Using the andersen healthcare utilization model to assess willingness to screen for prep in pharmacy-based settings among cisgender sexually minoritized men: results from the 2020 american men's internet survey.

Autor: Alohan DI; Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, United States. daniel.alohan@emory.edu.; Department of Behavioral, Social and Health Education Sciences, Rollins School of Public Health, Emory University, 1518 Clifton Road, NE, 30322, Atlanta, GA, United States. daniel.alohan@emory.edu., Evans G; Department of Social and Behavioral Sciences, School of Public Health, Brown University, Providence, RI, United States., Sanchez T; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States., Harrington KRV; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States., Quamina A; NAESM, Inc, Atlanta, GA, United States., Young HN; Department of Clinical and Administrative Pharmacy, College of Pharmacy, University of Georgia, Athens, GA, United States., Crawford ND; Department of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, United States.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2024 Aug 29; Vol. 24 (1), pp. 2349. Date of Electronic Publication: 2024 Aug 29.
DOI: 10.1186/s12889-024-19836-5
Abstrakt: Background: Pre-exposure prophylaxis (PrEP) to prevent HIV is severely underutilized among sexually minoritized men (SMM). Inequitable access to PrEP-prescribing facilities and providers is a critical barrier to PrEP uptake among SMM. Integrating HIV prevention services, such as PrEP screening, into pharmacy-based settings is a viable solution to addressing HIV inequities in the US. We aimed to examine willingness to obtain PrEP screening in a pharmacy and its associated correlates, leveraging Andersen's Healthcare Utilization Model (AHUM), among a national sample of SMM in the U.S.
Methods: Data from the 2020 American Men's Internet Survey, an annual online survey among SMM, were analyzed. Drawing on AHUM-related constructs, we used a modified stepwise Poisson regression with robust variance estimates to examine differences in willingness to screen for PrEP in a pharmacy. Estimated prevalence ratios (PR) were calculated with 95% confidence intervals (CI 95% ).
Results: Out of 10,816 men, most (76%) were willing to screen for PrEP in a pharmacy. Participants were more willing to screen for PrEP in a pharmacy if they (1) had a general willingness to use PrEP (PR = 1.52; CI 95% =1.45, 1.59); (2) felt comfortable speaking with pharmacy staff about PrEP (PR = 2.71; CI 95% =2.47, 2.98); and (3) had HIV-related concerns (PR = 1.04; CI 95% =1.02, 1.06). There were no observed differences in men's willingness to screen for PrEP in a pharmacy by race/ethnicity, education level, annual household income, nor insurance status.
Conclusions: Strategically offering PrEP screening in pharmacies could mitigate access-related barriers to HIV prevention services among SMM, particularly across various sociodemographic domains. Importantly, this approach has vitally important implications for addressing broader inequities in HIV prevention. Future studies should examine strategies to successfully integrate PrEP screenings in pharmacies among diverse populations, especially among those at elevated risk for HIV.
(© 2024. The Author(s).)
Databáze: MEDLINE
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