Beyond HIV prevention: a qualitative study of patient-reported outcomes of PrEP among MSM patients in two public STD clinics in Baltimore.
Cui YangNandita KrishnanEarl KelleyJaidence DawkinsOmolola AkoloRashaunna ReddAyodeji OlawaleCommia Max-BrowneLuke JohnsenCarl A LatkinKathleen R PageMelissa Davey-RothwellPublished in: AIDS care (2019)
Pre-exposure prophylaxis (PrEP) could have a substantial impact on the HIV epidemic within the US. However, the implementation of PrEP interventions outside of clinical trials has been slow and faces considerable barriers. The aim of the current study was to qualitatively explore PrEP-related patient-reported outcomes (PRO) among MSM patients who enrolled in a PrEP program at two public STD clinics in Baltimore. We conducted in-depth interviews with 18 PrEP patients who self-identified as MSM at two Baltimore City Health Department STD clinics between March and November, 2017. A codebook was developed using an iterative process. During analysis, the study team identified various biomedical and psychosocial PrEP-related PRO among MSM PrEP patients. In addition to HIV prevention, PrEP-related PRO included greater peace of mind, better continuity in care and awareness about health and well-being, relationship solidarity with serodiscordant partners, and access to social services. These findings on PrEP-related PRO can potentially contribute to improving patient-provider communication, leading to increased engagement in care and uptake of PrEP by MSM.
Keyphrases
- men who have sex with men
- hiv testing
- hiv positive
- patient reported outcomes
- healthcare
- primary care
- mental health
- end stage renal disease
- clinical trial
- quality improvement
- public health
- chronic kidney disease
- palliative care
- prognostic factors
- ejection fraction
- anti inflammatory
- peritoneal dialysis
- magnetic resonance imaging
- optical coherence tomography
- case report
- pain management
- antiretroviral therapy
- climate change
- risk assessment
- patient reported
- image quality