Identifying Key Factors to PrEP Initiation and Persistence Among YMSM Through Focus Groups and Surveys in Two High-Priority Settings

• DOI: 10.1521/aeap.2024.36.1.33
• Publication Date: 2024-02-13T15:47:41Z
• Authors: Paul D'Avanzo; Shivesh Shourya; Maeve Brin; Shivani Kaw; Emma Kay; D. Scott Batey; Asa Radix; Uri Belkind; Mary Tanner; Carla A. Galindo; Stephen Ferrara; Corilyn Ott; Sergio Ozoria Ram...; Rebecca Schnall
• Keywords: Male; Sexual and Gender Minorities; 03 medical and health sciences; Cognition; Humans; Female; HIV Infections; Focus Groups; Homosexuality, Male; 0305 other medical science

Cisgender men are diagnosed with HIV at a rate four times greater than cisgender women, with 71% of infections attributed to male-male sexual contact. Despite expanding accessibility, pre-exposure prophylaxis (PrEP) for HIV prevention is initiated by only 30% of people with PrEP indications. Five focus groups with 42 young men who have sex with men from New York and Alabama were conducted to identify key factors to PrEP initiation and persistence. Thirty focus group participants completed a survey on demographics, PrEP choices and health care attitudes. Findings suggest provider competency significantly influences PrEP use due to stigmatization in medical settings. Participants noted benefits of PrEP including HIV protection and sexual empowerment, yet barriers like cost and side effects were prevalent. Our findings outline barriers and facilitators to PrEP use among young men who have sex with men in two high priority settings that will inform PrEP care updates in participating clinics.