Evidence map›Paper›PMID 30332306›Full record

ArticleAIDS education and prevention : official publication of the International Society for AIDS Education2018

"I Don't Need PrEP Right Now": A Qualitative Exploration of the Barriers to PrEP Care Engagement Through the Application of the Health Belief Model.

Marisa Felsher, Zsofia Szep, Douglas Krakower, Ana Martinez-Donate, Nguyen Tran, Alexis M Roth

Abstract read
In one paragraph

Article in AIDS education and prevention : official publication of the International Society for AIDS Education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed.

  1. Validation of the PrEP Use Self-Efficacy (PrEP-Use) Scale Among Sexual Minority Men.AIDS education and prevention : official publication of the International Society for AIDS Education · 2025
    Trial
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Experiences of adolescent girls and young women of oral PrEP uptake in rural KwaZulu-Natal.African journal of primary health care & family medicine · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Identifying Key Factors to PrEP Initiation and Persistence Among YMSM Through Focus Groups and Surveys in Two High-Priority Settings.AIDS education and prevention : official publication of the International Society for AIDS Education · 2024
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Marisa FelsherDrexel University, Dornsife School of Public Health, Philadelphia, Pennsylvania.
Zsofia SzepDrexel University College of Medicine, Division of Infectious Diseases and HIV Medicine, Philadelphia.
Douglas KrakowerBeth Israel Deaconess Medical Center, Infectious Diseases/Department of Medicine, Boston, Massachusetts.
Ana Martinez-DonateDrexel University, Dornsife School of Public Health, Philadelphia, Pennsylvania.
Nguyen TranDrexel University, Dornsife School of Public Health, Philadelphia, Pennsylvania.
Alexis M RothDrexel University, Dornsife School of Public Health, Philadelphia, Pennsylvania.

Funding

Optimizing HIV Pre-Exposure Prophylaxis through Shared Decision MakingK23MH098795 · NIMH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI KRAKOWER, DOUGLAS SCOTT · 2012 to 2016
$873k
NIMH NIH HHS K23 MH098795
6 · The paper itself

Abstract

The Health Belief Model has been useful for studying uptake of HIV prevention behaviors and has had limited application to understanding utilization of pre-exposure prophylaxis (PrEP), a biomedical strategy to reduce HIV acquisition. We recruited 90 persons undergoing HIV screening and educated them about PrEP. We followed up with 35 participants approximately 3 weeks later and quantitatively assessed PrEP uptake. No participant had initiated PrEP. We conducted in-depth interviews with 15 participants to explore situational factors impacting this decision. In this paper we provide an overview of PrEP-related engagement using qualitative data to contextualize (in)action. While participants perceived PrEP as beneficial, perceived benefits did not outweigh real- and perceived barriers, such as financial and time-related constraints. In order to promote PrEP uptake, cues to action that increase the benefits of PrEP during seasons of risk, and interventions that reduce real and perceived barriers are needed.

Indexed as

Health BehaviorHealth Knowledge, Attitudes, PracticeAdultAnti-HIV AgentsAttitude of Health PersonnelFemaleHealth PersonnelHIV InfectionsHumansInterviews as TopicMaleMiddle AgedPatient Acceptance of Health CarePerceptionPre-Exposure ProphylaxisQualitative ResearchAnti-HIV Agentshealth belief modelHIVpre-exposure prophylaxis

Identifiers

PMID30332306
PMCPMC8558876

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.