What Predicts a Clinical Discussion About PrEP? Results From Analysis of a U.S. National Cohort of HIV-Vulnerable Sexual and Gender Minorities

Pedro B. Carneiro, Victoria Frye, Chloe Mirzayi, Viraj V. Patel, David Lounsbury, Terry T.K. Huang, Nasim Sabounchi, Christian Grov

Research output: Contribution to journalArticlepeer-review

Abstract

HIV-outcome inequities remain prevalent in the U.S. Medical providers (MPs) are gatekeepers of PrEP, and understanding the dynamics of PrEP assessments is of major interest for public health. We analyzed data from Together 5000, an internet-based U.S. national cohort of sexual and gender minority (SGM) individuals aged 16-49 years and at risk for HIV. Among those eligible for PrEP uptake (n = 6264), we modeled predictors of discussing PrEP with an MP. A third (31%) of participants had spoken to a MP about PrEP. Among those who spoke to a MP, 45% suggested they would initiate PrEP; this outcome was more common among participants older than 24. With a persistent stagnant uptake nationwide, new opportunities to influence PrEP uptake must be explored. An attractive less targeted space is the medical office, specifically ways to support an initial and continued discussion about PrEP between MPs and their patients.

Original languageEnglish (US)
Pages (from-to)195-208
Number of pages14
JournalAIDS Education and Prevention
Volume34
Issue number3
DOIs
StatePublished - Jun 1 2022

Keywords

  • HIV prevention
  • PrEP assessment
  • PrEP uptake
  • provider communication

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health
  • Infectious Diseases

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