@article{54b6c0e7f14343d8a5ab651359675c90,
title = "Exploring the pre-exposure prophylaxis (Prep) health care experiences among men who have sex with men (msm) who live in rural areas of the midwest",
abstract = "Most pre-exposure prophylaxis (PrEP) research samples men who have sex with men (MSM) who live in metropolitan cities. There is a limited understanding of the PrEP experiences among rural MSM. Thirty-four semi-structured interviews were conducted to explore the PrEP health care experiences among 34 rural Midwestern MSM. Of the 34 participants, 23 obtained PrEP from their non–primary care provider (PCP). Three themes were present: (1) PrEP is unavailable in rural areas, (2) PrEP is inaccessible in rural areas due to PCPs being unwilling to prescribe PrEP, and (3) PrEP services are unamicable in rural areas due to stigmatizing attitudes and behaviors of PCPs. It is important to address PrEP care continuum factors in all settings; however, these factors are often exacerbated in rural areas due to social determinants. Without further research and programming, organizational and social determinants may contribute to lower rates of PrEP outcomes in rural areas.",
keywords = "Health care, MSM, Midwest, PrEP, Qualitative, Rural",
author = "Christopher Owens and Hubach, {Randolph D.} and Deana Williams and Jessica Lester and Michael Reece and Brian Dodge",
note = "Funding Information: Christopher Owens, MPH, Deana Williams, MPH, and Brian Dodge, PhD, MS, are affiliated with the Center for Sexual Health Promotion, School of Public Health-Bloomington, Indiana University, Bloomington, Indiana. Randolph D. Hubach, PhD, MPH, is affiliated with the Center for Rural Health, Center for Health Sciences, Oklahoma State University, Tulsa, Oklahoma. Jessica Lester, PhD, MEd, is affiliated with the Department of Counseling and Educational Psychology, School of Education, Indiana University, Bloomington, Indiana. Michael Reece, PhD, MPH, is affiliated with the Department of Social and Public Health, College of Health Sciences and Professions, Ohio State University, Athens, Ohio. This study was funded by a grant from the Center for Sexual Health Promotion at Indiana University. We thank our transcribers: Megan Hess, Kody Sexton, and Eva Voorheis. We are appreciative to our recruitment contacts who shared the study, as well as to our participants who participated in the study. Address correspondence to Christopher Owens, Center for Sexual Health Promotion, Indiana University School of Public Health-Bloomington, 1025 E. 7th St., Bloomington, IN 47405. E-mail: owenscr@ indiana.edu Publisher Copyright: {\textcopyright} 2020 The Guilford Press.",
year = "2020",
doi = "10.1521/aeap.2020.32.1.51",
language = "English",
volume = "32",
pages = "51--66",
journal = "AIDS Education and Prevention",
issn = "0899-9546",
publisher = "Guilford Publications",
number = "1",
}