Use and acceptability of biomedical HIV prevention technologies among MSM and MSW in Vietnam Donn Colby, MD, MPH Harvard Medical School AIDS Initiative in Vietnam

New HIV Infections in HCMC by Risk Group Source: A 2 : The HIV Epidemic in HCMC: where is it going? 2006

Vietnam HIV Prevention Expenditures by target population Total expenditure = $71 million USD Source: UNAIDS, Vietnam National AIDS Spending MARPs % Total 75% 15% 9% 1%

Data presented from 3 surveys in Ho Chi Minh City, Vietnam Sample (Year)Methods MSW (2010) n = 300 recruited by time-venue sampling male, age > 15, sold sex to men within 1 month bio-behavioral survey MSW (2011) n = 200 recruited by time-venue sampling age > 15, sold sex to men within 1 month behavioral survey MSM (2012) n = 1,754 recruited on Vietnamese internet sites for MSM age > 16; gay, bisexual, or heterosexual MSM Survey on access to health and HIV prevention services

Sample Characteristics MSW n=500 MSM n=1,754 Age: median (range) 21 (15-48)21 (16-56) From Provinces 40%38% Sexually Active last year 100%67% Education (> high school) 58%95% Sexual Orientation - Gay/homosexual 45%72% - bisexual 27%17% - heterosexual 27%2% - questioning 7%

Willingness to use or trial new HIV prevention technologies % participants who would agree to….

Preferences for PrEP Knowledge and Use of PEP % men who…

Knowledge about New HIV Prevention Methods in Vietnamese MSM True False: HIV Infection can be prevented by…… (% answering TRUE)

Conclusions MSM and MSW in Vietnam have high and rapidly rising prevalence rates of HIV Among MSM in Vietnam, there is minimal knowledge about HIV prevention methods beyond condoms The majority of MSM and MSW in Vietnam are willing to try new HIV prevention methods and to participate in prevention trials

Thanks to all of the contributors Life Centre, Vietnam Nguyen Nguyen Nhu Trang Hang Xuan Lan Nguyen Duc Thien Matthew Mimiaga Ken Mayer Donn Colby Mai Doan Anh Thi Nguyen Anh Ngoc Nguyen Thi Anh Thi Special thanks to the staff of the Provincial AIDS Committee (PAC), the peer educators of the M4M Club and the Blue Sky Club, and the medical staff of the Binh Thanh District OPC. HAIVN, Vietnam Fenway Institute, Boston, USA HCMC Health Service Funders PEPFAR Vietnam: USAID, PACT, CDC Harvard Catalyst | The Harvard Clinical and Translational Science Center