학술논문
The success of HIV combination prevention: The Dean Street model.
Document Type
Article
Author
Source
Subject
*DIAGNOSIS of HIV infections
*HIV prevention
*HIV-positive persons
*VIRAL load
*COMMUNITY health services
*DISEASE prevalence
*MEN who have sex with men
*PREVENTIVE medicine
*NEEDS assessment
*GAY men
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Language
ISSN
1464-2662
Abstract
The 56 Dean Street combination prevention model, a strong engagement with the LGBTQI community and flexible services adapted to users' changing needs led to an 80% drop in HIV diagnoses in gay, bisexual and other men who have sex with men (GBMSM) from 2015 to 2017. We describe the service changes at 56 Dean Street since 2012 which resulted in an increase in the frequency of HIV testing, the introduction of pre‐exposure prophylaxis, earlier HIV diagnosis and a shorter time to viral suppression in those living with HIV. This model could be adapted to deliver similar results in those settings of high HIV prevalence among GBMSM and where access to technological innovation in healthcare and engagement with the community can be achieved. [ABSTRACT FROM AUTHOR]