Four studies conducted in different parts of the United States among various populations were published in a recent issue of the Journal of Acquired Immune Deficiency Syndromes that focused on pre-exposure prophylaxis (PrEP). Two studies focused on cisgender women, noting that current guidelines do not indicate this prevention method for many women who may benefit from it and exploring the impact of family planning provider training on patients' awareness of PrEP as an option. A third study showed that young men who have sex with men (MSM) are willing to adhere to PrEP, but some face challenges that require additional support. Finally, getting PrEP prescriptions filled immediately after an initial clinic visit may help get people started on this prevention method, but was also linked to relatively high drop-out rates within a month, the final study found.
A few recommendations emerge from these studies: incorporate screening for HIV risk and discussions around PrEP into routine family planning care; don't overly rely on guidelines to determine screening criteria, especially for women; address competing life issues to keep people on PrEP; and consider not having them jump into PrEP after their initial discussion of the issue without adequately supporting the need for adherence and follow-up.