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Article: What makes an optimal delivery for PrEP against HIV: A qualitative study in MSM

TitleWhat makes an optimal delivery for PrEP against HIV: A qualitative study in MSM
Authors
KeywordsHIV prevention
implementation science
men who have sex with men
pre-exposure prophylaxis
qualitative analysis
Issue Date2022
Citation
International Journal of STD and AIDS, 2022, v. 33, n. 4, p. 322-329 How to Cite?
AbstractBackground: Pre-exposure prophylaxis (PrEP) is an effective means of HIV prevention for men who have sex with men (MSM), a key population whose engagement is crucial for achieving effective public health outcomes. An optimal service model would be important in planning the implementation of PrEP in places where such service has not been established. Methods: A qualitative study was conducted to delineate the attributes of an optimal PrEP service model for MSM in Hong Kong, a city where no formal PrEP programs existed. Twenty purposively sampled MSM who were enrollees of two pilot PrEP projects participated in the semi-structured interviews promoting story-telling. The coded data were thematically analyzed following Grounded Theory approach, focusing on uncovering a typology of the essential attributes of an optimal PrEP service model, and the reasons for such preferences. Results: Participating MSM were all ethnic Chinese and aged 26 to 52 years. All had received PrEP from pilot projects in conjunction with periodic screening of sexually transmitted infections (STI), HIV antibody, and plasma creatinine. Four major themes emerged as regards the attributes of a preferred PrEP service: (i) comprehensiveness of HIV/STI and safety monitoring; (ii) convenient unitary service; (iii) stigma-free PrEP access and protecting confidentiality; and (iv) affordable price. Whereas regular provision of PrEP was acceptable to MSM, unaffordability and related stigma were the anticipated challenges for potential service providers. Conclusions: The qualitative assessment of MSM’s preference for PrEP service delivery has yielded important information on the many facets of a desirable service model.
Persistent Identifierhttp://hdl.handle.net/10722/324204
ISSN
2023 Impact Factor: 1.4
2023 SCImago Journal Rankings: 0.540
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLau, Janice Y.C.-
dc.contributor.authorWong, Ngai Sze-
dc.contributor.authorLee, Krystal C.K.-
dc.contributor.authorKwan, Tsz Ho-
dc.contributor.authorLui, Grace C.Y.-
dc.contributor.authorChan, Denise P.C.-
dc.contributor.authorLee, Shui Shan-
dc.date.accessioned2023-01-13T03:02:12Z-
dc.date.available2023-01-13T03:02:12Z-
dc.date.issued2022-
dc.identifier.citationInternational Journal of STD and AIDS, 2022, v. 33, n. 4, p. 322-329-
dc.identifier.issn0956-4624-
dc.identifier.urihttp://hdl.handle.net/10722/324204-
dc.description.abstractBackground: Pre-exposure prophylaxis (PrEP) is an effective means of HIV prevention for men who have sex with men (MSM), a key population whose engagement is crucial for achieving effective public health outcomes. An optimal service model would be important in planning the implementation of PrEP in places where such service has not been established. Methods: A qualitative study was conducted to delineate the attributes of an optimal PrEP service model for MSM in Hong Kong, a city where no formal PrEP programs existed. Twenty purposively sampled MSM who were enrollees of two pilot PrEP projects participated in the semi-structured interviews promoting story-telling. The coded data were thematically analyzed following Grounded Theory approach, focusing on uncovering a typology of the essential attributes of an optimal PrEP service model, and the reasons for such preferences. Results: Participating MSM were all ethnic Chinese and aged 26 to 52 years. All had received PrEP from pilot projects in conjunction with periodic screening of sexually transmitted infections (STI), HIV antibody, and plasma creatinine. Four major themes emerged as regards the attributes of a preferred PrEP service: (i) comprehensiveness of HIV/STI and safety monitoring; (ii) convenient unitary service; (iii) stigma-free PrEP access and protecting confidentiality; and (iv) affordable price. Whereas regular provision of PrEP was acceptable to MSM, unaffordability and related stigma were the anticipated challenges for potential service providers. Conclusions: The qualitative assessment of MSM’s preference for PrEP service delivery has yielded important information on the many facets of a desirable service model.-
dc.languageeng-
dc.relation.ispartofInternational Journal of STD and AIDS-
dc.subjectHIV prevention-
dc.subjectimplementation science-
dc.subjectmen who have sex with men-
dc.subjectpre-exposure prophylaxis-
dc.subjectqualitative analysis-
dc.titleWhat makes an optimal delivery for PrEP against HIV: A qualitative study in MSM-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1177/09564624211060824-
dc.identifier.pmid34978228-
dc.identifier.scopuseid_2-s2.0-85122308630-
dc.identifier.volume33-
dc.identifier.issue4-
dc.identifier.spage322-
dc.identifier.epage329-
dc.identifier.eissn1758-1052-
dc.identifier.isiWOS:000739431400001-

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