Amsterdam 2015
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| Abstract #2075 - Poster 2 | ||||
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Session: 59.17: Poster 2 (Poster) on Tuesday in Chaired by Authors: Presenting Author: Dr Reinier Bom - Condomerie, Netherlands |
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| Additional Authors: | ||||
| Aim: As HIV and other sexually transmitted infections remain a burden on men who have sex with men in the Netherlands, new prevention approaches are needed. One of these approaches is country-wide free condom distribution at public sex venues. This study assessed the effects of free condom distribution on the incidence and burden of disease of these infections, and the cost-effectiveness of this intervention. | ||||
| Method / Issue: A model was constructed to estimate the impact of free condom distribution on the incidences of HIV and other sexually transmitted infections. Outcomes included new infections and disability-adjusted life years averted. Scenario studies were performed to predict the effects of a further increase of condom use, condom effectiveness and coverage. Cost-effectiveness and sensitivity analyses were performed, and the maximum price per distributed condom for which the intervention was still cost-effective was determined. | ||||
| Results / Comments: Condom use at public sex venues increased from 81.7% before the intervention to 87.8% afterwards. As a result, our model estimated decreases in annual incidence risk of sexually transmitted infections (from 5.50% for HIV to 3.94% for gonorrhoea), while the annual number of new infections averted was largest for chlamydia and gonorrhoea (5378 and 9130 infections, respectively). Over 98% of the estimated decrease in burden of disease was due to HIV. In scenarios where condom use and condom effectiveness were further increased, the reduction of the burden of disease became more extensive. The intervention remained cost-saving in all sensitivity analyses. | ||||
| Discussion: Our model shows that free condoms at public sex venues can reduce the transmission of HIV and other sexually transmitted infections substantially. Condom distribution is an affordable and easily implemented intervention that can reduce the burden of disease in men who have sex with men. | ||||
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