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Delivering PrEP to adults with “low” or “no” HIV risk and youth

Experiences and perspectives of PrEP providers

Datos Bibliográficos

ID15098072
AutoresRonald A Brooks (0000-0002-1928-3720, University of California System, autor de correspondencia), Omar Nieto (0000-0003-1196-6874, University of California System), Alejandra Cabral (University of California System), Amanda Landrian (0000-0002-7171-5949, University of California System), Anne E Fehrenbacher (0000-0002-0880-2660, University of California System)
Año2022
Volumen24
Número1
Páginas95-108
Fecha de publicación2022-01-04
Open AccessNo
TipoARTICLE
RevistaCulture Health & Sexuality (JOURNAL)
Identificadores de la revistaISSN: 1369-1058 • E-ISSN: 1464-5351
EditorialInforma UK Limited (PUBLISHER • GB)
DOI10.1080/13691058.2020.1817560
PMID32996431
OpenAlexW3089478464
IdiomaEN
Citas recibidas3
Referencias citadas27

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

Alternative medicine · Autonomy · Environmental health · Family medicine · Health care · Informed consent · Men who have sex with men · Political science · Population · Pre-exposure prophylaxis · Qualitative research · Sociology · Adolescent Sexual and Reproductive Health · HIV/AIDS Research and Interventions · Medicine · Psychology · Sex work and related issues

  • PrEP Disparities Among Transgender Feminine, Transgender Masculine, Nonbinary, and Gender Expansive Youth and Young Adults in the United States

    Open Access•Anne E Fehrenbacher, Demetria Cain et al.•AIDS and Behavior•2025

  • Blending de-implementation and implementation to promote adoption of universal PrEP guidelines

    Open Access•Jahn Jaramillo, Tyler S Bartholomew et al.•Critical Public Health•2025

  • Provider Perspectives on Multi-level Barriers and Facilitators to PrEP Access Among Latinx Sexual and Gender Minorities

    Open Access•Walter Gómez, Anne M Gomez et al.•Journal of Racial and Ethnic…•2025

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    Michael C Thigpen, Poloko Kebaabetswe et al.•New England Journal of Medicine•2012

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    Kyle T Bernstein•A.M.A. Archives of Internal…•2008

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  • I am not a man’

    Open Access•Jae Sevelius, Joanne Keatley et al.•Global Public Health•2016

  • Experiences of Anticipated and Enacted Pre-exposure Prophylaxis (PrEP) Stigma Among Latino MSM in Los Angeles

    Open Access•Ronald A Brooks, Amanda Landrian et al.•AIDS and Behavior•2019

  • Unprotected Sexual Behavior and HIV Risk in the Context of Primary Partnerships for Transgender Women

    Open Access•Don Operario, Tooru Nemoto et al.•AIDS and Behavior•2010

  • Triply cursed’

    Emily A Arnold, Greg Rebchook et al.•Culture Health & Sexuality•2014

  • It's really a hard life’

    Rita M Melendez, Rolando Morel Pinto et al.•Culture Health & Sexuality•2007

  • Experiences of Pre-Exposure Prophylaxis (PrEP)–Related Stigma among Black MSM PrEP Users in Los Angeles

    Open Access•Ronald A Brooks, Omar Nieto et al.•Journal of Urban Health•2019

  • Integrating HIV Preexposure Prophylaxis (PrEP) Into Routine Preventive Health Care to Avoid Exacerbating Disparities

    Sarah K Calabrese, Douglas S Krakower et al.•American Journal of Public Health•2017

  • Social Support, Exposure to Violence and Transphobia, and Correlates of Depression Among Male-to-Female Transgender Women With a History of Sex Work

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Citas por año3
Intervalo de citas2025 - 2025 (1)
Altamente citadoNo
Abrir DOIOpen Access
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