Gus Cairns of NAM/aidsmap.com sat down with Beryl Koblin, Susan Buchbinder and Matt Golden to talk about the factors influencing the success of HIV prevention and, in particular, about the PARTNERS study, which was presented at CROI 2014. That study followed serodiscordant couples in which the HIV-infected partner was immunosuppressed; so far, no transmission of HIV has been reported among study participants. The panelists considered this to be a very encouraging result, but cautioned that both a large confidence interval and the long-term committed relationships being studied may not make this result applicable to other prevention situations.
Additional issues discussed included systemic factors inhibiting HIV prevention, such as poverty, lack of access to health insurance or post-release care for HIV-infected inmates; the need for different prevention strategies, including pre-exposure prophylaxis (PrEP), at different stages of life; and the role other sexually transmitted infections (STIs) may play in increasing the risk for acquiring HIV.
Matt Golden concluded with an appeal to gay men in the U.S.: "If you've had a bacterial STI over the last year, particularly if you've had syphilis or a rectal gonorrhea/chlamydia infection, you really need to think about whether PrEP isn't a good option for you."
Watch the video to learn more:
About the panelists:
Beryl Koblin, Ph.D., epidemiologist at Project ACHIEVE of the New York Blood Center
Susan Buchbinder, M.D., Director of the Bridge HIV program at the San Francisco Department of Public Health and professor at the University of California-San Francisco
Matthew Golden, M.D., Director of the Seattle & King County HIV/STD Program at the King County Department of Public Health and professor at the University of Washington School of Medicine
The video above has been posted on TheBodyPRO.com with permission from our partners at the International Foundation for Alternative Research in AIDS (IFARA). Visit IFARA's website or YouTube channel to watch more video interviews from the conference, as well as earlier meetings.