HIV risk profile and prevention needs of individuals seeking monkeypox (mpox) vaccination in an urban clinic in the U.S.: a brief report

Abstract Background Our study survey assessed HIV risk profile and pre-exposure prophylaxis (PrEP) use among HIV-negative individuals seeking mpox vaccination, elucidating HIV prevention gaps and opportunities. Methods Anonymous cross-sectional surveys were self-administered at an urban academic cen...

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Main Authors: Onyema Ogbuagu, Manas Sharma, Grace Igiraneza, Laurie Andrews, Jessica Tuan, Lydia A. Barakat
Format: Article
Language:English
Published: BMC 2023-03-01
Series:BMC Infectious Diseases
Subjects:
Online Access:https://doi.org/10.1186/s12879-023-08075-5
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author Onyema Ogbuagu
Manas Sharma
Grace Igiraneza
Laurie Andrews
Jessica Tuan
Lydia A. Barakat
author_facet Onyema Ogbuagu
Manas Sharma
Grace Igiraneza
Laurie Andrews
Jessica Tuan
Lydia A. Barakat
author_sort Onyema Ogbuagu
collection DOAJ
description Abstract Background Our study survey assessed HIV risk profile and pre-exposure prophylaxis (PrEP) use among HIV-negative individuals seeking mpox vaccination, elucidating HIV prevention gaps and opportunities. Methods Anonymous cross-sectional surveys were self-administered at an urban academic center clinic in New Haven, CT, U.S. (August 18–November 18, 2022). Inclusion criteria included adults presenting for mpox vaccination who consented to the study. The study assessed STI risk (sexual practices, STI history, substance use). For HIV-negative participants, PrEP knowledge, attitudes, and preferences were assessed. Results Eighty-one of 210 individuals approached completed surveys (survey acceptance and completion rate 38.6%). Majority were cisgender-male (76/81; 93.8%), Caucasian (48/79; 60.8%), with median age 28 years (IQR-15). Nine of 81 (11.5%) self-reported HIV-positivity. Median sexual partner number (6 months prior) was 4 (IQR-5.8). Majority, 89.9% and 75.9%, reported insertive and receptive anal intercourse, respectively. 41% reported lifetime STI history, of whom 12.3% had an STI 6 months prior. Majority (55.8%) used ≥ 1 illicit substance; 87.7% moderate alcohol use. Among HIV-negative respondents, most (95.7%) were aware of PrEP, but only 48.4% used PrEP. Conclusion Individuals seeking mpox vaccination engage in behaviors placing them at increased STI risk and would benefit from PrEP assessment.
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spelling doaj.art-7bce6c15b2b346b8bf269f4184df29322023-04-16T11:07:56ZengBMCBMC Infectious Diseases1471-23342023-03-012311710.1186/s12879-023-08075-5HIV risk profile and prevention needs of individuals seeking monkeypox (mpox) vaccination in an urban clinic in the U.S.: a brief reportOnyema Ogbuagu0Manas Sharma1Grace Igiraneza2Laurie Andrews3Jessica Tuan4Lydia A. Barakat5Section of Infectious Diseases, Yale School of MedicineSection of Infectious Diseases, Yale Department of Medicine, Yale School of Medicine, Yale University School of MedicineSection of Infectious Diseases, Yale Department of Medicine, Yale School of Medicine, Yale University School of MedicineSection of Infectious Diseases, Yale School of MedicineSection of Infectious Diseases, Yale School of MedicineSection of Infectious Diseases, Yale School of MedicineAbstract Background Our study survey assessed HIV risk profile and pre-exposure prophylaxis (PrEP) use among HIV-negative individuals seeking mpox vaccination, elucidating HIV prevention gaps and opportunities. Methods Anonymous cross-sectional surveys were self-administered at an urban academic center clinic in New Haven, CT, U.S. (August 18–November 18, 2022). Inclusion criteria included adults presenting for mpox vaccination who consented to the study. The study assessed STI risk (sexual practices, STI history, substance use). For HIV-negative participants, PrEP knowledge, attitudes, and preferences were assessed. Results Eighty-one of 210 individuals approached completed surveys (survey acceptance and completion rate 38.6%). Majority were cisgender-male (76/81; 93.8%), Caucasian (48/79; 60.8%), with median age 28 years (IQR-15). Nine of 81 (11.5%) self-reported HIV-positivity. Median sexual partner number (6 months prior) was 4 (IQR-5.8). Majority, 89.9% and 75.9%, reported insertive and receptive anal intercourse, respectively. 41% reported lifetime STI history, of whom 12.3% had an STI 6 months prior. Majority (55.8%) used ≥ 1 illicit substance; 87.7% moderate alcohol use. Among HIV-negative respondents, most (95.7%) were aware of PrEP, but only 48.4% used PrEP. Conclusion Individuals seeking mpox vaccination engage in behaviors placing them at increased STI risk and would benefit from PrEP assessment.https://doi.org/10.1186/s12879-023-08075-5MonkeypoxHIV infectionPre-exposure prophylaxisPrEPVaccination
spellingShingle Onyema Ogbuagu
Manas Sharma
Grace Igiraneza
Laurie Andrews
Jessica Tuan
Lydia A. Barakat
HIV risk profile and prevention needs of individuals seeking monkeypox (mpox) vaccination in an urban clinic in the U.S.: a brief report
BMC Infectious Diseases
Monkeypox
HIV infection
Pre-exposure prophylaxis
PrEP
Vaccination
title HIV risk profile and prevention needs of individuals seeking monkeypox (mpox) vaccination in an urban clinic in the U.S.: a brief report
title_full HIV risk profile and prevention needs of individuals seeking monkeypox (mpox) vaccination in an urban clinic in the U.S.: a brief report
title_fullStr HIV risk profile and prevention needs of individuals seeking monkeypox (mpox) vaccination in an urban clinic in the U.S.: a brief report
title_full_unstemmed HIV risk profile and prevention needs of individuals seeking monkeypox (mpox) vaccination in an urban clinic in the U.S.: a brief report
title_short HIV risk profile and prevention needs of individuals seeking monkeypox (mpox) vaccination in an urban clinic in the U.S.: a brief report
title_sort hiv risk profile and prevention needs of individuals seeking monkeypox mpox vaccination in an urban clinic in the u s a brief report
topic Monkeypox
HIV infection
Pre-exposure prophylaxis
PrEP
Vaccination
url https://doi.org/10.1186/s12879-023-08075-5
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