دورية أكاديمية

"Why Not Just go on PrEP?": A Study to Inform Implementation of an HIV Prevention Intervention Among Hispanic/Latino Men Who Have Sex With Men in the Northeastern United States.

التفاصيل البيبلوغرافية
العنوان: "Why Not Just go on PrEP?": A Study to Inform Implementation of an HIV Prevention Intervention Among Hispanic/Latino Men Who Have Sex With Men in the Northeastern United States.
المؤلفون: Rogers BG; Department of Medicine, Division of Infectious Diseases, Warren Alpert Medical School of Brown University, Providence, RI.; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI., Toma E; Department of Medicine, Division of Infectious Diseases, Warren Alpert Medical School of Brown University, Providence, RI., Harkness A; School of Nursing and Health Studies, University of Miami, Coral Gables, FL., Arnold T; Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, RI., Nagel K; Department of Medicine, Division of Infectious Diseases, Warren Alpert Medical School of Brown University, Providence, RI., Bajic J; Department of Medicine, Division of Infectious Diseases, Warren Alpert Medical School of Brown University, Providence, RI., Maynard M; Department of Medicine, Division of Infectious Diseases, Warren Alpert Medical School of Brown University, Providence, RI., Almonte A; Department of Medicine, Division of Infectious Diseases, Warren Alpert Medical School of Brown University, Providence, RI., Nunn A; Department of Medicine, Division of Infectious Diseases, Warren Alpert Medical School of Brown University, Providence, RI.; Department of Behavioral and Social Sciences, Brown School of Public Health, Providence, RI., Chan P; Department of Medicine, Division of Infectious Diseases, Warren Alpert Medical School of Brown University, Providence, RI.; Department of Behavioral and Social Sciences, Brown School of Public Health, Providence, RI.
المصدر: Journal of acquired immune deficiency syndromes (1999) [J Acquir Immune Defic Syndr] 2024 Sep 01; Vol. 97 (1), pp. 26-39.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins, Inc Country of Publication: United States NLM ID: 100892005 Publication Model: Print Cited Medium: Internet ISSN: 1944-7884 (Electronic) Linking ISSN: 15254135 NLM ISO Abbreviation: J Acquir Immune Defic Syndr Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, Inc., c1999-
مواضيع طبية MeSH: HIV Infections*/prevention & control , Hispanic or Latino* , Pre-Exposure Prophylaxis* , Homosexuality, Male*, Humans ; Male ; Adult ; Cross-Sectional Studies ; New England ; Young Adult ; Middle Aged ; Pilot Projects ; Anti-HIV Agents/therapeutic use ; Anti-HIV Agents/administration & dosage ; Patient Acceptance of Health Care ; Adolescent
مستخلص: Background: Preexposure prophylaxis (PrEP) is an effective biological option for HIV prevention yet persistent disparities in PrEP uptake and retention exist among Hispanic/Latino men who have sex with men (MSM). We evaluated barriers and facilitators to PrEP care among Hispanic/Latino MSM at risk for and living with HIV.
Setting: A small urban setting in the Northeastern United States.
Methods: This was a mixed-methods, exploratory, sequential, qualitative and quantitative pilot study among Latino MSM at-risk and/or living with HIV across (1) semistructured qualitative interviews (N = 15) and (2) cross-sectional survey (N = 98).
Results: Participants reported a diverse range of sexual identities, HIV statuses, and PrEP statuses. Qualitative participants described feelings of isolation in both Hispanic/Latino and queer communities that made it challenging to learn about HIV prevention or PrEP from peers. Participants in the survey indicated that they would be more inclined to uptake PrEP if PrEP were offered in primary care settings (n = 61; 62.2%); there were specific LGBTQ+ affirming medical settings (n = 36; 36.7%); and/or they could meet other people who are currently on PrEP and sharing experiences online (n = 46; 46.9%) or in person (n = 38; 38.8%). Findings were organized to reflect determinants and implementation strategies that could be used to improve PrEP uptake among this population.
Conclusions: This mixed-methods study identified several challenges and opportunities for increasing the reach of PrEP to Hispanic/Latino MSM. These findings should be used to inform tailored implementation strategies to promote PrEP uptake among this at-risk yet currently underserved population.
Competing Interests: Dr. B.G.R. received funding in the form of a Developmental Research Award from the Providence/Boston Center for AIDS Research to conduct this project (P30AI042853). During this funding period, Dr. B.G.R. also had research funding from Gilead Sciences (IN-US-276-5463). Dr. A.H. receives royalties from Oxford University Press for books published on LGBTQ+ affirmative mental health treatment. Dr. A.H. was supported by the National Institute on Minority Health and Health Disparities (K23MD015690). Dr. T.A. was supported by the National Institute of Mental Health (K23MH124539). Dr. P.C. consults for the Rhode Island Department of Health and is the chief medical officer at Rhode Island Public Health Institute. Dr. A.N. is the executive director of the Rhode Island Public Health Institute. Michaela Maynard, NP is director of Clinical Operations at Open Door Health. No other conflicts of interest or sources of funding are reported.
(Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
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معلومات مُعتمدة: K23 MD015690 United States MD NIMHD NIH HHS; K23 MH124539 United States MH NIMH NIH HHS; P30 AI042853 United States AI NIAID NIH HHS; P30AI042853 Division of Intramural Research, National Institute of Allergy and Infectious Diseases
المشرفين على المادة: 0 (Anti-HIV Agents)
تواريخ الأحداث: Date Created: 20240808 Date Completed: 20240808 Latest Revision: 20240928
رمز التحديث: 20240928
مُعرف محوري في PubMed: PMC11434228
DOI: 10.1097/QAI.0000000000003461
PMID: 39116329
قاعدة البيانات: MEDLINE
الوصف
تدمد:1944-7884
DOI:10.1097/QAI.0000000000003461