"Belt and braces approach; added benefit and ... extra reassurance": a multi-stakeholder examination of the challenges to effective provision of pre-exposure prophylaxis (PrEP) for HIV prevention among men who have sex with men (MSM) in Northern and Central England

Pre-exposure prophylaxis (PrEP) involves HIV negative individuals taking antiretroviral drugs to reduce the probability of infection if exposed and is available through the IMPACT trial in England. This study aimed to explore men who have sex with men (MSM) and service provider (SP) perspectives on...

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Publicado en:AIDS Care Vol. 33; no. 6; pp. 736 - 746
Autores principales: Hillis, Alyson, Germain, Jennifer, Hibbert, Matthew Peter, Hope, Vivian, Van Hout, Marie Claire
Formato: critical path research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jun2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2021
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09540121.2021.1871721
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        atl: "Belt and braces approach; added benefit and ... extra reassurance": a multi-stakeholder examination of the challenges to effective provision of pre-exposure prophylaxis (PrEP) for HIV prevention among men who have sex with men (MSM) in Northern and Central England
      aug:
        au:
          Hillis, Alyson
          Germain, Jennifer
          Hibbert, Matthew Peter
          Hope, Vivian
          Van Hout, Marie Claire
        affil: Public Health Institute, Liverpool John Moores University, Liverpool, UK
      sug:
        subj:
          Health Care Delivery Evaluation
          Pre-Exposure Prophylaxis
          HIV Infections Prevention and Control
          Anti-Retroviral Agents Therapeutic Use
          Men Who Have Sex With Men
          Patient Attitudes
          Attitude of Health Personnel
          Health Services Accessibility
          Human
          England
          Urban Areas
          Semi-Structured Interview
          Phenomenological Research
          Thematic Analysis
          Health Personnel
          Health Impact Assessment
          Sexual Health
          Information Resources
          Male
          Male
      ab: Pre-exposure prophylaxis (PrEP) involves HIV negative individuals taking antiretroviral drugs to reduce the probability of infection if exposed and is available through the IMPACT trial in England. This study aimed to explore men who have sex with men (MSM) and service provider (SP) perspectives on provision and accessibility of PrEP in Northern and Central England. Twenty MSM and 25 SPs from four Northern cities and one city in the West Midlands region were recruited for semi-structured interviews (December 2018 to October 2019). Interviews were analysed using Interpretative Phenomenological Analysis (IPA). Three key themes emerged: "Self-sourcing PrEP"; "Service delivery learnings"; and "Impact of using PrEP". Problems with equity of access and accessibility were noted, and recommendations for the future of PrEP programming and equitable service delivery were also presented. The study highlighted divergence in PrEP service experience from patients and providers, with results informing policy, practice and professional training.
      pubtype: Academic Journal
      doctype:
        critical path
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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