Cargando…

Health Care–Seeking Behaviors and Perceptions of Provider-Initiated Discussion of Pre-exposure Prophylaxis Among PrEP-Naïve HIV-Negative Men Who Have Sex With Men in Atlanta, Georgia

BACKGROUND: Given high rates of HIV among men who have sex with men (MSM) in the United States, there is a need to more effectively leverage the health care system to bolster promotion of pre-exposure prophylaxis (PrEP) to at-risk MSM. METHODS: Using data collected from a 2018 venue-based cross-sect...

Descripción completa

Detalles Bibliográficos
Autores principales: Trost, Susanna L, Onwubiko, Udodirim N, Wilson, Derick B, Holland, David P, Chamberlain, Allison T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7252285/
https://www.ncbi.nlm.nih.gov/pubmed/32494585
http://dx.doi.org/10.1093/ofid/ofaa165
_version_ 1783539129049415680
author Trost, Susanna L
Onwubiko, Udodirim N
Wilson, Derick B
Holland, David P
Chamberlain, Allison T
author_facet Trost, Susanna L
Onwubiko, Udodirim N
Wilson, Derick B
Holland, David P
Chamberlain, Allison T
author_sort Trost, Susanna L
collection PubMed
description BACKGROUND: Given high rates of HIV among men who have sex with men (MSM) in the United States, there is a need to more effectively leverage the health care system to bolster promotion of pre-exposure prophylaxis (PrEP) to at-risk MSM. METHODS: Using data collected from a 2018 venue-based cross-sectional survey, we examined factors associated with health care–seeking behaviors, discussing PrEP with a provider, and barriers to PrEP uptake among MSM. Associations between outcomes and respondents’ sociodemographic characteristics and sexual behaviors were assessed using log binomial regression. RESULTS: Of 478 MSM, 247 (51%) were PrEP-naïve and HIV-negative. Although 85% of PrEP-naïve MSM reported visiting a health care provider in the past year, only 31% recalled having any provider discuss PrEP. The most frequently cited reasons for not taking PrEP were low perception of personal risk of acquiring HIV (37%) and not knowing enough about PrEP (35%). Those who saw a provider in the last year were less likely than those who did not to cite lack of knowledge as a barrier to use (prevalence rate, 0.66, 95% confidence interval, 0.45–0.96). CONCLUSIONS: Despite the majority of PrEP-naïve MSM interfacing with the health care system, recollection of discussing PrEP with providers was limited. Increased efforts to equip providers with the tools to discuss PrEP and address pressing concerns with at-risk individuals may help improve PrEP uptake among priority populations.
format Online
Article
Text
id pubmed-7252285
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-72522852020-06-02 Health Care–Seeking Behaviors and Perceptions of Provider-Initiated Discussion of Pre-exposure Prophylaxis Among PrEP-Naïve HIV-Negative Men Who Have Sex With Men in Atlanta, Georgia Trost, Susanna L Onwubiko, Udodirim N Wilson, Derick B Holland, David P Chamberlain, Allison T Open Forum Infect Dis Major Article BACKGROUND: Given high rates of HIV among men who have sex with men (MSM) in the United States, there is a need to more effectively leverage the health care system to bolster promotion of pre-exposure prophylaxis (PrEP) to at-risk MSM. METHODS: Using data collected from a 2018 venue-based cross-sectional survey, we examined factors associated with health care–seeking behaviors, discussing PrEP with a provider, and barriers to PrEP uptake among MSM. Associations between outcomes and respondents’ sociodemographic characteristics and sexual behaviors were assessed using log binomial regression. RESULTS: Of 478 MSM, 247 (51%) were PrEP-naïve and HIV-negative. Although 85% of PrEP-naïve MSM reported visiting a health care provider in the past year, only 31% recalled having any provider discuss PrEP. The most frequently cited reasons for not taking PrEP were low perception of personal risk of acquiring HIV (37%) and not knowing enough about PrEP (35%). Those who saw a provider in the last year were less likely than those who did not to cite lack of knowledge as a barrier to use (prevalence rate, 0.66, 95% confidence interval, 0.45–0.96). CONCLUSIONS: Despite the majority of PrEP-naïve MSM interfacing with the health care system, recollection of discussing PrEP with providers was limited. Increased efforts to equip providers with the tools to discuss PrEP and address pressing concerns with at-risk individuals may help improve PrEP uptake among priority populations. Oxford University Press 2020-05-12 /pmc/articles/PMC7252285/ /pubmed/32494585 http://dx.doi.org/10.1093/ofid/ofaa165 Text en © The Author(s) 2020. Published by Oxford University Press on behalf of Infectious Diseases Society of America. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Major Article
Trost, Susanna L
Onwubiko, Udodirim N
Wilson, Derick B
Holland, David P
Chamberlain, Allison T
Health Care–Seeking Behaviors and Perceptions of Provider-Initiated Discussion of Pre-exposure Prophylaxis Among PrEP-Naïve HIV-Negative Men Who Have Sex With Men in Atlanta, Georgia
title Health Care–Seeking Behaviors and Perceptions of Provider-Initiated Discussion of Pre-exposure Prophylaxis Among PrEP-Naïve HIV-Negative Men Who Have Sex With Men in Atlanta, Georgia
title_full Health Care–Seeking Behaviors and Perceptions of Provider-Initiated Discussion of Pre-exposure Prophylaxis Among PrEP-Naïve HIV-Negative Men Who Have Sex With Men in Atlanta, Georgia
title_fullStr Health Care–Seeking Behaviors and Perceptions of Provider-Initiated Discussion of Pre-exposure Prophylaxis Among PrEP-Naïve HIV-Negative Men Who Have Sex With Men in Atlanta, Georgia
title_full_unstemmed Health Care–Seeking Behaviors and Perceptions of Provider-Initiated Discussion of Pre-exposure Prophylaxis Among PrEP-Naïve HIV-Negative Men Who Have Sex With Men in Atlanta, Georgia
title_short Health Care–Seeking Behaviors and Perceptions of Provider-Initiated Discussion of Pre-exposure Prophylaxis Among PrEP-Naïve HIV-Negative Men Who Have Sex With Men in Atlanta, Georgia
title_sort health care–seeking behaviors and perceptions of provider-initiated discussion of pre-exposure prophylaxis among prep-naïve hiv-negative men who have sex with men in atlanta, georgia
topic Major Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7252285/
https://www.ncbi.nlm.nih.gov/pubmed/32494585
http://dx.doi.org/10.1093/ofid/ofaa165
work_keys_str_mv AT trostsusannal healthcareseekingbehaviorsandperceptionsofproviderinitiateddiscussionofpreexposureprophylaxisamongprepnaivehivnegativemenwhohavesexwithmeninatlantageorgia
AT onwubikoudodirimn healthcareseekingbehaviorsandperceptionsofproviderinitiateddiscussionofpreexposureprophylaxisamongprepnaivehivnegativemenwhohavesexwithmeninatlantageorgia
AT wilsonderickb healthcareseekingbehaviorsandperceptionsofproviderinitiateddiscussionofpreexposureprophylaxisamongprepnaivehivnegativemenwhohavesexwithmeninatlantageorgia
AT hollanddavidp healthcareseekingbehaviorsandperceptionsofproviderinitiateddiscussionofpreexposureprophylaxisamongprepnaivehivnegativemenwhohavesexwithmeninatlantageorgia
AT chamberlainallisont healthcareseekingbehaviorsandperceptionsofproviderinitiateddiscussionofpreexposureprophylaxisamongprepnaivehivnegativemenwhohavesexwithmeninatlantageorgia