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Accepted (AM)Open Access (License Unspecified), Open
Journal article
How Do Gay and Bisexual Men Make Up for Missed PrEP Doses, and What Impact Does Missing a Dose Have on Their Subsequent Sexual Behavior?
AIDS education and prevention, v 30(4), pp 275-286
Aug 2018
PMID: 30148670
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
HIV pre-exposure prophylaxis (PrEP) is being adopted by members of key populations, such as gay and bisexual men (GBM). Since adherence to a daily PrEP regimen ensures a maximum protection, it is critical to understand GBM's behavioral responses to having missed PrEP doses. We report on qualitative interviews with GBM taking PrEP. We identified three behavioral responses: (1) 59% continued with their next scheduled dose; (2) 49% described "making up" for a missed dose by taking medication as soon as possible; and (3) 11% reported "doubling" the next PrEP dose. Participants provided potentially contradictory narratives about their sexual behavior after a missed dose: (1) 54% described making no changes; (2) 49% described adjusting their sexual behavior to reduce HIV risk; and (3) 10% said their decision would be contingent upon how many doses were missed. For PrEP prescribers, our data provide a useful lens to understand patients' lived experiences with PrEP.
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Details
- Title
- How Do Gay and Bisexual Men Make Up for Missed PrEP Doses, and What Impact Does Missing a Dose Have on Their Subsequent Sexual Behavior?
- Creators
- Christian Grov - City University of New YorkAlexa B D'Angelo - City University of New York (CUNY) Graduate School of Public Health and Health Policy, and the CUNY Institute for Implementation Science in Population Health, New York CityAnthony W P Flynn - VA Desert Pacific Mental Illness Research, Education and Clinical Center, Los Angeles, CaliforniaJavier Lopez-Rios - The Graduate Center, CUNYDavid W Pantalone - University of Massachusetts BostonIan W Holloway - University of California, Los AngelesThomas H F Whitfield - The Graduate Center, CUNYJeffrey T Parsons - The Graduate Center, CUNY
- Publication Details
- AIDS education and prevention, v 30(4), pp 275-286
- Grant note
- R21 DA039019 / NIDA NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000442756000001
- Scopus ID
- 2-s2.0-85056740542
- Other Identifier
- 991021894521704721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Education & Educational Research
- Public, Environmental & Occupational Health