Recreational Use of HIV Antiretroviral Medication and Implications for HIV Pre-exposure Prophylaxis and Treatment

Caroline Kuo*, Danielle Giovenco, Teresa DeAtley, Jackie Hoare, Kristen Underhill, Millicent Atujuna, Catherine Mathews, Dan J. Stein, Larry K. Brown, Don Operario

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Diversion of antiretroviral therapy (ART) for recreational use is concerning for countries with high HIV prevalence. This paper presents reports of recreational use of ART among adolescents from two HIV prevention studies in South Africa: (1) a cross-sectional survey of N = 200 adolescents and (2) a qualitative study of pre-exposure prophylaxis with N = 57 adolescents and N = 25 clinicians. Among adolescents, 3% used and 14% knew someone who used non-prescribed ART for recreational purposes. Administration included smoking (71%), snorting (15%), injecting (15%), ingesting (15%), and inserting (3%). Participants predicted increased crime as recreational use of ART increased. Future studies should investigate prevalence, composition, and diversion of ART from HIV prevention and treatment.

Original languageEnglish
Pages (from-to)2650-2655
Number of pages6
JournalAIDS and Behavior
Volume24
Issue number9
DOIs
StatePublished - 1 Sep 2020
Externally publishedYes

Funding

FundersFunder number
National Institutes of HealthR21AI116309, L30 MH098313
National Institute of Mental HealthK01MH096646

    Keywords

    • Antiretroviral medication
    • HIV
    • Medication diversion
    • Nyaope
    • South Africa
    • Whoonga

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