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Posted

My experience is that in the US and Europe, PreP is very common and condom use is very low. We did have providers in Greece use them. However, in Mexico, all but one provider insisted on using condoms even when they were topping. I suspect PreP is not as accessible or common in Mexico, hence the condom use. 

Posted (edited)
43 minutes ago, KensingtonHomo said:

My experience is that in the US and Europe, PreP is very common and condom use is very low. We did have providers in Greece use them. However, in Mexico, all but one provider insisted on using condoms even when they were topping. I suspect PreP is not as accessible or common in Mexico, hence the condom use. 

PrEP uptake rates among eligible at-risk MSM have been studied meta-analytically. They remain disturbingly low especially among younger males. The subpopulation proportions that are PrEP consumers based on solid candidacy are so poor in number that one might say differences regionally are comparable according to bad versus very bad. Appended is an example of the negligible true impact of country position on the theoretical low/middle/high income gradient in which resource access is typically subsumed.

PrEP non-uptake in spite of appropriate indication is so poor that it essentially overrides much of the association between condom use and non-PrEP insofar as substantial proportions of MSM have completely unprotected sex without partialized prophylaxis.

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Edited by SirBillybob
Posted
9 hours ago, MRK said:

You need a medical professional to administer it, but you really don't need a prescription.

Correct.  But I'm my experience, I am less likely to get the pharmacy or Health Department to administer it when I am outside the CDC age range unless I have a doctor's prescription.

Posted
4 hours ago, SirBillybob said:

PrEP uptake rates among eligible at-risk MSM have been studied meta-analytically. They remain disturbingly low especially among younger males.

I'm quite surprised by this. Perhaps the decline of visible cases of men dying from AIDS due to the cocktail has made younger guys believe it's no longer a concern. I always found the advertising for the AIDS meds and the focus on U=U to be nefarious of Pharma and maybe misguided from community groups. Yes, we want to end stigma and give people facts but this makes me think we've oversold it to the point where people aren't concerned about sero-converting. 

Posted

I only ever get asked to wear condoms by married men who still also have sex with their wives, and even then, not all of them want to. I can confirm my latest test results and Prep if they ask. 

I say I probably wear condoms maybe 10% of the time, I work on the assumption that no condoms is the preference 

Posted
13 hours ago, SirBillybob said:

PrEP uptake rates among eligible at-risk MSM have been studied meta-analytically. They remain disturbingly low especially among younger males.

This data doesn't seem to align with my anecdotal experience.  I find it surprising.

The thing that I like about Prep so much is that I am responsible for my own health and I take it every singe day. It is so freeing that I don't even *think* about HIV anymore. Maybe guys are taking the 'I don't have to worry because everyone else is taking it'?  The infection rate is continuing to drop (38% decrease) which is directly attribute to Prep. 

 

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