Abstract
This qualitative study explored the acceptability of HIV pre-exposure prophylaxis (PrEP) among MSM in India, and identified facilitators and barriers to future PrEP uptake. In 2014, we conducted 10 focus groups (n=61) among a purposive sample of diverse MSM recruited through community-based organizations in Chennai and Mumbai, and 10 key informant interviews with community leaders and health care providers. Participants' mean age was 26.1 years (SD 4.8); 62% completed secondary education, and 42% engaged in sex work. No focus group participants had heard of PrEP, but once explained, most reported they would likely use it. PrEP was alternately perceived as a 'back-up plan', a condom substitute, or a burden with concurrent condom use. Facilitators were potential for covert use, sex without condoms, and anxiety-less sex. Potential barriers emerged around stigma associated with PrEP use, fear of disclosures to one's family, wife, or male steady partner, and being labeled as HIV-positive or promiscuous by peers. Preferences emerged for intermittent rather than daily PrEP use, injectable PrEP, and free or subsidized access through community organizations or government hospitals. Key informants expressed additional concerns about risk...Continue Reading
References
Aug 10, 2007·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Venkatesan ChakrapaniFredrick Melwin
May 8, 2008·PloS One·Debby C J VissersSake J de Vlas
May 20, 2008·Culture, Health & Sexuality·Venkatesan ChakrapaniMurali Shunmugam
Nov 26, 2010·The New England Journal of Medicine·Robert M GrantUNKNOWN iPrEx Study Team
Jun 2, 2011·AIDS and Behavior·Michael R WoodfordLisa Kakinami
Jan 17, 2012·PloS One·Andreas B EisingerichPeter K Piot
Mar 1, 2012·International Journal of STD & AIDS·S McCormackUNKNOWN British Association for Sexual Health and HIV
Jul 5, 2012·BMJ Open·Ana WheelockPeter Piot
Sep 14, 2012·Science Translational Medicine·Peter L AndersonUNKNOWN iPrEx Study Team
Oct 20, 2012·AIDS and Behavior·Elisabeth Maria Van der ElstEduard Joachim Sanders
Nov 28, 2012·Implementation Science : IS·Gabriel R GalindoEmily A Arnold
Sep 1, 2011·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Shalini Bharat
Dec 21, 2012·AIDS Care·Arunrat TangmunkongvorakulRobert Grant
Feb 22, 2013·AIDS Patient Care and STDs·Yan ZhangAilong Huang
Jun 21, 2013·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Jeremy Sugarman, Kenneth H Mayer
Jun 21, 2013·Culture, Health & Sexuality·Venkatesan ChakrapaniAshok Row Kavi
Oct 12, 2013·PloS One·Daniel YangSuwat Chariyalertsak
Oct 15, 2013·Sexual Health·Nomita ChandhiokRaman Gangakhedkar
Feb 5, 2014·Lancet·Tony Kirby, Michelle Thornber-Dunwell
Mar 8, 2014·AIDS Patient Care and STDs·Catherine E OldenburgMatthew J Mimiaga
Jun 14, 2014·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·K Rivet Amico, Michael J Stirratt
Jul 30, 2014·The Lancet Infectious Diseases·Robert M GrantUNKNOWN iPrEx study team
Aug 19, 2014·PloS One·Malika SharmaDarrell H S Tan
Dec 17, 2014·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Stephanie E CohenAlbert Y Liu
Jan 27, 2015·AIDS and Behavior·Jill BlumenthalUNKNOWN CCTG 598 Team
Feb 13, 2015·Drugs·Douglas S Krakower, Kenneth H Mayer
Mar 1, 2015·Journal of the International AIDS Society·Rachel BaggaleyAnita Krug
Apr 17, 2015·Drugs of Today·X Rabasseda
Citations
Apr 29, 2016·The Indian Journal of Medical Research·Kenneth H MayerBeena Thomas
Mar 4, 2017·PloS One·Ian RossRupa R Patel
Nov 20, 2016·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Susanne Doblecki-LewisMichael A Kolber
Nov 28, 2017·HIV Medicine·C K UthappaV V Yeldandi
Jul 12, 2017·Journal of the International AIDS Society·Siyan YiGitau Mburu
Nov 10, 2017·AIDS and Behavior·Alex Carballo-DiéguezUNKNOWN MTN-017 Protocol Team
Nov 23, 2017·Cadernos de saúde pública·Artur Acelino Francisco Luz Nunes Queiroz, Alvaro Francisco Lopes de Sousa
Jun 22, 2018·PloS One·Xia WangWang Zhou
Dec 1, 2017·AIDS Patient Care and STDs·Daniel GraceDarrell H S Tan
Jan 13, 2018·Archives of Sexual Behavior·Kristen UnderhillKenneth H Mayer
Aug 5, 2017·Journal of Clinical Nursing·Kellie Freeborn, Carmen J Portillo
Aug 25, 2018·International Journal of STD & AIDS·Zhi-Wei ZhengChun Hao
Aug 23, 2019·PloS One·Rudy PatrickHeather A Pines
Jan 18, 2020·AIDS Patient Care and STDs·Venkatesan ChakrapaniPeter A Newman
Oct 28, 2019·Medicine·Anthony Idowu AjayiDaniel Ter Goon
Sep 14, 2017·PloS One·Sin How LimIskandar Azwa
Mar 29, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Pooyan KazemianKenneth A Freedberg
Jul 1, 2020·Journal of the International AIDS Society·Janice Yc LauShui-Shan Lee
Feb 9, 2017·AIDS and Behavior·Peng PengLei Zhang
Mar 28, 2019·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Chen Seong WongMark I Chen
Aug 21, 2020·BMC Public Health·Carin AhouadaMichel Alary
Feb 9, 2017·AIDS Patient Care and STDs·Anthony S DiStefano, Makiko Takeda
Apr 11, 2019·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Deng-Min Chuang, Peter A Newman
Feb 6, 2017·AIDS Care·Tarandeep AnandNittaya Phanuphak
Jul 8, 2019·AIDS and Behavior·Lu XieKathrine Meyers
Dec 15, 2016·Journal of the International AIDS Society·Rena C PatelJoelle M Brown
Feb 18, 2021·PloS One·Nrupa JaniNanlesta Pilgrim
Feb 26, 2021·PloS One·Ashwin BelludiGregory M Lucas
Feb 27, 2021·Sexual Health·Rena JanamnuaysookReshmie Ashmanie Ramautarsing
Feb 27, 2021·Sexual Health·Partha HaldarR Steen
Feb 23, 2021·AIDS Care·Venkatesan ChakrapaniSuchon Tepjan
Mar 2, 2021·Transgender Health·Jonathan M GalkaJeffrey A Wickersham
Apr 6, 2021·AIDS and Behavior·Venkatesan ChakrapaniRiccardo Scarpa
May 26, 2021·BMC Infectious Diseases·Long Hoang NguyenSusanne Strömdahl
Jul 20, 2021·JAMA Pediatrics·Lauren S H ChongAllison Tong
Aug 21, 2021·Transgender Health·Venkatesan ChakrapaniSonal Mehta