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RECOMMENDATIONS FOR INTERVENTION CONTENT TO ENHANCE HIV  PRE-EXPOSURE PROPHYLAXIS UPTAKE AMONG MEN WHO HAVE SEX  WITH MEN RECEIVING CARE AT SEXUALLY TRANSMITTED DISEASE CLINICS

  • Amy S. Nunn1
  • Genoviva Sowemimo-Coker2
  • Jacob J. van den Berg1,2
  • Cassandra Sutten Coats1
  • Collette Sosnowy2
  • Siena Napoleon2
  • Kevin Cormier2
  • Philip A. Chan1,2
  • Ethan Moitra3

1Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA

2Department of Medicine, Brown University, Providence, RI, USA

3Department of Psychiatry & Human Behavior, Brown University, Providence, RI, USA

DOI: 10.15586/jomh.v16i3.198 Vol.16,Issue 3,July 2020 pp.47-59

Published: 16 July 2020

*Corresponding Author(s): Amy S. Nunn E-mail: amy_nunn@brown.edu

PDF (611.79 kB)

Abstract

Background and objective

Pre-exposure prophylaxis (PrEP) uptake has been suboptimal. Sexually transmitted disease (STD) clinics provide important opportunities to scale PrEP uptake.

Material and methods 

To inform the development of a brief intervention to enhance PrEP uptake in STD clinics, we conducted 32 qualitative interviews to explore barriers and facilitators of PrEP uptake among PrEP eligible, PrEP naïve, and men who have sex with men (MSM) presenting for STD screening services. We also solicited input for intervention components to enhance PrEP uptake at STD clinics.

Results

Most participants’ self-perceived HIV risks were low despite reporting unprotected anal intercourse. Many were reluctant to take any medications, expressed apprehension about perceived side effects of PrEP, and were unaware of how to obtain PrEP. Participants recommended that interventions focusing on enhancing PrEP uptake in STD clinics should include: culturally tailored educational materials about PrEP, informational graphics indicating PrEP’s relative efficacy in reducing HIV transmission risks, and comprehensive PrEP nav-igation. Most participants did not feel strongly about gender, race or ethnicity of providers; however, nearly all preferred gay-affirming providers. Brief interventions to enhance PrEP uptake among MSM in STD clinics should include efforts to raise self-awareness of HIV risk, provide information about PrEP’s efficacy relative to other interventions, underscore PrEP’s relatively few side effects, and provide culturally tailored messaging.

Keywords

intervention; men who have sex with men (MSM); pre-exposure prophylaxis (PrEP); uptake

Cite and Share

Amy S. Nunn,Genoviva Sowemimo-Coker,Jacob J. van den Berg,Cassandra Sutten Coats,Collette Sosnowy,Siena Napoleon,Kevin Cormier,Philip A. Chan,Ethan Moitra. RECOMMENDATIONS FOR INTERVENTION CONTENT TO ENHANCE HIV PRE-EXPOSURE PROPHYLAXIS UPTAKE AMONG MEN WHO HAVE SEX WITH MEN RECEIVING CARE AT SEXUALLY TRANSMITTED DISEASE CLINICS. Journal of Men's Health. 2020. 16(3);47-59.

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