From Efficacy to Effectiveness: Facilitators and Barriers to PrEP Acceptability and Motivations for Adherence Among MSM and Transgender Women in New York City

• DOI: 10.1089/apc.2012.0419
• Publication Date: 2013-04-08T11:44:58Z
• Authors: Sarit A. Golub; Kristi E. Gamarel; H. Jonathon Rendina; Anthony Surace; Corina L. Lelutiu...
• Keywords: Facilitator; Pre-exposure prophylaxis

This study examined potential facilitators and barriers to pre-exposure prophylaxis (PrEP) use their association with PrEP acceptability motivations for adherence among 184 MSM transgender women living in New York City. Participants were presented educational information about completed a computerized survey. Overall, 55.4% of participants reported willingness take PrEP. The most highly endorsed health concerns, including both long-term impacts short-term side effects, questions PrEP's impact on future drug resistance, concerns that does not provide complete protection against HIV. facilitator was free access PrEP, followed by support services such as regular HIV testing, sexual care/monitoring, one-on-one counseling. color rated more important than White counterparts. In multivariate models, barrier scores significantly predicted only acceptability, but also motivation those who likely implementation programs should consider addressing these protocol policy development. Findings underscore the importance services, counseling, success prevention strategy.