scholarly journals A PrEP Information and Self-Screening Tool for Women

2018 ◽  
Vol 30 (1) ◽  
pp. 13-25 ◽  
Author(s):  
Kate L. Collier ◽  
Lisa G. Colarossi ◽  
Kimberly Sanders
Keyword(s):  
New York ◽  
Hiv Prevention ◽  
Hiv Risk ◽  
Language Use ◽  
Service Providers ◽  
Self Assessment ◽  
Women Studies ◽  
Potential Impact ◽  
Exposure Prophylaxis ◽  
Assessment Questions

Although HIV pre-exposure prophylaxis (PrEP) is effective for women, studies show limited uptake among women to date. Barriers to women's PrEP uptake include their limited knowledge about PrEP and low perceived HIV risk. To address these barriers, we developed and pretested a printed palm card containing HIV prevention/PrEP information that addressed HIV prevention motivation with self-assessment questions about HIV risk. We conducted expert interviews (N = 8), focus groups with health, education, and social service providers (N = 13), and interviews with community women (N = 30) in New York City to assess attention to and acceptability of the card, comprehension of the information, and potential impact on prevention motivation. The card format and content were found to be acceptable and potentially motivational for preventive behaviors, as well as particularly relevant for women. Results of testing for language use, comprehension, and attention guided the final version of the card content.

Factors influencing uptake of pre-exposure prophylaxis: some qualitative insights from an intervention study of men who have sex with men in China

Sexual Health ◽  
2018 ◽  
Vol 15 (1) ◽  
pp. 39 ◽  
Author(s):  
Chunxing Liu ◽  
Yingying Ding ◽  
Zhen Ning ◽  
Meiyang Gao ◽  
Xing Liu ◽  
...  
Keyword(s):  
Hiv Risk ◽  
Intervention Study ◽  
Implementation Strategies ◽  
Self Assessment ◽  
Risk Beliefs ◽  
Group Data ◽  
Prep Implementation ◽  
Substantial Risk ◽  
Sex With Men ◽  
Exposure Prophylaxis

Background: Pre-exposure prophylaxis (PrEP) is a biomedical approach for preventing the acquisition of HIV in populations at substantial risk for HIV. However, its uptake among men who have sex with men (MSM) is low in China. The study aimed to identify factors that might influence MSM’s uptake and use of PrEP. Methods: In-depth interviews were conducted with 32 self-identified MSM from a PrEP intervention study evaluating daily oral tenofovir disoproxil fumarate (TDF) to prevent HIV infection. Of these men, 11 were presently using the ‘TDF’ group; 8 from the ‘change-over’ group (i.e. initially used PrEP but subsequently quitted); and 13 from the non-user group. Data were analysed using thematic approach. Results: Perception of low HIV risk, mistrust of the national PrEP program, and concerns of side effects were the main reasons for not wanting to use PrEP. Also, lack of main sexual partner’s support, difficulties in adhering to the daily TDF regimen, and the inconvenient schedules in securing the medicine were the major reasons for not wanting to use or quitting the use of PrEP. On the other hand, perceived high HIV risk, beliefs in efficacy of PrEP, and worries of transmitting HIV to families were the major motives for PrEP uptake. Conclusions: Findings suggest that PrEP implementation strategies should first address issues including but not limited to accurate self-assessment of HIV risk, mistrust and limited knowledge about medical trials and PrEP, and ease of accessing PrEP.

scholarly journals 1273. Reasons for Disengagement in Care among Individuals Receiving Pre-Exposure Prophylaxis (PrEP) from a Sexual Health Clinic

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S458-S458
Author(s):  
Jason Zucker ◽  
Deborah Theodore ◽  
Caroline Carnevale ◽  
Elijah LaSota ◽  
Paul Richards ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Sexual Health ◽  
Hiv Risk ◽  
Perceived Risk ◽  
Medical Center ◽  
Academic Medical Center ◽  
Health Clinic ◽  
Receptive Anal Intercourse ◽  
Online Questionnaire ◽  
Exposure Prophylaxis

Abstract Background Pre-exposure prophylaxis (PrEP) effectively reduces HIV acquisition, but its efficacy depends on continued engagement through periods of high and low risk. Persistence in HIV prevention care has been low in real-world settings. In our program, 32% of patients are lost to care after their first visit and only 35% of patients are retained at their planned third visit. Reasons for low persistence in care are poorly described. Methods We identified all MSM who started PrEP between July 2015 and June 2018 at a sexual health clinic in an urban academic medical center in New York and had not had a visit in ≥6 months. We called patients between July 2018 and January 2019; those who were English speaking were given the option to complete an online questionnaire about current PrEP status, reasons for disengagement, and social and behavioral determinants of health (SBDH). Results Up to 710 patients were eligible for the study; over 700 calls were made. 125 participants agreed to participate and 57 (46%) completed the questionnaire. 24 patients (42%) were still actively taking PrEP. The most common reasons for starting PrEP were fear of getting HIV (58%), high self-perceived HIV risk (28%), and recommendations from friends (26%). Among those no longer taking PrEP, the most common reasons for discontinuation were cost/insurance issues (32%), lower perceived HIV risk (18%), concern about long-term side effects (12%), and trouble attending every-3-month appointments (12%). For those stopping due to lower perceived risk, 40% were in a monogamous relationship, 60% were less sexually active, and 20% always used a condom or did not engage in receptive anal intercourse. 56% of patients had at least 1 major life event in the preceding 3 months, including loss of a job (25%), breakup with a partner (12%), illness or death of a family member (11%), or unstable housing (8%). 47% used drugs or alcohol before sex in the past month including 39% not on PrEP. Conclusion Reasons for engagement, disengagement, and re-engagement are highly variable at the individual level. Cost and insurance issues were common in spite if clinic resources available to cover the cost of visits and medications. Life trauma was common. Individualized interventions to address SBDH may be required to engage and retain individuals in HIV prevention care. Disclosures All authors: No reported disclosures.

scholarly journals “I think everybody should take it if they’re doing drugs, doing heroin, or having sex for money”: A qualitative study exploring perceptions of pre-exposure prophylaxis among female participants in an opioid intervention court program

2020 ◽  
Author(s):  
Sarahmona Przybyla ◽  
Catherine Cerulli ◽  
Jacob Bleasdale ◽  
Kennethea A. Wilson ◽  
Melissa Hordes ◽  
...  
Keyword(s):  
Criminal Justice ◽  
Hiv Prevention ◽  
Hiv Risk ◽  
Risk Perceptions ◽  
Hiv Transmission ◽  
Opioid Use Disorder ◽  
High Risk Population ◽  
Research Approach ◽  
Opioid Use ◽  
Exposure Prophylaxis

Abstract Background: Women’s rise in opioid use disorder has increased their presence in the criminal justice system and related risk behaviors for HIV infection. Although pre-exposure prophylaxis (PrEP) is an effective biomedical HIV prevention treatment, uptake among this high-risk population has been particularly low. Considerably little is known about the interplay between justice-involved women with opioid use disorder and HIV prevention. The aim of this study was to explore PrEP knowledge, attitudes, and perceptions for personal and partner use among women participants in the nation’s first ever opiate intervention court program.Methods: The authors conducted semi-structured, in-depth interviews with 31 women recruited from an Opioid Intervention Court, a recent fast-track treatment response to combat overdose deaths. We utilized a consensual qualitative research approach to explore attitudes, perceptions, and preferences about PrEP from women at risk for HIV transmission via sexual and drug-related behavior and used thematic analysis methods to code and interpret the data. Results: PrEP interest and motivation were impacted by various factors influencing the decision to consider PrEP initiation or comfort with partner use. Three primary themes emerged regarding HIV risk perceptions, barriers and facilitators to personal PrEP utilization, and perspectives on PrEP use by sexual partners. Conclusions: Findings suggest courts may provide a venue to offer women PrEP education and HIV risk assessments. Study findings inform public health, substance use, and criminal justice research and practice with justice-involved participants experiencing opioid use disorder on the development of gender-specific PrEP interventions with the ultimate goal of reducing HIV incidence.

Self-Perception of HIV Risk and Candidacy for Pre-Exposure Prophylaxis Among Men Who Have Sex with Men Testing for HIV at Commercial Sex Venues in New York City

LGBT Health ◽  
2014 ◽  
Vol 1 (3) ◽  
pp. 218-224 ◽  
Author(s):  
Timothy Gallagher ◽  
Lauren Link ◽  
Michael Ramos ◽  
Edward Bottger ◽  
Judith Aberg ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Hiv Risk ◽  
York City ◽  
Commercial Sex ◽  
Self Perception ◽  
Sex With Men ◽  
Exposure Prophylaxis

scholarly journals Comparing Provider and Client Preferences for HIV Prevention Services in South Africa among Men Who Have Sex with Men

2017 ◽  
Vol 16 (6) ◽  
pp. 562-571 ◽  
Author(s):  
John Shaver ◽  
Patrick Sullivan ◽  
Aaron Siegler ◽  
Alex de Voux ◽  
Nancy Phaswana-Mafuya ◽  
...  
Keyword(s):  
South Africa ◽  
Health Care ◽  
Hiv Prevention ◽  
Health Care Providers ◽  
Service Providers ◽  
Post Exposure Prophylaxis ◽  
Care Providers ◽  
Prevention Services ◽  
Sex With Men ◽  
Exposure Prophylaxis

Combination prevention efforts are now recommended toward reducing HIV incidence among men who have sex with men (MSM). Understanding the perceptions of both MSM and service providers is critical to informing the development of prevention packages and ultimately improving intervention effectiveness. This study assessed the preferences of MSM and health service providers in the administration of HIV-prevention efforts. Qualitative data were gathered from a series of separate MSM and health care provider focus groups in 2 South African cities. Participants discussed HIV-prevention services and MSM client experiences within South Africa and identified the 3 most important clinic characteristics and 3 most important HIV-prevention services for MSM clients. Priorities indicated by both MSM and health care providers were confidentiality of visit, friendly staff, and condoms, while discrepancies existed between MSM and providers regarding provider consistency and the provision of pre-exposure prophylaxis/post-exposure prophylaxis (PrEP/PEP) and lubricant as prevention methods. Effective interventions must address these discrepancies through the design of intervention and provider training to optimally accommodate MSM.

Developing a Scale to Measure Interprofessional Collaboration in HIV Prevention and Care: Implications for Research on Patient Access and Retention in the HIV Continuum of Care

2020 ◽  
Vol 32 (1) ◽  
pp. 36-50
Author(s):  
Rogério M. Pinto ◽  
C. Jean Choi ◽  
Melanie M. Wall
Keyword(s):  
New York ◽  
Hiv Prevention ◽  
Service Providers ◽  
Interprofessional Collaboration ◽  
Training Data ◽  
Patient Access ◽  
Analysis Model ◽  
Cross Sectional ◽  
Factor Analysis Model ◽  
Collective Ownership

To adapt and validate a scale for measuring interprofessional collaboration in HIV prevention and care (IPC-HIV), primary survey data were collected (2012–2017) from 577 HIV service providers in 60 organizations in New York, New Jersey, and Michigan. Cross-sectional training data were used to develop the IPC-HIV scale. The model was validated by fitting the five-factor confirmatory factor-analysis model to a 30-item set. The scale measures five domains with reliable alpha coefficients: Interdependence, Professional Activities, Flexibility, Collective Ownership, and Reflection on Process. Correlations between subscales were significant (p < .05). The strongest correlation was between Reflection on Process and Collective Ownership subscale scores. Mean scores ranged lfrom 4.070 to 4.880, with the highest score for Flexibility across all locations. IPC-HIV is valid and reliable among HIV-prevention and care workers, and is recommended for examining the effect of IPC on patient access to HIV testing and primary care.

scholarly journals LBO-1.2 The potential impact of pre-exposure prophylaxis for HIV prevention among Men who Have Sex with Men (MSM) in Lima, Peru

2011 ◽  
Vol 87 (Suppl 1) ◽  
pp. A350-A350
Author(s):  
A. Borquez ◽  
G. B. Gomez ◽  
C. F. Caceres ◽  
E. R. Segura ◽  
R. M. Grant ◽  
...  
Keyword(s):  
Hiv Prevention ◽  
Potential Impact ◽  
Sex With Men ◽  
Exposure Prophylaxis

scholarly journals “We hide…”: Perceptions of HIV Risk Among Black and Latino MSM in New York City

2017 ◽  
Vol 12 (2) ◽  
pp. 180-188 ◽  
Author(s):  
Ashley Murray ◽  
Zaneta Gaul ◽  
Madeline Y. Sutton ◽  
Jose Nanin
Keyword(s):  
New York ◽  
New York City ◽  
Hiv Prevention ◽  
Hiv Risk ◽  
York City ◽  
The United States ◽  
Hiv Care ◽  
Computer Assisted ◽  
Sex With Men ◽  
Black And Latino

Black and Latino men who have sex with men (BLMSM) are disproportionately infected with HIV; they comprised 66% of HIV diagnoses among men who have sex with men (MSM) in the United States in 2015. Risk factors for HIV infection among BLMSM include a high community prevalence of diagnosed and undiagnosed HIV/STDs, and dense sex partner networks. Perceptions of HIV risk among BLMSM were explored to inform HIV prevention efforts. During 2011–2012, semistructured interviews were conducted with BLMSM in New York City. Using computer-assisted thematic analyses (NVivo), transcribed interview responses to questions regarding HIV risk for main themes were examined. Interview data were available for 108 BLMSM: 86% Black, 13% Latino, 26% aged 18–24 years, 59% self-identified as “gay,” and 33% self-identified as “bisexual.” The main emergent theme was stigma. Subthemes related to stigma included: (a) homophobia in the Black and Latino community, (b) fear of losing support from family and friends, and (c) lack of support leading to low self-esteem. Addressing the stigma felt by BLMSM may be an important strategy to facilitate improved HIV prevention efforts, HIV care and treatment, and to decrease HIV-related disparities.

scholarly journals Evaluating the potential impact and cost-effectiveness of dapivirine vaginal ring pre-exposure prophylaxis for HIV prevention

PLoS ONE ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. e0218710 ◽  
Author(s):  
Meghan Reidy ◽  
Elizabeth Gardiner ◽  
Carel Pretorius ◽  
Robert Glaubius ◽  
Kristine Torjesen ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Hiv Prevention ◽  
Vaginal Ring ◽  
Potential Impact ◽  
Exposure Prophylaxis

scholarly journals “I think everybody should take it if they’re doing drugs, doing heroin, or having sex for money”: A qualitative study exploring perceptions of pre-exposure prophylaxis among female participants in an opioid intervention court program

2020 ◽  
Author(s):  
Sarahmona Przybyla ◽  
Catherine Cerulli ◽  
Jacob Bleasdale ◽  
Kennethea A. Wilson ◽  
Melissa Hordes ◽  
...  
Keyword(s):  
Criminal Justice ◽  
Hiv Prevention ◽  
Hiv Risk ◽  
Risk Perceptions ◽  
Hiv Transmission ◽  
Opioid Use Disorder ◽  
High Risk Population ◽  
Research Approach ◽  
Opioid Use ◽  
Exposure Prophylaxis

Abstract BackgroundWomen’s rise in opioid use disorder has increased their presence in the criminal justice system and related risk behaviors for HIV infection. Although pre-exposure prophylaxis (PrEP) is an effective biomedical HIV prevention treatment, uptake among this high-risk population has been particularly low. Considerably little is known about the interplay between justice-involved women with opioid use disorder and HIV prevention. The aim of this study was to explore PrEP knowledge, attitudes, and perceptions for personal and partner use among women participants in the nation’s first ever opioid intervention court program.MethodsThe authors conducted semi-structured, in-depth interviews with 31 women recruited from an Opioid Intervention Court,a recent fast-track treatment response to combat overdose deaths. We utilized a consensual qualitative research approach to explore attitudes, perceptions, and preferences about PrEP from women at risk for HIV transmission via sexual and drug-related behavior and used thematic analysis methods to code and interpret the data. ResultsPrEP interest and motivation were impacted by various factors influencing the decision to consider PrEP initiation or comfort with partner use. Three primary themes emerged: HIV risk perceptions, barriers and facilitators to personal PrEP utilization, and perspectives on PrEP use by sexual partners. Conclusions Findings suggest courts may provide a venue to offer women PrEP education and HIV risk assessments. Study findings inform public health, substance use, and criminal justice research and practice with justice-involved participants experiencing opioid use disorder on the development of gender-specific PrEP interventions with the ultimate goal of reducing HIV incidence.

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