Culturally Competent Sexual Healthcare as a Prerequisite for Obtaining Preexposure Prophylaxis: Findings from a Qualitative Study

LGBT Health
Kevin M MaloneyKenneth H Mayer

Abstract

Men who have sex with men (MSM) experience stigma in healthcare settings, which impedes disclosure of sexual behavior, potentially limiting uptake of preexposure prophylaxis (PrEP). The purpose of this study was to describe the context of this limitation and explore geographical variability. To understand how discomfort in healthcare settings affects PrEP utilization, we conducted two online focus groups with geographically diverse samples of MSM. Respondents identified primary care providers as preferred sources for PrEP, but potential uptake was limited by barriers to establishing nonjudgmental relationships with these providers. Improved patient-provider communication about sexual behaviors might increase PrEP use among MSM.

References

Aug 14, 2010·Sexually Transmitted Diseases·Andrew E Petroll, Katie E Mosack
Nov 26, 2010·The New England Journal of Medicine·Robert M GrantUNKNOWN iPrEx Study Team
Apr 11, 2012·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Dawn K SmithJames W Carey
Jul 24, 2012·Lancet·Patrick S SullivanJorge Sanchez
Sep 14, 2012·Science Translational Medicine·Peter L AndersonUNKNOWN iPrEx Study Team
Aug 14, 2015·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Colleen F KelleyEli S Rosenberg
Sep 4, 2015·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Jonathan E VolkC Bradley Hare

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Citations

Nov 6, 2017·AIDS and Behavior·Grace Chela HallJerris Raiford
Feb 20, 2020·AIDS Education and Prevention : Official Publication of the International Society for AIDS Education·Christopher OwensBrian Dodge
Jul 12, 2019·AIDS and Behavior·Rogério M PintoKathryn R Berringer
Aug 14, 2020·Health & Social Care in the Community·Ruby GrantLouise Owen
Aug 26, 2020·Journal of Homosexuality·Joseph Schwartz, Josh Grimm
Jul 24, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Christina ChandraSamuel M Jenness
Oct 1, 2020·Culture, Health & Sexuality·Ronald A BrooksAnne E Fehrenbacher
May 9, 2019·AIDS Patient Care and STDs·Eric K FarmerDrew W Cates
Feb 1, 2019·Current HIV/AIDS Reports·Rebecca Touger, Brian R Wood
Jan 27, 2021·AIDS Care·Anna-Sophie PlomerChristian Apfelbacher
Jan 8, 2021·Health Sociology Review : the Journal of the Health Section of the Australian Sociological Association·Anthony K J SmithChristy E Newman
Jan 26, 2021·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Fernandos K OngollyGabrielle O'Malley
Apr 10, 2021·International Journal of Behavioral Medicine·Calvin FitchConall O'Cleirigh
Apr 23, 2021·The Journal of the Association of Nurses in AIDS Care : JANAC·Brady D Hanshaw, A Lina Rosengren
Jul 22, 2021·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Afiba Manza-A AgoviJulia L Marcus
Aug 7, 2021·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Adrien Le GuillouSamuel M Jenness

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