Pathways to HIV Pre-exposure Prophylaxis among Women Prescribed PrEP at an Urban Sexual Health Clinic

Connie J. Park; Tonya N. Taylor; Nataly Rios Gutierrez; Barry S. Zingman; Oni J. Blackstock

doi:10.1097/JNC.0000000000000070

Pathways to HIV Pre-exposure Prophylaxis among Women Prescribed PrEP at an Urban Sexual Health Clinic

Connie J. Park, Tonya N. Taylor, Nataly Rios Gutierrez, Barry S. Zingman, Oni J. Blackstock

Medicine

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

Little is known about real-world facilitators of and barriers to pre-exposure prophylaxis (PrEP) uptake among women prescribed PrEP. We sought to characterize the pathway to PrEP uptake and continuation in women prescribed PrEP at an urban sexual health-focused clinic. We conducted semi-structured individual interviews with 14 women from October 2016 to May 2017. Using grounded theory and the constant comparative method, we found that self-perceived HIV risk, learning about PrEP through trusted sources, having positive interactions with PrEP providers, and insurance coverage were facilitators of PrEP uptake and continuation. Concerns about PrEP safety, misinformation about PrEP eligibility and appropriateness, lack of insurance coverage, and pharmacy impediments were key barriers. The confluence of these issues led to PrEP rumination, a process of ongoing deliberation about the benefits and risks of PrEP. These findings provide important insights about how to increase PrEP uptake among women at high risk of HIV infection

Original language	English (US)
Pages (from-to)	321-329
Number of pages	9
Journal	Journal of the Association of Nurses in AIDS Care
Volume	30
Issue number	3
DOIs	https://doi.org/10.1097/JNC.0000000000000070
State	Published - May 1 2019

Keywords

HIV
Pre-exposure prophylaxis
Prevention
Women

ASJC Scopus subject areas

Advanced and Specialized Nursing

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10.1097/JNC.0000000000000070

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title = "Pathways to HIV Pre-exposure Prophylaxis among Women Prescribed PrEP at an Urban Sexual Health Clinic",

abstract = "Little is known about real-world facilitators of and barriers to pre-exposure prophylaxis (PrEP) uptake among women prescribed PrEP. We sought to characterize the pathway to PrEP uptake and continuation in women prescribed PrEP at an urban sexual health-focused clinic. We conducted semi-structured individual interviews with 14 women from October 2016 to May 2017. Using grounded theory and the constant comparative method, we found that self-perceived HIV risk, learning about PrEP through trusted sources, having positive interactions with PrEP providers, and insurance coverage were facilitators of PrEP uptake and continuation. Concerns about PrEP safety, misinformation about PrEP eligibility and appropriateness, lack of insurance coverage, and pharmacy impediments were key barriers. The confluence of these issues led to PrEP rumination, a process of ongoing deliberation about the benefits and risks of PrEP. These findings provide important insights about how to increase PrEP uptake among women at high risk of HIV infection",

keywords = "HIV, Pre-exposure prophylaxis, Prevention, Women",

author = "Park, {Connie J.} and Taylor, {Tonya N.} and Gutierrez, {Nataly Rios} and Zingman, {Barry S.} and Blackstock, {Oni J.}",

note = "Funding Information: O. J. Blackstock was supported by funding from the National Institute of Mental Health under grant K23MH102129 (PI: O. J. Blackstock). The authors would like to thank the study participants, community stakeholders, and staff from the study site. Publisher Copyright: Copyright {\textcopyright} 2019 Association of Nurses in AIDS Care",

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AU - Zingman, Barry S.

AU - Blackstock, Oni J.

N1 - Funding Information: O. J. Blackstock was supported by funding from the National Institute of Mental Health under grant K23MH102129 (PI: O. J. Blackstock). The authors would like to thank the study participants, community stakeholders, and staff from the study site. Publisher Copyright: Copyright © 2019 Association of Nurses in AIDS Care

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N2 - Little is known about real-world facilitators of and barriers to pre-exposure prophylaxis (PrEP) uptake among women prescribed PrEP. We sought to characterize the pathway to PrEP uptake and continuation in women prescribed PrEP at an urban sexual health-focused clinic. We conducted semi-structured individual interviews with 14 women from October 2016 to May 2017. Using grounded theory and the constant comparative method, we found that self-perceived HIV risk, learning about PrEP through trusted sources, having positive interactions with PrEP providers, and insurance coverage were facilitators of PrEP uptake and continuation. Concerns about PrEP safety, misinformation about PrEP eligibility and appropriateness, lack of insurance coverage, and pharmacy impediments were key barriers. The confluence of these issues led to PrEP rumination, a process of ongoing deliberation about the benefits and risks of PrEP. These findings provide important insights about how to increase PrEP uptake among women at high risk of HIV infection

AB - Little is known about real-world facilitators of and barriers to pre-exposure prophylaxis (PrEP) uptake among women prescribed PrEP. We sought to characterize the pathway to PrEP uptake and continuation in women prescribed PrEP at an urban sexual health-focused clinic. We conducted semi-structured individual interviews with 14 women from October 2016 to May 2017. Using grounded theory and the constant comparative method, we found that self-perceived HIV risk, learning about PrEP through trusted sources, having positive interactions with PrEP providers, and insurance coverage were facilitators of PrEP uptake and continuation. Concerns about PrEP safety, misinformation about PrEP eligibility and appropriateness, lack of insurance coverage, and pharmacy impediments were key barriers. The confluence of these issues led to PrEP rumination, a process of ongoing deliberation about the benefits and risks of PrEP. These findings provide important insights about how to increase PrEP uptake among women at high risk of HIV infection

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Pathways to HIV Pre-exposure Prophylaxis among Women Prescribed PrEP at an Urban Sexual Health Clinic

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Keywords

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