HIV pre-exposure prophylaxis use among gender-diverse people attending a sexual health service

There is little data on HIV prevalence or HIV pre-exposure prophylaxis (PrEP) use among gender-diverse people in the UK.1 Current guidelines recommend that PrEP be offered to transgender women (TGW) at risk of HIV through condomless anal sex and transgender men and women having condomless sex with partners.2 We aimed to explore the number of gender-diverse people who were eligible and using PrEP among attendees at our large sexual health service in Brighton, UK.

There were 108 gender-diverse individuals who attended the clinic between January and December 2021; 41/108 (38%) were transgender men (TGM), 38/108 (35%) TGW and 29/108 (27%) non-binary individuals (NBIs), of whom 23 were transmasculine and 6 were transfeminine. Their median age was 36 years (IQR 24–38), 83/108 (77%) were white British; 5/108 (5%) were living with HIV; all of whom were TGW. Of the 103 HIV-negative individuals, 21/103 (20%) were eligible for PrEP…

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