophylaxis*
  • Safe Sex
  • Sexual Behavior
  • Thailand / epidemiology

Substances

  • Anti-HIV Agents