Preferences for mode of PrEP

As pre-exposure prophylaxis (PrEP) is becoming increasingly available, readers may find interest in this study by Greene et al.1 They asked 512 men who have sex with men (MSM) (mean age 22 years) about their preference for the mode of PrEP (were it available) and the use of one or more methods of PrEP. Of the preventative measures offered—condoms, daily oral PrEP, and long-acting PrEP delivered via either an injectable or one of two types of PrEP implants differing in visibility—90% consistently preferred one option when presented with a choice. The methods most frequently preferred when options were presented in pairs were condoms (33.8%), non-visible implants (21.5%) and oral PrEP (17.0%). When asked to choose the single best option overall, those choosing implants had the highest reported HIV risk. Daily oral pills (35.5%) and non-visible implants (34.3%) were most frequently chosen, followed by injections (25.2%) and visible implants (4.3%). Convenience, duration of protection and privacy were the most common reasons …