TY - JOUR
T1 - Barriers to access and adoption of pre-exposure prophylaxis for the prevention of HIV among men who have sex with men (MSM) in a relatively rural state
AU - Hubach, Randolph D.
AU - Currin, Joseph M.
AU - Sanders, Carissa A.
AU - Durham, André R.
AU - Kavanaugh, Katherine E.
AU - Wheeler, Denna L.
AU - Croff, Julie M.
N1 - Funding Information:
Randolph D. Hubach, Joseph M. Currin, Carissa A. Sanders, Katherine E. Kavanaugh, and Julie M. Croff are affiliated with the School of Community Health Sciences, Counseling, and Counseling Psychology, Oklahoma State University, Stillwater, Oklahoma. André R. Durham is affiliated with the School of Educational Foundations, Leadership, and Aviation, Oklahoma State University. Denna L. Wheeler is affiliated with the Center for Rural Health, Center for Health Sciences, Oklahoma State University, Tulsa, Oklahoma. The research results discussed in this publication were made possible in total or part by funding though the award from Project number HR16-022, from the Oklahoma Center for Advancement of Science and Technology. Address correspondence to Randolph D. Hubach, School of Community Health Sciences, Counseling, and Counseling Psychology, Oklahoma State University, 434 Willard Hall, Stillwater, OK 74078. E-mail: Randolph.Hubach@okstate.edu
Publisher Copyright:
© 2017 The Guilford Press.
PY - 2017
Y1 - 2017
N2 - Biomedical intervention approaches, including antiretroviral pre-exposure prophylaxis (PrEP), have been demonstrated to reduce HIV incidence among several at-risk populations and to be cost effective. However, there is limited understanding of PrEP access and uptake among men who have sex with men (MSM) residing in relatively rural states. Twenty semistructured interviews were conducted (August–November 2016) to assess opinions of and perceived barriers to accessing and adopting PrEP among MSM residing in Oklahoma. Participants perceived substantial barriers to accessing PrEP including a stigmatizing environment and less access to quality, LGBT-sensitive medical care. Overall, geographic isolation limits access to health providers and resources that support sexual health for Oklahoma MSM. Addressing stigma situated across ecological levels in an effort to increase adoption of PrEP by MSM residing in rural states remains necessary. Without this, social determinants may continue to negatively influence PrEP adoption and sexual health outcomes.
AB - Biomedical intervention approaches, including antiretroviral pre-exposure prophylaxis (PrEP), have been demonstrated to reduce HIV incidence among several at-risk populations and to be cost effective. However, there is limited understanding of PrEP access and uptake among men who have sex with men (MSM) residing in relatively rural states. Twenty semistructured interviews were conducted (August–November 2016) to assess opinions of and perceived barriers to accessing and adopting PrEP among MSM residing in Oklahoma. Participants perceived substantial barriers to accessing PrEP including a stigmatizing environment and less access to quality, LGBT-sensitive medical care. Overall, geographic isolation limits access to health providers and resources that support sexual health for Oklahoma MSM. Addressing stigma situated across ecological levels in an effort to increase adoption of PrEP by MSM residing in rural states remains necessary. Without this, social determinants may continue to negatively influence PrEP adoption and sexual health outcomes.
UR - http://www.scopus.com/inward/record.url?scp=85028016869&partnerID=8YFLogxK
U2 - 10.1521/aeap.2017.29.4.315
DO - 10.1521/aeap.2017.29.4.315
M3 - Article
C2 - 28825858
AN - SCOPUS:85028016869
SN - 0899-9546
VL - 29
SP - 315
EP - 329
JO - AIDS Education and Prevention
JF - AIDS Education and Prevention
IS - 4
ER -