PrEP Navigator Perceptions of the Implementation of Injectable PrEP on HIV Prevention in Tennessee
Bibliographic Data
| ID | 15507633 |
|---|---|
| Authors | Cristian J Chandler (0000-0003-1770-4357, Vanderbilt University Medical Center, corresponding author), David G Schlundt (0000-0001-7069-9644, Vanderbilt University), Chloe Dagostino (Vanderbilt University), Kemberlee Bonnet (0000-0003-4046-3408, Vanderbilt University), A Sellers (0009-0002-7453-696X, Vanderbilt University), Lindsey Sizemore (0000-0002-2035-8267, University of Memphis), Leah Alexander (Meharry Medical College), Leah R Alexander (Meharry Medical College) |
| Year | 2025 |
| Volume | 22 |
| Issue | 5 |
| Pages | 662-662 |
| Publication date | 2025-04-23 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph22050662 |
| PMID | 40427779 |
| OpenAlex | W4409706994 |
| Language | EN |
| References cited | 49 |
Tennessee is in the southern region of the United States and has not yet fully benefitted from HIV pre-exposure prophylaxis (PrEP). Relatively little research has focused on pivotal roles of PrEP navigators. This study examined PrEP navigator perceptions of implementing long-acting injectable (LAI) PrEP in Tennessee. Semi-structured interviews with state-funded navigators were audio-recorded, transcribed, and systematically coded using a hierarchical system. Coded transcripts were aggregated, sorted, and analyzed using an iterative inductive/deductive qualitative approach. Using the Consolidated Framework for Implementation Research (CFIR), institutional, individual, and modifying factors to initiating and transitioning to LAI PrEP were identified. Most navigators initially had limited training and experience with LAI PrEP. Navigators reported systemic barriers associated with accessibility to LAI PrEP such as health insurance, pharmaceutical policies, and cost policies. While navigators noted the continued support of the state health department, strategies for circumventing individual and structural barriers are needed for universally implementing injectable PrEP
Family medicine · Human immunodeficiency virus (HIV · Implementation research · Medical education · Men who have sex with men · Pre-exposure prophylaxis · Psychological intervention · Qualitative research · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Homelessness and Social Issues · Medicine · Nursing
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Social, structural, behavioral and clinical factors influencing retention in Pre-Exposure Prophylaxis (PrEP) care in Mississippi
A systematic review of the use of the Consolidated Framework for Implementation Research
Implementation Strategies to Increase PrEP Uptake in the South
PrEP Stigma
The PrEP Care Continuum and Black Men Who Have Sex with Men
Fostering implementation of health services research findings into practice
Consolidated criteria for reporting qualitative research (Coreq)
Access to PrEP and other sexual health services for cisgender women in the United States
‘PrEP’ing Memphis
“Do I want PrEP or do I want a roof?”
Barriers and Facilitators to Acceptability and Uptake of Pre-Exposure Prophylaxis (PrEP) Among Black Women in the United States
Let Me Prep You to PREP Me
Facilitators and Barriers to Pre-Exposure Prophylaxis (PrEP) Use Among Black Individuals in the United States
From Epidemiology to Action
Temporal Trends and Sociodemographic Correlates of PrEP Uptake in Tennessee, 2017
Impact of Medicaid Expansion on PrEP Utilization in the US
Acceptability of Long-Acting Injectable Cabotegravir (CAB LA) in HIV-Uninfected Individuals
Preferences for HIV Preexposure Prophylaxis Products Among Black Women in the U.S
Will Gay and Bisexual Men Taking Oral Pre-exposure Prophylaxis (PrEP) Switch to Long-Acting Injectable PrEP Should It Become Available
Associated Costs Are a Barrier to HIV Preexposure Prophylaxis Access in the United States
Qualitative research
Demonstrating Rigor Using Thematic Analysis
HIV and Hepatitis C Among People Who Inject Drugs in Memphis, Tennessee
| Citation velocity | historical |
|---|---|
| Highly cited | No |