scholarly journals 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?

2018 ◽  
Vol 30 (4) ◽  
pp. 275-286 ◽  
Author(s):  
Christian Grov ◽  
Alexa B. D'Angelo ◽  
Anthony W. P. Flynn ◽  
Javier Lopez-Rios ◽  
David W. Pantalone ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
Lived Experiences ◽  
Qualitative Interviews ◽  
Behavioral Responses ◽  
Gay And Bisexual Men ◽  
Key Populations ◽  
Bisexual Men ◽  
Maximum Protection ◽  
And Bisexual ◽  
Exposure Prophylaxis

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.

scholarly journals The Impact of Pre-Exposure Prophylaxis on Sexual Communication and Sexual Behavior of Urban Gay and Bisexual Men

2019 ◽  
Vol 49 (1) ◽  
pp. 147-160 ◽  
Author(s):  
David W. Pantalone ◽  
Ian W. Holloway ◽  
Alison E. A. Goldblatt ◽  
Kaitlyn R. Gorman ◽  
Cara Herbitter ◽  
...  
Keyword(s):  
Sexual Behavior ◽  
Sexual Communication ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
And Bisexual ◽  
Exposure Prophylaxis ◽  
The Impact

scholarly journals “That’s kind of like the big struggle right now is can we get PrEP?”: Facilitators and Barriers to PrEP Uptake Among Active Duty Gay and Bisexual Men

2021 ◽  
Author(s):  
Raiza M. Beltran ◽  
Ashley C. Schuyler ◽  
Cherie S. Blair ◽  
Jeremy T. Goldbach ◽  
Carl A. Castro ◽  
...  
Keyword(s):  
Systems Approach ◽  
Qualitative Interviews ◽  
Gay And Bisexual Men ◽  
Active Duty ◽  
Policy Implications ◽  
Bisexual Men ◽  
Military Health ◽  
Study Results ◽  
Facilitators And Barriers ◽  
And Bisexual

Abstract Introduction The US Military is experiencing a rise in HIV infections among gay and bisexual men (GBM) serving on active duty, yet little is known about this population’s uptake of pre-exposure prophylaxis (PrEP), an evidence-based intervention for HIV prevention. This mixed methods study examines the facilitators and barriers to PrEP access and uptake among active duty GBM. Methods Active duty GBM were recruited using respondent-driven sampling (2017 and 2018). Participants (n = 93) answered quantitative survey questions on PrEP interest and accessibility. Another set of participants (n = 10) discussed their PrEP experiences in qualitative interviews. We conducted descriptive and bivariate analyses of quantitative data, while qualitative data were analyzed using structural and descriptive coding techniques. Results Approximately 71% of active duty GBM indicated interest in accessing PrEP. A greater proportion of those who disclosed (vs. did not disclose) their sexual orientation to their military doctor discussed (p < 0.001) or accessed (p = 0.017) PrEP. The following qualitative themes emerged: (1) providers’ negative views and knowledge gaps related to PrEP; (2) lack of a systems approach to PrEP access; (3) confidentiality concerns; and (4) reliance on peer networks for PrEP guidance and support. Conclusions Study results indicate that active duty GBM are interested in and want to discuss PrEP with their military doctors, but gaps in providers’ PrEP-related knowledge and skills, as well as mistrust in the military health care system, remain. Policy Implications A system-wide approach that addresses confidentiality concerns and removes procedural barriers to PrEP access is recommended to improve PrEP uptake in this population.

scholarly journals Insurance- and medical provider-related barriers and facilitators to staying on PrEP: results from a qualitative study

2020 ◽  
Author(s):  
Alexa B D’Angelo ◽  
Javier Lopez-Rios ◽  
Anthony W P Flynn ◽  
Ian W Holloway ◽  
David W Pantalone ◽  
...  
Keyword(s):  
Qualitative Interviews ◽  
Insurance Coverage ◽  
Gay And Bisexual Men ◽  
Barriers And Facilitators ◽  
Health Clinic ◽  
Bisexual Men ◽  
Medical Provider ◽  
Prep Implementation ◽  
And Bisexual ◽  
Hiv Acquisition

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.

scholarly journals P443 Eligibility for and use of HIV pre-exposure prophylaxis among australian gay and bisexual men over time

2019 ◽  
Author(s):  
Garrett Prestage ◽  
Mohamed Hammoud ◽  
Benjamin Bavinton ◽  
Adam Bourne ◽  
Martin Holt ◽  
...  
Keyword(s):  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
And Bisexual ◽  
Exposure Prophylaxis ◽  
Over Time

scholarly journals Understanding Attachment Transitions Through the Lived Experiences of Young Black Gay and Bisexual Men

2018 ◽  
Vol 56 (4-5) ◽  
pp. 604-619 ◽  
Author(s):  
Stephanie H. Cook ◽  
Pamela Valera ◽  
Erica P. Wood ◽  
Benjamin J. Calebs ◽  
Patrick A. Wilson
Keyword(s):  
Lived Experiences ◽  
Gay And Bisexual Men ◽  
Bisexual Men ◽  
And Bisexual
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