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Factors influencing pre-exposure prophylaxis uptake among current users: A qualitative study
Gloria Aidoo-Frimpong1, Kennethea Wilson1, Sarahmona Przybyla1
1Department of Community Health and Health Behavior. School of Public Health and Health Professions, University at Buffalo, Buffalo, NY, United States.
Journal of HIV/AIDS & Social Services
|July 22, 2021
Summary
Daily oral pre-exposure prophylaxis (PrEP) is effective for HIV prevention. Uptake increased with better knowledge, risk awareness, communication, and access, highlighting the need for multi-level public health interventions.
Area of Science:
- Public Health
- HIV Prevention
- Qualitative Research
Background:
- Daily oral pre-exposure prophylaxis (PrEP) is a key HIV prevention strategy.
- Lower-than-anticipated uptake of PrEP presents a significant public health challenge.
Purpose of the Study:
- To explore factors influencing PrEP initiation among current users in Western New York.
- To identify individual, interpersonal, and structural determinants of PrEP uptake.
Main Methods:
- Qualitative study involving 41 semi-structured interviews.
- Thematic analysis of interview data to identify key themes.
Main Results:
- PrEP initiation was associated with increased knowledge and risk perception.
- Enhanced sexual health communication and improved PrEP access facilitated uptake.
- Individual, interpersonal, and structural factors collectively influenced the decision to start PrEP.
Conclusions:
- Multi-level public health interventions are crucial for maximizing PrEP's HIV prevention potential.
- Addressing barriers at individual, interpersonal, and structural levels can increase PrEP uptake.
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