Facilitators for retaining men who have sex with men in pre-exposure prophylaxis care in real world clinic settings within the United States
Abstract Background Pre-exposure prophylaxis (PrEP) can significantly reduce HIV acquisition especially among communities with high HIV prevalence, including men who have sex with men (MSM). Much research has been finding suboptimal PrEP persistence; however, few studies examine factors that enhance...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | BMC Infectious Diseases |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12879-022-07658-y |
| _version_ | 1811345166033747968 |
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| author | Brooke G. Rogers C. Sosnowy A. Zanowick-Marr P. A. Chan L. A. Mena R. R. Patel W. C. Goedel T. Arnold C. Chu D. Galipeau M. C. Montgomery K. Curoe A. Underwood J. Villalobos C. Gomillia A. S. Nunn |
| author_facet | Brooke G. Rogers C. Sosnowy A. Zanowick-Marr P. A. Chan L. A. Mena R. R. Patel W. C. Goedel T. Arnold C. Chu D. Galipeau M. C. Montgomery K. Curoe A. Underwood J. Villalobos C. Gomillia A. S. Nunn |
| author_sort | Brooke G. Rogers |
| collection | DOAJ |
| description | Abstract Background Pre-exposure prophylaxis (PrEP) can significantly reduce HIV acquisition especially among communities with high HIV prevalence, including men who have sex with men (MSM). Much research has been finding suboptimal PrEP persistence; however, few studies examine factors that enhance PrEP persistence in real-world settings. Methods We interviewed 33 patients who identified as MSM at three different PrEP clinics in three regions of the U.S. (Northeast, South, Midwest). Participants were eligible if they took PrEP and had been retained in care for a minimum of 6 months. Interviews explored social, structural, clinic-level and behavioral factors that influencing PrEP persistence. Results Through thematic analysis we identified the following factors as promoting PrEP persistence: (1) navigation to reduce out-of-pocket costs of PrEP (structural), (2) social norms that support PrEP use (social), (3) access to LGBTQ + affirming medical providers (clinical), (4) medication as part of a daily routine (behavioral), and (5) facilitation of sexual health agency (belief). Discussion In this sample, persistence in PrEP care was associated with structural and social supports as well as a high level of perceived internal control over protecting their health by taking PrEP. Patients might benefit from increased access, LGBTQ + affirming medical providers, and communications that emphasize PrEP can promote sexual health. |
| first_indexed | 2024-04-13T20:00:16Z |
| format | Article |
| id | doaj.art-4b9632ce0b9a45d88c53aa6b97d0600e |
| institution | Directory Open Access Journal |
| issn | 1471-2334 |
| language | English |
| last_indexed | 2024-04-13T20:00:16Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Infectious Diseases |
| spelling | doaj.art-4b9632ce0b9a45d88c53aa6b97d0600e2022-12-22T02:32:14ZengBMCBMC Infectious Diseases1471-23342022-08-012211910.1186/s12879-022-07658-yFacilitators for retaining men who have sex with men in pre-exposure prophylaxis care in real world clinic settings within the United StatesBrooke G. Rogers0C. Sosnowy1A. Zanowick-Marr2P. A. Chan3L. A. Mena4R. R. Patel5W. C. Goedel6T. Arnold7C. Chu8D. Galipeau9M. C. Montgomery10K. Curoe11A. Underwood12J. Villalobos13C. Gomillia14A. S. Nunn15Department of Medicine, Division of Infectious Diseases, Warren Alpert Medical School, Brown UniversityDepartment of Medicine, Division of Infectious Diseases, Warren Alpert Medical School, Brown UniversityDepartment of Medicine, Division of Infectious Diseases, Warren Alpert Medical School, Brown UniversityDepartment of Medicine, Division of Infectious Diseases, Warren Alpert Medical School, Brown UniversityDepartment of Population Health Science, University of Mississippi Medical CenterDepartment of Infectious Diseases, Washington University School of MedicineDepartment of Epidemiology, Brown University School of Public HealthDepartment of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown UniversityDepartment of Medicine, Division of Infectious Diseases, Warren Alpert Medical School, Brown UniversityDepartment of Medicine, Division of Infectious Diseases, Warren Alpert Medical School, Brown UniversityDepartment of Medicine, Division of Infectious Diseases, Warren Alpert Medical School, Brown UniversityDepartment of Infectious Diseases, Washington University School of MedicineDepartment of Infectious Diseases, Washington University School of MedicineDepartment of Infectious Diseases, Washington University School of MedicineDepartment of Population Health Science, University of Mississippi Medical CenterDepartment of Social and Behavioral Sciences, Brown University School of Public HealthAbstract Background Pre-exposure prophylaxis (PrEP) can significantly reduce HIV acquisition especially among communities with high HIV prevalence, including men who have sex with men (MSM). Much research has been finding suboptimal PrEP persistence; however, few studies examine factors that enhance PrEP persistence in real-world settings. Methods We interviewed 33 patients who identified as MSM at three different PrEP clinics in three regions of the U.S. (Northeast, South, Midwest). Participants were eligible if they took PrEP and had been retained in care for a minimum of 6 months. Interviews explored social, structural, clinic-level and behavioral factors that influencing PrEP persistence. Results Through thematic analysis we identified the following factors as promoting PrEP persistence: (1) navigation to reduce out-of-pocket costs of PrEP (structural), (2) social norms that support PrEP use (social), (3) access to LGBTQ + affirming medical providers (clinical), (4) medication as part of a daily routine (behavioral), and (5) facilitation of sexual health agency (belief). Discussion In this sample, persistence in PrEP care was associated with structural and social supports as well as a high level of perceived internal control over protecting their health by taking PrEP. Patients might benefit from increased access, LGBTQ + affirming medical providers, and communications that emphasize PrEP can promote sexual health.https://doi.org/10.1186/s12879-022-07658-yPre-exposure prophylaxisMedication adherencePersistenceRetention in carePrEP continuum |
| spellingShingle | Brooke G. Rogers C. Sosnowy A. Zanowick-Marr P. A. Chan L. A. Mena R. R. Patel W. C. Goedel T. Arnold C. Chu D. Galipeau M. C. Montgomery K. Curoe A. Underwood J. Villalobos C. Gomillia A. S. Nunn Facilitators for retaining men who have sex with men in pre-exposure prophylaxis care in real world clinic settings within the United States BMC Infectious Diseases Pre-exposure prophylaxis Medication adherence Persistence Retention in care PrEP continuum |
| title | Facilitators for retaining men who have sex with men in pre-exposure prophylaxis care in real world clinic settings within the United States |
| title_full | Facilitators for retaining men who have sex with men in pre-exposure prophylaxis care in real world clinic settings within the United States |
| title_fullStr | Facilitators for retaining men who have sex with men in pre-exposure prophylaxis care in real world clinic settings within the United States |
| title_full_unstemmed | Facilitators for retaining men who have sex with men in pre-exposure prophylaxis care in real world clinic settings within the United States |
| title_short | Facilitators for retaining men who have sex with men in pre-exposure prophylaxis care in real world clinic settings within the United States |
| title_sort | facilitators for retaining men who have sex with men in pre exposure prophylaxis care in real world clinic settings within the united states |
| topic | Pre-exposure prophylaxis Medication adherence Persistence Retention in care PrEP continuum |
| url | https://doi.org/10.1186/s12879-022-07658-y |
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