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Beyond HIV prevention: a qualitative study of patient-reported outcomes of PrEP among MSM patients in two public STD clinics in Baltimore.

Authors
  • Yang, Cui1
  • Krishnan, Nandita1
  • Kelley, Earl2
  • Dawkins, Jaidence2
  • Akolo, Omolola2
  • Redd, Rashaunna2
  • Olawale, Ayodeji3
  • Max-Browne, Commia2
  • Johnsen, Luke2
  • Latkin, Carl1
  • Page, Kathleen R2, 3
  • Davey-Rothwell, Melissa1
  • 1 Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
  • 2 Baltimore City Health Department, Baltimore, MD, USA.
  • 3 School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Type
Published Article
Journal
AIDS care
Publication Date
Feb 01, 2020
Volume
32
Issue
2
Pages
238–241
Identifiers
DOI: 10.1080/09540121.2019.1622639
PMID: 31146549
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Pre-exposure prophylaxis (PrEP) could have a substantial impact on the HIV epidemic within the US. However, the implementation of PrEP interventions outside of clinical trials has been slow and faces considerable barriers. The aim of the current study was to qualitatively explore PrEP-related patient-reported outcomes (PRO) among MSM patients who enrolled in a PrEP program at two public STD clinics in Baltimore. We conducted in-depth interviews with 18 PrEP patients who self-identified as MSM at two Baltimore City Health Department STD clinics between March and November, 2017. A codebook was developed using an iterative process. During analysis, the study team identified various biomedical and psychosocial PrEP-related PRO among MSM PrEP patients. In addition to HIV prevention, PrEP-related PRO included greater peace of mind, better continuity in care and awareness about health and well-being, relationship solidarity with serodiscordant partners, and access to social services. These findings on PrEP-related PRO can potentially contribute to improving patient-provider communication, leading to increased engagement in care and uptake of PrEP by MSM.

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