Journal article
Insurance- and medical provider-related barriers and facilitators to staying on PrEP: results from a qualitative study
Translational behavioral medicine, v 11(2), pp 573-581
01 Feb 2021
PMID: 32065637
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Pre-exposure prophylaxis (PrEP) is a highly effective biobehavioral strategy for preventing HIV acquisition. Although PrEP uptake has increased steadily, discontinuation rates are high among members of key populations like gay and bisexual men (GBM). Understanding the challenges that arise for PrEP users is key to better PrEP implementation and sustained use over time. We report on barriers that arose for PrEP-using GBM, as well as facilitating factors that aided PrEP persistence, with the goal of informing PrEP implementation efforts. In 2015-2016, 103 PrEP-using GBM in NYC completed qualitative interviews about their engagement with PrEP, including their experiences navigating PrEP-related medical care. Interviews were transcribed verbatim, coded, and analyzed thematically. Over half of participants (53%) received their PrEP-related care from their primary care provider (PCP), one-third (33%) from a community-based health clinic, and 13% from multiple medical providers. Emergent themes regarding the barriers and facilitators to PrEP persistence fell into two categories: insurance- and medical appointment-related barriers and facilitators to continued PrEP use. The experiences of PrEP-using GBM can provide useful insights for providers, program developers, and policymakers aiming to improve the implementation of PrEP. To support PrEP persistence, reliable insurance coverage, cost-assistance, and easy appointment scheduling are key to maintenance. Removing insurance- and appointment-related barriers to persistence may prove essential for sustaining use among GBM.
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Details
- Title
- Insurance- and medical provider-related barriers and facilitators to staying on PrEP: results from a qualitative study
- Creators
- Alexa B. D'Angelo - CUNY, Grad Sch Publ Hlth & Hlth Policy, New York, NY 10021 USAJavier Lopez-Rios - City University of New YorkAnthony W. P. Flynn - Univ Wisconsin, Dept Counseling Psychol, Madison, WI USAIan W. Holloway - University of California, Los AngelesDavid W. Pantalone - University of Massachusetts BostonChristian Grov - City University of New York
- Publication Details
- Translational behavioral medicine, v 11(2), pp 573-581
- Publisher
- Oxford Univ Press
- Number of pages
- 9
- Grant note
- R21-DA039019 / National Institute on Drug Abuse; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute on Drug Abuse (NIDA)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Community Health and Prevention
- Web of Science ID
- WOS:000649397000027
- Scopus ID
- 2-s2.0-85103227165
- Other Identifier
- 991021894521504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health