Delivering PrEP to adults with “low” or “no” HIV risk and youth: experiences and perspectives of PrEP providers
Year: 2020
Type: article
Abstract: Health care providers have an important role to play in expanding PrEP uptake to populations disproportionately burdened by HIV. In this study, in-depth, semi-structured qualitative interviews were conducted with 20 PrEP providers in Los Angeles, California to explore their experiences and perspectives prescribing PrEP. Overall, the findings indicate that providers generally adhered to US CDC clinical guidelines in determining PrEP eligibility. However, they also identified special considerations with respect to adults with "low" or "no" HIV risk. Three themes were developed from the data related to the delivery of PrEP to such individuals: 1) patients may not disclose sexual behaviours; 2) patient autonomy and agency; and 3) the importance of PrEP in gay male monogamous relationships. Two additional themes were identified related to prescribing PrEP to young people under the age of consent: 4) the need for more PrEP and sexual health education with youth and 5) challenges in providing PrEP to youth without parental consent. Findings highlight the importance of providing PrEP to patients who could potentially benefit from adoption, whether or not they present with clear behavioural indicators for PrEP. Providers should also consider the potential barriers to delivering PrEP to youth to ensure successful adoption among members of this population.
Source: Culture Health & Sexuality
Institution: University of California, Los Angeles
Language: English
Subfield: Infectious Diseases
Field: Medicine
Domain: Health Sciences
Open Access status: green
Awards: G1216408729, California Center for Population Research Training Program, The Influence of PrEP Stigma among Black and Latino MSM PrEP Adopters, G5307297000, Post-doctoral HIV Research Training Program for HIV Combination Prevention, Center for HIV Identification, Prevention and Treatment Services, California Center for Population Research (CCPR) at UCLA
OpenAlex ID: W3089478464