55. The Prevalence of Serodiscordant Couples and the Knowledge of Pre-Exposure Prophylaxis (PrEP) Amongst People Living with HIV (PLHIV) within an Urban Specialty Clinic in Jamaica.
Session: Posters in the Park: Posters in the Park
Wednesday, October 3, 2018: 5:30 PM
Room: N Hall D Opening Reception and Posters in the Park Area
Posters
  • 10_03_55_Pinkney.pdf (561.5 kB)
  • Background: HIV-1 serodiscordant couples represent an important target population for HIV prevention. There is a lack of data regarding the prevalence of serodiscordant couples in Jamaica. Knowledge and awareness of Pre-exposure prophylaxis (PrEP) for this population has not been well studied in the region.

    Methods: We conducted a single center cross-sectional cohort pilot study on 60 men and women who were consecutively seen at the Centre for HIV/AIDS Research and Education Services (C.H.A.R.E.S) between March 2017 and April 2017. All participants were registered patients of CHARES and had documented HIV-1 infection. Data was gathered from patients’ responses, so there exists the potential for bias and under-reporting. Characteristics of our study population were valued by using descriptive statistics. Chi square test was applied to compare categorical variables. A significance level of P < 0.05 was considered statistically significant.

    Results: Of the 60 participants, 57 were currently in a relationship. Mean age was 40.5 years(SD= 8.7). Male and female participants were evenly distributed(46.7% and 53.3% respectively). 65% of participants indicated being in a serodiscordant relationship. Gender did not significantly impact whether participants were in a serodiscordant relationship. Of the participants that indicated being in a serodiscordant relationship, there was an overall disclosure rate of 67%. Rates of serodiscordant relationships were similar between the reproductive years and non-reproductive years age groups(P= 0.227). However, significantly more persons of reproductive age disclosed their HIV status to their partner than those who were not of reproductive age [77.5% versus 22.5%. (P= 0.008)]

    Though the majority of participants indicated being in a serodiscordant relationship (65%), 93% had no knowledge of PrEP.

    Conclusion: In this preliminary study at an urban specialty clinic in Jamaica, the majority of study participants were in a serodiscordant relationship. Of concern, > 90% were unaware of PrEP and its benefits. Further research and education is needed among patients and providers if efforts to prevent new HIV infections in the region are to be successful.

    Jodian Pinkney, MD, Internal Medicine, Palmetto Health/University of South Carolina, Columbia, SC, Kamali Carroll, MD, Faculty of Medical Sciences, The University of the West Indies, Kingston 7, Jamaica and Divya Ahuja, MD, Infectious Diseases, Palmetto Health/University of South Carolina, Columbia, SC

    Disclosures:

    J. Pinkney, None

    K. Carroll, None

    D. Ahuja, None

    See more of: Posters in the Park
    See more of: Posters in the Park

    Findings in the abstracts are embargoed until 12:01 a.m. PDT, Wednesday Oct. 3rd with the exception of research findings presented at the IDWeek press conferences.