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Home-based pre-exposure prophylaxis (PrEP) services for gay and bisexual men: An opportunity to address barriers to PrEP uptake and persistence

John, Steven A ; Rendina, H Jonathon ; Grov, Christian ; Parsons, Jeffrey T Prestage, Garrett

PloS one, 2017-12, Vol.12 (12), p.e0189794-e0189794 [Periódico revisado por pares]

United States: Public Library of Science

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Título:
Home-based pre-exposure prophylaxis (PrEP) services for gay and bisexual men: An opportunity to address barriers to PrEP uptake and persistence
Autor: John, Steven A ; Rendina, H Jonathon ; Grov, Christian ; Parsons, Jeffrey T
Prestage, Garrett
Assuntos: Acquired immune deficiency syndrome ; AIDS ; Behavior ; Biology and Life Sciences ; Bisexual ; Bisexuality ; Bisexuals ; Comparative analysis ; Demographics ; Demography ; Disease transmission ; Diseases ; Epidemics ; Exposure ; Gays ; Gays & lesbians ; Health care ; Health risks ; HIV ; HIV infection ; HIV infections ; Human immunodeficiency virus ; Medicine and Health Sciences ; Men ; Methods ; People and Places ; Physical Sciences ; Physiological aspects ; Prevention ; Prophylaxis ; Research and Analysis Methods ; Risk ; Risk factors ; Sexually transmitted diseases ; Social Sciences ; STD ; Studies
É parte de: PloS one, 2017-12, Vol.12 (12), p.e0189794-e0189794
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Competing Interests: The authors have declared that no competing interests exist.
Descrição: Gay, bisexual, and other men who have sex with men (GBM) are disproportionately affected by the HIV epidemic. Despite the promise of pre-exposure prophylaxis (PrEP) in reducing HIV transmission risk, barriers for uptake and persistence exist. We sought to identify whether GBM in a nationwide cohort who have not yet initiated PrEP (n = 906) would prefer to get PrEP-related care from a primary care provider (PCP) compared to a specialist clinic or provider. We then sought to identify their level of interest and factors associated with preference for using home-based PrEP services (i.e., HB-PrEP), defined to participants as conducting HIV/STI self-testing from home with PrEP prescription mailing after an initial in-person clinic visit. We examined the associations of demographics, sexual HIV transmission risk, concern about frequent medical checkups associated with PrEP, health care access, and PrEP intentions with preferences for healthcare provider type and HB-PrEP. Concern about frequent medical checkups were associated with preferring a PCP for PrEP-related care, but men who perceived a barrier to bringing up the topic of PrEP with a doctor preferred a specialist clinic or provider more than a PCP. HB-PrEP was more appealing for younger men and those engaged in sexual HIV transmission risk, suggesting HB-PrEP could help reach GBM most vulnerable to HIV and in need of PrEP. HB-PrEP expansion has potential to increase PrEP uptake and persistence among GBM, particularly for men with barriers to clinic-based care and higher intentions to initiate PrEP. Clinical guidelines regarding HB-PrEP are needed to expand its use.
Editor: United States: Public Library of Science
Idioma: Inglês

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Home-based pre-exposure prophylaxis (PrEP) services for gay and bisexual men: An opportunity to address barriers to PrEP uptake and persistence

John, Steven A ; Rendina, H Jonathon ; Grov, Christian ; Parsons, Jeffrey T Prestage, Garrett

United States: Public Library of Science

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