Evidence map›Paper›PMID 30719647›Full record

ArticleJournal of general internal medicine2019

Access to HIV Pre-exposure Prophylaxis in Practice Settings: a Qualitative Study of Sexual and Gender Minority Adults' Perspectives.

Christina J Sun, Kirsten M Anderson, David Bangsberg, Kim Toevs, Dayna Morrison, Caitlin Wells, Pete Clark, Christina Nicolaidis

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

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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

8 authors.

Christina J SunOregon Health & Science University-Portland State University School of Public Health, 506 SW Mill St, Suite 450H, Portland, OR, 97201, USA. christina.sun@pdx.edu.
Kirsten M AndersonOregon Health & Science University-Portland State University School of Public Health, 506 SW Mill St, Suite 450H, Portland, OR, 97201, USA.
David BangsbergOregon Health & Science University-Portland State University School of Public Health, 506 SW Mill St, Suite 450H, Portland, OR, 97201, USA.
Kim ToevsMultnomah County Health Department, Portland, OR, USA.
Dayna MorrisonOregon AIDS Education and Training Center at Portland Veterans Affairs Research Foundation, Portland, OR, USA.
Caitlin WellsCascade AIDS Project, Portland, OR, USA.
Pete ClarkMultnomah County Health Department, Portland, OR, USA.
Christina NicolaidisOregon Health & Science University-Portland State University School of Public Health, 506 SW Mill St, Suite 450H, Portland, OR, 97201, USA.

Funding

Oregon Patient Centered Outcomes Research K12 ProgramK12HS022981 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI GUISE, JEANNE-MARIE · 2014 to 2018
$4.1M
AHRQ HHS K12 HS022981
6 · The paper itself

Abstract

backgroundSexual and gender minority (SGM) populations remain at disproportionate risk of HIV infection. Despite the effectiveness of pre-exposure prophylaxis (PrEP) in preventing HIV, PrEP uptake has been slow.

objectiveTo identify barriers and facilitators of PrEP access by examining SGM patients' experiences with accessing health care systems and engaging with providers about PrEP in a variety of practice settings.

designSemi-structured, individual, qualitative interviews.

participantsTwenty-seven sexual and gender minority adults residing in Oregon. APPROACH: Interviews were audio-recorded, transcribed, and analyzed using thematic analysis. KEY

resultsWe identified three main themes. Participants described the centrality of patient-provider relationships to positive experiences around PrEP, the necessity of personally advocating to access PrEP, and the experience of system-level barriers to PrEP access. Participants also made several suggestions to improve PrEP access including improving provider engagement with SGM patients, encouraging providers to initiate conversations about PrEP, and increasing awareness of medication financial support.

conclusionsIn order to reduce HIV disparities, improving PrEP access will require additional efforts by providers and resources across health care settings to reduce barriers. Interventions to improve provider education about PrEP and provider communication skills for discussing sexual health are needed. Additionally, there should be system-level improvements to increase coordination between patients, providers, pharmacies, and payers to facilitate PrEP access and uptake.

Indexed as

Attitude of Health PersonnelPhysician-Patient RelationsAdultAgedAnti-HIV AgentsEmtricitabine, Tenofovir Disoproxil Fumarate Drug CombinationFemaleHIV InfectionsHumansMaleMiddle AgedPre-Exposure ProphylaxisQualitative ResearchSexual and Gender MinoritiesYoung AdultAnti-HIV AgentsEmtricitabine, Tenofovir Disoproxil Fumarate Drug Combinationdoctor-patient relationshipsHIV/AIDSpatient preferencespreventionqualitative research

Identifiers

PMID30719647
PMCPMC6445896

What OpenQuestion holds

Textmetadata
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.