“I Don't Need PrEP Right Now”: A Qualitative Exploration of the Barriers to PrEP Care Engagement Through the Application of the Health Belief Model

Felsher, Marisa; Szep, Zsofia; Krakower, Douglas S.; Martínez-Donate, Ana P.; Tran, Nguyen K

doi:10.1521/aeap.2018.30.5.369

Cited by 35 publications

(15 citation statements)

References 21 publications

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“…At the individual level, there are simple logistical constraints to accessing PrEP, exacerbated by socioeconomic inequalities. For example, individuals may experience difficulty in getting to the clinic [74] due to lack of transportation [46] or time constraints [75,76]. A 2016 National Survey on HIV in the Black community found that 38% of 787 participants were more than one hour's drive from a PrEP provider.…”

Section: Lack Of Access To Medical Care As a Barrier To Prep Uptakementioning

confidence: 99%

Barriers to the Wider Use of Pre-exposure Prophylaxis in the United States: A Narrative Review

2020

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Antiretroviral pre-exposure prophylaxis (PrEP) to prevent HIV transmission was first approved by the US Food and Drug Administration in 2012. Despite correlations of decreases in new HIV infections being greatest where PrEP has been deployed, the uptake of PrEP is lagging, particularly among populations with disproportionate HIV burden. This narrative review seeks to identify individual and systemic barriers to PrEP usage in the USA. A comprehensive search of recent literature uncovered a complex array of structural, social, clinical, and behavioral barriers, including knowledge/awareness of PrEP, perception of HIV risk, stigma from healthcare providers or family/partners/friends, distrust of healthcare providers/systems, access to PrEP, costs of PrEP, and concerns around PrEP side effects/medication interactions. Importantly, these barriers may have different effects on specific populations at risk. The full potential of PrEP for HIV prevention will not be realized until these issues are addressed. Strategies to achieve this goal should include educational interventions, innovative approaches to delivery of HIV care, financial support, and destigmatization of PrEP and PrEP users. Until then, PrEP uptake will continue to be suboptimal, particularly among those who need it most.

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Section: Lack Of Access To Medical Care As a Barrier To Prep Uptakementioning

confidence: 99%

Barriers to the Wider Use of Pre-exposure Prophylaxis in the United States: A Narrative Review

2020

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“…74,92,93,97 PWID attending SSPs report greater awareness of PrEP, suggesting that SSPs provide an effective avenue for increasing PrEP awareness and utilization. [83][84][85]98 Several studies have found that PWID prefer accessing PrEP at SSPs where there may be less stigma and greater comfort, and colocation could reduce the burden of additional clinical visits. [83][84][85][86]89 Providers also prefer service colocation, which could include placing PrEP providers within an SSP or allowing standing PrEP orders for PWID at SSPs.…”

Section: Role Of Syringe Services Programs In Hiv Testingmentioning

confidence: 99%

Syringe Services Programs’ Role in Ending the HIV Epidemic in the U.S.: Why We Cannot Do It Without Them

Broz

Carnes

Chapin-Bardales

et al. 2021

American Journal of Preventive Medicine

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“…Our study was guided by the Health Belief Model (HBM) [36,37]. This framework understands that a behavior (e.g., using PrEP) is affected by several interacting factors including the perceptions of threat and benefit, cues to action, and the person's own sense of capacity to perform the behavior.…”

Section: Theoretical Frameworkmentioning

confidence: 99%

The pre-exposure prophylaxis (PrEP) consciousness of black college women and the perceived hesitancy of public health institutions to curtail HIV in black women

et al. 2020

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Background: Consistent use of Pre-Exposure Prophylaxis (PrEP), a biomedical intervention for HIV seronegative persons, has been shown to significantly decrease HIV acquisition. Black women are a viable population segment to consider for PrEP use as their HIV incidence is overwhelmingly higher than all other women groups. Methods: We developed and piloted a cultural-and age-appropriate PrEP education intervention to determine Black college women's: 1) perceptions of and receptivity to PrEP use; and 2) preferences for PrEP information delivery. Results: We recruited N = 43 Black college women. Most of our sample were sophomore and Juniors of whom identified as heterosexual (83%) and single (67%). Over 50% of young women had never been HIV tested and only 28% had been tested in the last 6 months; however, 100% of the women believed their HIV status was negative. Prior to participating in the study, most Black college women (67%) had not heard about PrEP and were unsure or apprehensive (72%) to initiate PrEP. The Black college women indicated that our educational intervention was extremely helpful (67%) for understanding and learning about PrEP. Post participating in our PrEP education module, regardless of delivery modality, participants reported being likely (62.55-70%) to initiate PrEP in the future. Conclusions: Results indicate that Black college women would strongly consider PrEP when provided with basic knowledge, regardless of delivery modality. Participants also showed greater appreciation for in-person delivery and found it to be significantly more helpful and of greater quality for learning about PrEP; comprehension or perceived usefulness of PrEP-related content was relatively the same between groups. PrEP content delivery-via in-person or online methodsis contingent on learning style and presentation. Trial registration: This study has been registered under the ISRCTN Registry as of July 6, 2020. The trial registration number is ISRCTN14792715. This study was retrospectively registered.

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“I Don't Need PrEP Right Now”: A Qualitative Exploration of the Barriers to PrEP Care Engagement Through the Application of the Health Belief Model

Cited by 35 publications

References 21 publications

Barriers to the Wider Use of Pre-exposure Prophylaxis in the United States: A Narrative Review

Barriers to the Wider Use of Pre-exposure Prophylaxis in the United States: A Narrative Review

Syringe Services Programs’ Role in Ending the HIV Epidemic in the U.S.: Why We Cannot Do It Without Them

The pre-exposure prophylaxis (PrEP) consciousness of black college women and the perceived hesitancy of public health institutions to curtail HIV in black women

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