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Rapid change in Australian gay men’s safer sex practices, from consistent condom use to PrEP
Roger Pebody, 2018-06-06 21:00

A rapid increase in PrEP use by gay men in Melbourne and Sydney has been accompanied by an equally rapid decrease in consistent condom use, according to an article published online today in The Lancet HIV. The changes in behaviour between 2016 and 2017 occurred across the gay community, not only in PrEP users – a significant increase in condomless sex with casual partners was observed in HIV-negative men who were not taking PrEP.

The decline in consistent condom use with casual partners is likely to fuel debate about the long-term impact of PrEP, but it is important to note that the proportion of gay men reporting precautionary behaviours with casual partners remained constant – around 70% either always used condoms, took PrEP, had an undetectable viral load or did not have anal sex. However there has been a substantial shift in the ways in which HIV-negative Australian gay men protect themselves from HIV.