Wells Joshua S, Ching Jennifer, Boyadjian Araxie, El Badaoui Christopher
Department of Pharmacy, Kingston University, London, UK.
LVNDR Health, London, UK.
Int J STD AIDS. 2025 Mar;36(3):223-230. doi: 10.1177/09564624241303815. Epub 2024 Dec 4.
Despite the availability of PrEP, 2023 data have demonstrated an increase in new HIV diagnoses. LGBTQ + individuals are disproportionately affected by HIV. PrEP access is crucial but limited due to high demand on sexual health services. Additional modalities of PrEP access may help to address this unmet need. LVNDR Health, a digital solution for LGBTQ + care, sought to evaluate its PrEP pathway.
We conducted a retrospective cross-sectional service evaluation of users accessing the LVNDR digital PrEP pathway between December 2022-April 2023. Operational data (e.g., appointment attendance) were derived from the clinical dashboard. Service-user feedback (e.g., service experience) was sought using a bespoke questionnaire. Descriptive statistics are reported for socio-demographic information. Non-parametric between-group analyses are reported.
In total, 90 users completed the end-to-end pathway and received PrEP. Average time for pathway completion was 2.7 weeks. A survey response rate of 71.0% was achieved. Users reported significantly higher service satisfaction, inclusivity, and accessibility, compared to their most recent experience accessing PrEP ( < .01). Up to 89% of users strongly agreed they would switch to a digital PrEP service if made available.
Digital PrEP shows acceptability among LGBTQ + populations. More research is needed to assess scalability, digital equity, and cost-effectiveness.
尽管有暴露前预防（PrEP）可用，但2023年的数据显示新的艾滋病毒诊断有所增加。 LGBTQ+个体受艾滋病毒影响的比例过高。由于对性健康服务的高需求，PrEP的获取至关重要但有限。PrEP获取的其他方式可能有助于满足这一未满足的需求。LVNDR Health是一种针对LGBTQ+护理的数字解决方案，旨在评估其PrEP途径。
我们对2022年12月至2023年4月期间使用LVNDR数字PrEP途径的用户进行了回顾性横断面服务评估。运营数据（如预约出席情况）来自临床仪表板。使用定制问卷征求服务用户反馈（如服务体验）。报告了社会人口统计学信息的描述性统计数据。报告了非参数组间分析结果。
共有90名用户完成了端到端途径并接受了PrEP。完成途径的平均时间为2.7周。调查回复率为71.0%。与他们最近获取PrEP的经历相比，用户报告的服务满意度、包容性和可及性显著更高（P<0.01）。高达89%的用户强烈同意，如果有数字PrEP服务，他们会转而使用。
数字PrEP在LGBTQ+人群中显示出可接受性。需要更多研究来评估其可扩展性、数字公平性和成本效益。
