Most US practitioners caring for individuals with and at risk for HIV infection commonly or always recommend condom use, despite acknowledging that successful treatment or pre-exposure prophylaxis (PrEP) prevents transmission, a new survey found. Researchers sought to characterize HIV practitioners’ recommendations to patients regarding treatment as prevention (TasP), PrEP, and condom use among those with HIV and virologic suppression (PWHvs), and individuals receiving PrEP. Survey results included:
- Of the 3,238 people surveyed, 478 (15%) responded; 65% were female, 47% were physicians, 78% had been in practice ≥6 years, and 52% had cared for >100 PWH in the last year.
- 51% of respondents agreed the evidence “supports, strongly supports, or proves” condomless sex with a PWHvs does not lead to HIV transmission, and 76% commonly or always recommend condoms for such patients.
- Although 42% of respondents said the evidence “supports, strongly support, or proves” that condomless sex involving a person at risk for HIV infection on PrEP does not lead to HIV transmission, 81% commonly or always recommend condom use.
- Responses differed significantly by practitioner experience, region, sex, and degree.
Schreier T, Sherer R, Sayles H, Jacobsen DM, Swindells S, Bares SH. U.S. HIV practitioners’ recommendations regarding condom-free sex in the era of HIV pre-exposure prophylaxis and treatment as prevention. [Published online ahead of print February 21, 2019]. Open Forum Infect Dis. doi:10.1093/ofid/ofz082.