Accessing Pre-exposure Prophylaxis (PrEP): Perceptions of Current and Potential PrEP Users in Birmingham, Alabama
| Autor: | Maira Sohail, Bulent Turan, Kaylee B. Crockett, D. Scott Batey, Ghislaine C. Atkins, Michael J. Mugavero, Kachina Kudroff, Joshua Hicks, Whitney S. Rice, Kristi L. Stringer, Janet M. Turan |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Social Psychology Sexual Behavior media_common.quotation_subject Social Stigma Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Health Services Accessibility Article 03 medical and health sciences Pre-exposure prophylaxis 0302 clinical medicine Perception medicine Humans 030212 general & internal medicine media_common Motivation Medical education 030505 public health Qualitative interviews Public health Resource constraints Public Health Environmental and Occupational Health Awareness Middle Aged Self Efficacy Black or African American Health psychology Infectious Diseases Alabama Female Pre-Exposure Prophylaxis Lesbian 0305 other medical science Psychology |
| Zdroj: | AIDS Behav |
| ISSN: | 1573-3254 1090-7165 |
| Popis: | Limited studies to date assess barriers to and facilitators of PrEP uptake and utilization using a patient-centered access to care framework, among diverse socio-demographic groups, or in the U.S. Deep South, an area with disproportionate HIV burden. We examine perceptions of PrEP access in qualitative interviews with 44 current and potential PrEP users in Birmingham, Alabama. Participants were 32 years old on average, 66% Black, 66% gay or lesbian, 70% male, and 66% single. Perceived barriers to PrEP access included: lack of PrEP awareness and advertisement; sexuality-related stigma; time and resource constraints; and concerns about the adequacy and technical quality of PrEP services. Perceived facilitators to PrEP access were: PrEP-related information gathering and sharing; increased dialogue and visibility around PrEP; social, programmatic, and clinical support; and, lastly, self-preservation; personal motivation; and treatment self-efficacy. Results point to opportunities to address complex barriers to equitable PrEP access using multilevel and multimodal solutions. |
| Databáze: | OpenAIRE |
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