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- W4381331738 abstract "<h3>Introduction</h3> PrEP was nationally commissioned in Autumn 2020. Awareness and uptake has been suboptimal in certain at-risk groups. A London e-service incorporated online questions to identify and signpost service users that may be eligible for PrEP. The effectiveness of these prompts was evaluated in returning users. <h3>Methods</h3> Demographics and online consultation (triage) responses were collected from e-service users who ordered a STI kit between 1.7.21- 31.10.22 and whose triage responses prompted PrEP signposting advice. Triage prompts are shown: Figure 1. <h3>Results</h3> 426,149 unique users requested at least one STI test kit during the study period, completing 803,716 triages in total. 16% (69,867/426,149) of unique users and 12% (94,411/803,716) of triages received PrEP signposting. These users were gay/bisexual men (GBMSM) 41.0% (29441/69867), heterosexual males 16.3% (11705/69867), heterosexual females 33.1% (23768/69867), and of white British ethnicity 39.6% (27634/69867). Of users that received PrEP signposting, 50.4% (35,190/69,867) ordered a subsequent kit, during which 10.0% (3510/35190) reported taking PrEP. Of those that denied taking PrEP, 59% (18702/31680) triggered PrEP signposting again. New PrEP starters were GBMSM 95.4% (6562/6874), heterosexual male/females 1.4% (97/6874) , and of white British ethnicity 2901/6874, 42.1%. Unique users within the general testing population that reported taking PrEP increased by 38.3% from 2723/45276 (6.0%) in the month of July 2021 to 4254/50987 (8.3%) in October 2022. <h3>Discussion</h3> 12% e-service users were considered eligible for PrEP, of whom 59% were from non-GBMSM populations. Only 10% of signposted individuals had started taking PrEP by a subsequent visit. PrEP starters were invariably GBMSM. The majority of non-starters continued to trigger PrEP signposting. Rates of PrEP use amongst e-SHS users increased by >38% between 2021 and 2022. The e-SHS signposting advice may have contributed to raising awareness and uptake of PrEP in some e-SHS users but further efforts are required to enhance uptake further, particularly among under-represented groups." @default.
- W4381331738 created "2023-06-21" @default.
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- W4381331738 date "2023-06-01" @default.
- W4381331738 modified "2023-09-27" @default.
- W4381331738 title "N05 Improving awareness and uptake of pre-exposure HIV prophylaxis (PrEP) amongst service users accessing an online postal sexually transmitted infection (STI) testing health service (e-service) in London" @default.
- W4381331738 doi "https://doi.org/10.1136/sextrans-bashh-2023.36" @default.
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