Table 2. PrEP user survey: Sourcing among those unable to obtain PrEP and sourcing, sharing, dosing, sexual health and renal function testing among current PrEP users, United Kingdom, 2019 (n = 2,275).
Characteristic | n | % | |
---|---|---|---|
Participants who tried but were unable to obtain PrEP since January 2017 (n = 533) | |||
Tried to source PrEP froma | From a sexual health clinic in England as part of the Impact trial | 385 | 72.2 |
Buying from the Internet | 141 | 26.5 | |
Other (including from a friend, when abroad, using PEP for PrEP, from a person reselling a supply, another trial) | 126 | 23.6 | |
Sexual health clinic in Scotland, Wales or Northern Ireland | 22 | 4.1 | |
Buying privately from a clinic | 16 | 3.0 | |
Not reported | 14 | 2.6 | |
Current PrEP usersb (n = 1,742) | |||
Sourcing, sharing and dosing | |||
Last sourced PrEP fromc | From a sexual health clinic in England as part of the Impact trial | 949 | 54.5 |
Buying from the Internet | 538 | 30.9 | |
Sexual health clinic in Scotland, Wales or Northern Ireland | 103 | 5.9 | |
Buying privately from a clinic | 64 | 3.7 | |
Other (including from a friend, when abroad, using PEP for PrEP, from a person reselling a supply, another trial) | 83 | 4.8 | |
Not reported | 5 | 0.3 | |
Ever shared/sold PrEP intended/bought by yourself | Yes | 279 | 16.0 |
No | 1,460 | 83.8 | |
Not reported | 3 | 0.2 | |
How this shared/sold PrEP was originally obtaineda
(n = 279) |
Bought from Internet | 170 | 60.9 |
From a sexual health clinic in England as part of the Impact trial | 76 | 27.2 | |
Other (incl. from a friend, when abroad, using PEP for PrEP, from a person reselling a supply, another trial) | 21 | 7.5 | |
Sexual health clinic in Scotland, Wales or Northern Ireland | 9 | 3.2 | |
Bought privately from a clinic | 3 | 1.1 | |
Dosing strategy last time used PrEP | Daily | 1,303 | 74.8 |
Other dosing regimen (including event-based, intermittently, one-off) | 439 | 25.2 | |
Sexual health and renal function testing | |||
Number of HIV tests in the last 12 months | None | 7 | 0.4 |
One | 107 | 6.2 | |
Two | 226 | 13.2 | |
Three or more | 1,375 | 80.1 | |
Not reported | 27 | 1.5 | |
Setting of last HIV testd
(n = 1,740) |
Sexual health clinic | 1,523 | 87.5 |
Other setting (including self-sampling, self-testing service and GP) | 211 | 12.1 | |
Not reported | 6 | 0.3 | |
Number of STI tests (excluding HIV) in last 12 months | None | 203 | 11.7 |
One | 168 | 9.6 | |
Two | 208 | 11.9 | |
Three or more | 1,153 | 66.2 | |
Not reported | 10 | 0.6 | |
STI diagnosis in last 12 months | Yes | 882 | 50.6 |
No | 850 | 48.8 | |
Not reported | 10 | 0.6 | |
STI(s) diagnosed in last 12 monthsa,
e
(n = 882) |
Gonorrhoea | 575 | 65.2 |
Chlamydia | 537 | 60.9 | |
Other | 239 | 27.1 | |
Not Reported | 2 | 0.2 | |
If ever obtained PrEP privately, had a renal function test before starting/while taking PrEP f | Yes | 654 | 37.5 |
No | 660 | 37.9 | |
Not Reported | 428 | 24.6 |
GP: general practitioner; NR: not reported; PEP: post-exposure prophylaxis; PrEP: pre-exposure prophylaxis; STI: sexually transmitted infection.
a For this question, respondents could pick multiple answers.
b Current PrEP users defined as reporting taking their first PrEP tablet in July 2019 or earlier and their last PrEP tablet in January 2019 or later.
c Trial/programme sourcing PrEP users defined as PrEP users who last sourced their PrEP either through the Impact trial in England, another trial, or a sexual health clinic in Scotland, Wales or Northern Ireland. Privately sourcing PrEP users defined as PrEP users who last sourced PrEP either through online purchase, buying privately from a clinic, through a friend/re-seller, using PEP as PrEP or obtaining while travelling abroad.
d This question was only asked of respondents who reported ever having an HIV test.
e This question was only asked of respondents reporting STI diagnoses in the last 12 months.
f This question was asked of all PrEP users, but among current PrEP users last sourcing privately (n = 638), 325 (50.9%) responded ‘Yes’ to having a renal function test, 271 (42.5%) ‘No’ and 42 (6.5%) were not reported.