Facilitators and Barriers of Pre-exposure Prophylaxis (PrEP) Uptake Among Rural Men who have Sex with Men Living in the Midwestern U.S.

Christopher Owens, Randolph D. Hubach, Deana Williams, Eva Voorheis, Jessica Lester, Michael Reece, Brian Dodge

Research output: Contribution to journalArticle

Abstract

Facilitators and barriers of Pre-exposure Prophylaxis (PrEP) uptake have been established in prior studies; however, most of these studies comprise samples of MSM from metropolitan cities and hypothetical PrEP use. There is a dearth of literature on the uptake factors among rural U.S. MSM who are prescribed PrEP. Thirty-four rural Midwestern MSM who currently take PrEP participated in semi-structured telephone interviews about their barriers and facilitators to their PrEP use. Interviews were analyzed using an inductive thematic analysis approach. There were four barriers: (1) lack of rural dissemination of PrEP information, (2) concern about side and adverse effects of using PrEP, (3) cost of PrEP uptake and engagement, and (4) lack of access to PrEP care and PrEP care quality. Individual and social facilitators that participants utilized to overcome these barriers are discussed. Findings elevate the importance of multilevel interventions that address PrEP adoption from a patient, provider, and healthcare system perspective.

Original languageEnglish
Pages (from-to)2179-2191
Number of pages13
JournalArchives of Sexual Behavior
Volume49
Issue number6
DOIs
StateAccepted/In press - 1 Jan 2020

Keywords

  • MSM
  • PrEP
  • Rural
  • Sexual orientation

Fingerprint Dive into the research topics of 'Facilitators and Barriers of Pre-exposure Prophylaxis (PrEP) Uptake Among Rural Men who have Sex with Men Living in the Midwestern U.S.'. Together they form a unique fingerprint.

  • Cite this