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Developing a Theory-Based Instrument for Pre-Exposure Prophylaxis (PrEP) Uptake in People of Color Using a

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  • 1Department of Social and Behavioral Health, School of Public Health, University of Nevada, Las Vegas, NV 89119, USA.

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Summary
This summary is machine-generated.

This study developed a survey to understand barriers to Pre-exposure Prophylaxis (PrEP) use in communities of color. Findings highlight cost, stigma, and partner trust as key issues impacting PrEP uptake.

Keywords:
Multi-theory ModelPre-exposure Prophylaxis (PrEP)communities of color

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Area of Science:

  • Public Health
  • Health Behavior Change
  • Qualitative Research

Background:

  • Significant disparities exist in Pre-exposure Prophylaxis (PrEP) utilization between communities of color and White Americans.
  • A need exists for theory-based survey instruments to explore reasons for these disparities in communities of color.

Purpose of the Study:

  • To develop a theory-based survey instrument to measure barriers and facilitators of PrEP utilization.
  • To inform interventions aimed at increasing PrEP uptake in underserved populations.

Main Methods:

  • Qualitative study employing semi-structured interviews with 12 members from communities of color.
  • Interviews were guided by the Multi-theory Model (MTM) of health behavior change.
  • Directed content analysis was used to identify themes and develop survey items.

Main Results:

  • Identified barriers include PrEP cost, lack of protection against other STIs, partner mistrust, and PrEP stigma.
  • Perceived disadvantages encompass PrEP cost, partner mistrust, discussing sexual behaviors with providers, and unclear prescription processes.
  • Results informed the creation of a survey tool assessing cost, partner relations, stigma, and safety.

Conclusions:

  • The developed survey tool can be utilized in future research to investigate factors influencing PrEP uptake.
  • Findings provide a foundation for designing targeted interventions to address PrEP disparities.
  • Understanding community-specific barriers is crucial for equitable PrEP access and utilization.