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  • SAGE Publications  (2)
  • 1
    Online Resource
    Online Resource
    Health Care Providers’ Views on Clinic Infrastructure and Practice Models That May Facilitate HIV Preexposure Prophylaxis (PrEP) Prescribing: A Qualitative Meta-Synthesis
    SAGE Publications ; 2022
    In:  Health Promotion Practice Vol. 23, No. 6 ( 2022-11), p. 999-1014
    Details
    In: Health Promotion Practice, SAGE Publications, Vol. 23, No. 6 ( 2022-11), p. 999-1014
    Abstract: HIV (human immunodeficiency virus) preexposure prophylaxis (PrEP) is an effective biomedical HIV prevention tool. Increasing PrEP use among populations disproportionately affected by HIV is one of the key efforts in the United States’ Ending the HIV Epidemic (EHE) initiative and the HIV National Strategic Plan for the United States. Given that PrEP is available only through prescription, it is important to explore structural, organizational, or environmental factors that could facilitate or impede health care provider’s PrEP prescribing behavior. The purpose of this systematic review (PROSPERO [CRD: 42019138889]) is to identify qualitative studies that addressed this topic and conduct meta-synthesis using the thematic synthesis method to identify major themes on the characteristics of clinic infrastructure or clinic models that providers consider as facilitators of PrEP prescribing in the United States. Eighteen citations representing 15 studies were included in this review. Five overarching themes were identified: (1) routinized HIV risk assessment; (2) interdisciplinary/coordinated PrEP teams or services; (3) clinic capacity to provide essential PrEP-related services; (4) low out-of-pocket patient costs; and (5) access to the priority populations. Some of these themes are consistent with the recommendations of CDC’s PrEP clinical guidelines and the EHE initiative. More recent studies that include perspectives of diverse providers, timely analysis of these studies, and implementation research to assess strategies to address the current practice gaps are needed to further promote PrEP prescribing among providers in the United States.
    Type of Medium: Online Resource
    ISSN: 1524-8399 , 1552-6372
    URL: Article
    DOI: 10.1177/15248399211038364
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 2036801-X
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    Online Resource
  • 2
    Online Resource
    Online Resource
    “We in This Fight Together…”: HIV Treatment and Prevention Among Couples of HIV-Discordant Black and Latino Men Who Have Sex with Men
    SAGE Publications ; 2022
    In:  Journal of Prevention and Health Promotion Vol. 3, No. 4 ( 2022-11), p. 419-444
    Details
    In: Journal of Prevention and Health Promotion, SAGE Publications, Vol. 3, No. 4 ( 2022-11), p. 419-444
    Abstract: HIV-positive Black and Latino men who have sex with men (MSM) have substantial challenges accessing and engaging in HIV care. Findings presented here are an analysis of 14 HIV-discordant couples ( N = 28) from Atlanta, GA; Baltimore, MD; Chicago, IL; Los Angeles, CA; and Washington, DC. One-hour in-depth interviews were conducted. Interviews were analyzed using a qualitative content analysis approach. Most couples reported relationship fears associated with delayed disclosure, HIV care engagement instigated by the HIV-uninfected partner, and varying knowledge and concern about the impacts of HIV infection and risk reduction. Findings suggest an opportunity to jointly educate and treat MSM of color in HIV-discordant relationships to improve engagement in ART and PrEP care and adherence.
    Type of Medium: Online Resource
    ISSN: 2632-0770 , 2632-0789
    URL: Article
    DOI: 10.1177/26320770221074979
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2022
    detail.hit.zdb_id: 3053279-6
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    Online Resource
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