HIRI-MSM

Background

• HIV incidence risk index for men who have sex with men
• Scoring tool to risk stratify for HIV pre-exposure prophylaxis

Criteria

	Question	Answer	Points
1	How old are you today?	<18 years
		18-28 years	8
		29-40 years	5
		41-48 years	2
		≥49 years	0
2	How many men have you had sex with in the last 6 months?	>10 male partners	7
		6-10 male partners	4
		0-5 male partners	0
3	In the last 6 months, how many times did you have receptive anal sex with a man?	1 or more times	10
		0 times	0
4	How many of your male sex partners were HIV positive?	>1 positive partner	8
		1 positive partner	4
		0 positive partners	0
5	In the last 6 months, have you used methamphetamines such as crystal or speed?	yes	5
		no	0
6	In the last 6 months, have you used poppers (amyl nitrate)?	yes	3
		no	0

Interpretation

• A score ≥12 is an indication for HIV PrEP in the context of condomless anal sex