Identification of Determinants and Implementation Strategies to Increase Long-Acting Injectable PrEP for HIV Prevention Among Latino Men Who Have Sex with Men (MSM).
Background: Latino men who have sex with men (LMSM) are disproportionally affected by HIV infections in the USA. The uptake rate of pre-exposure prophylaxis (PrEP) for HIV prevention has remained low among LMSM. Long-acting injectable PrEP (LAI-PrEP) may have the potential to improve structural, beh...
| Publicado en: | Journal of Racial & Ethnic Health Disparities Vol. 11; no. 4; pp. 2093 - 2103 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178402537&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178402537 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 21973792 GQHQ jtl: Journal of Racial & Ethnic Health Disparities issn: 21973792 maglogo: N pubinfo: dt: Aug2024 vid: 11 iid: 4 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 178402537 164452399 178402537 178402537 10.1007/s40615-023-01678-3 178402537 ppf: 2093 ppct: 10 formats: tig: atl: Identification of Determinants and Implementation Strategies to Increase Long-Acting Injectable PrEP for HIV Prevention Among Latino Men Who Have Sex with Men (MSM). aug: au: Zapata, Juan Pablo zamantakis, alithia Queiroz, Artur Acelino Francisco Luz Nunes affil: https://ror.org/000e0be47 Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University Feinberg School of Medicine, 625 N Michigan Ave. 14th Floor, 60611, Chicago, IL, USA sug: subj: HIV Infections Drug Therapy HIV Infections Prevention and Control Pre-Exposure Prophylaxis Delayed-Action Preparations Anti-HIV Agents Administration and Dosage Injections Men Who Have Sex With Men Psychosocial Factors Hispanic Americans Psychosocial Factors Health Services Accessibility Patient Attitudes Program Implementation Attitude of Health Personnel Human Funding Source United States Male Female Adolescence Adult Middle Age Aged Qualitative Studies Implementation Science Semi-Structured Interview Purposive Sample Thematic Analysis Descriptive Statistics Grounded Theory kappa Statistic Health Personnel Psychosocial Factors Audiorecording Content Analysis Emigration and Immigration Legislation and Jurisprudence Fear Insurance, Health Health Information Cultural Deprivation Clinical Competence Health Knowledge Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background: Latino men who have sex with men (LMSM) are disproportionally affected by HIV infections in the USA. The uptake rate of pre-exposure prophylaxis (PrEP) for HIV prevention has remained low among LMSM. Long-acting injectable PrEP (LAI-PrEP) may have the potential to improve structural, behavioral, and cognitive barriers to adherence. Given the potential benefits of LAI-PrEP and the limited data with this population, the aim of our study was to explore experiences and attitudes of LAI-PrEP among LMSM and identify implementation barriers compared to the standard oral presentation, align proposed implementation strategies, and propose outcomes to monitor and assess impact. Methods: In this qualitative study, guided by the Consolidated Framework for Implementation Research, we explored health care providers perspectives on facilitators and barriers to LAI-PrEP implementation strategies for LMSM. Interviews were recorded, transcribed, and analyzed using thematic content analysis. Results: Fear of immigration policies, ability to conceal PrEP medication, health insurance coverage, health information fatigue, lack of culturally adapted information, and provider's lack of knowledge were among the main barriers to LAI-PrEP. Most providers discussed the need for adapted and/or tailored training materials for and suggested designing marketing materials and specific clinical recommendations for LAI-PrEP. Conclusion: In order to ensure an effective adaptation process that encompasses local and national goals of HIV prevention, future interventions should be designed in a way that incorporates culturally relevant information for LMSM. This study provides an implementation research logic model to guide future studies. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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