Michael Power
6 min readMay 9, 2021

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Barriers to effective treatment adherence for HIV and Pre-exposure prophylaxis use among men who have sex with men who have experienced problematic Chemsex.

Chemsex is a fused dual dependency of sex and drugs. This has become a public health priority in most major city's through out the world. It requires specialized care from drug and alcohol services and sexual health services that work in partnership to reduce the harms associated to a person that is engaging in problematic Chemsex behaviours.

There is an acute risk of chemsex-dependent individuals contracting HIV due to the chaotic nature of the chemsex life style. In this article, I will be exploring how chemsex dependency may affect HIV prevention for those who take Prep along with how it may interfere with the HIV treatment adherence regimes for a person that has an HIV positive diagnosis.

TREATMENT HAS PREVETION

Treatment has prevention

HIV treatment and prevention has come a long way in recent years. With the right medications, a person whose viral load is undetectable cannot pass on the virus to another person. In 2019, the findings of the landmark partner study proved that when a person living with HIV is on effective medication with an undetectable viral load, they cannot pass on HIV

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