Evidence map›Paper›PMID 35138252›Full record

ArticleJMIR research protocols2022

Integrating and Disseminating Pre-Exposure Prophylaxis (PrEP) Screening and Dispensing for Black Men Who Have Sex With Men in Atlanta, Georgia: Protocol for Community Pharmacies.

Natalie D Crawford, Kristin R V Harrington, Daniel I Alohan, Patrick S Sullivan, David P Holland, Donald G Klepser, Alvan Quamina, Aaron J Siegler, Henry N Young

Open access · goldAbstract read
In one paragraph

Article in JMIR research protocols, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.5field-weighted citation impact, top 31% of its field
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

11 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Exploring Willingness to Use Long-Acting Injectable PrEP Among Sexual and Gender Minoritized People Accessing Pharmacies.AIDS education and prevention : official publication of the International Society for AIDS Education · 2025
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Assessing pharmacy workflow to enhance the integration of HIV prevention services.Journal of the American Pharmacists Association : JAPhA
    Article
  10. Feasibility of reaching populations at high risk for HIV in community pharmacies.Journal of the American Pharmacists Association : JAPhA
    Article
  11. 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

9 authors at 4 institutions in 1 country.

Natalie D CrawfordDepartment of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID https://orcid.org/0000-0002-4859-6304
Kristin R V HarringtonDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID https://orcid.org/0000-0002-9306-4980
Daniel I AlohanDepartment of Behavioral, Social, and Health Education Sciences, Rollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID https://orcid.org/0000-0001-9970-7265
Patrick S SullivanDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID https://orcid.org/0000-0002-7728-0587
David P HollandDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID https://orcid.org/0000-0002-5052-1563
Donald G KlepserDepartment of Pharmacy Practice and Science, College of Pharmacy, University of Nebraska Medical Center, Omaha, NE, United States.ORCID https://orcid.org/0000-0002-6564-7513
Alvan QuaminaNational AIDS Education and Services for Minorities Inc, Atlanta, GA, United States.ORCID https://orcid.org/0000-0001-7494-1450
Aaron J SieglerDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, United States.ORCID https://orcid.org/0000-0001-5553-7540
Henry N YoungDepartment of Clinical and Administrative Pharmacy, University of Georgia College of Pharmacy, Athens, GA, United States.ORCID https://orcid.org/0000-0002-4803-3288
Emory University · USGeorgia College & State University · USNational Aids Education and Services for Minorities · USNebraska Medical Center · US

Funding

Virology and Molecular Biomarkers CoreP30AI050409 · NIAID · EMORY UNIVERSITY · PI Ann M Chahroudi, Colleen F Kelley · 2002 to 2026
$74.0M
MEDICAL SCIENTIST TRAINING PROGRAMT32GM008169 · NIGMS · EMORY UNIVERSITY · PI GROSS, ROBERT E · 1987 to 2021
$20.3M
Advancing PrEP in pharmacies COVID supplementR34MH119007 · NIMH · EMORY UNIVERSITY · PI CRAWFORD, NATALIE D. · 2019 to 2023
$884k
NIAID NIH HHS P30 AI050409NIGMS NIH HHS T32 GM008169NIMH NIH HHS R34 MH119007
6 · The paper itself

Abstract

backgroundBlack men who have sex with men (BMSM) suffer from alarmingly high rates of HIV in the United States. Pre-exposure prophylaxis (PrEP) can reduce the risk of HIV infection by 99% among men who have sex with men, yet profound racial disparities in the uptake of PrEP persist. Low PrEP uptake in BMSM is driven by poor access to PrEP, including inconvenient locations of PrEP-prescribing physicians, distrust of physicians, and stigma, which limit communication about PrEP and its side effects. Previous work indicates that offering HIV prevention services in pharmacies located in low-income, underserved neighborhoods is feasible and can reduce stigma because pharmacies offer a host of less stigmatized health services (eg, vaccinations). We present a protocol for a pharmacy PrEP model that seeks to address challenges and barriers to pharmacy-based PrEP specifically for BMSM.

objectiveWe aim to develop a sustainable pharmacy PrEP delivery model for BMSM that can be implemented to increase PrEP access in low-income, underserved neighborhoods.

methodsThis study design is a pilot intervention to test a pharmacy PrEP delivery model among pharmacy staff and BMSM. We will examine the PrEP delivery model's feasibility, acceptability, and safety and gather early evidence of its impact and cost with respect to PrEP uptake. A mixed-methods approach will be performed, including three study phases: (1) a completed formative phase with qualitative interviews from key stakeholders; (2) a completed transitional pilot phase to assess customer eligibility and willingness to receive PrEP in pharmacies during COVID-19; and (3) a planned pilot intervention phase which will test the delivery model in 2 Atlanta pharmacies in low-income, underserved neighborhoods.

resultsData from the formative phase showed strong support of pharmacy-based PrEP delivery among BMSM, pharmacists, and pharmacy staff. Important factors were identified to facilitate the implementation of PrEP screening and dissemination in pharmacies. During the transitional pilot phase, we identified 81 individuals who would have been eligible for the pilot phase.

conclusionsPharmacies have proven to be a feasible source for offering PrEP for White men who have sex with men but have failed to reach the most at-risk, vulnerable population (ie, BMSM). Increasing PrEP access and uptake will reduce HIV incidence and racial inequities in HIV. Translational studies are required to build further evidence and scale pharmacy-based PrEP services specifically for populations that are disconnected from HIV prevention resources. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/35590.

Indexed as

accessdemographicdevelopmentdisseminationHIVimplementationintegrationmen who have sex with menMSMpharmacypre-exposure prophylaxisPrEPpreventionprophylaxisprotocolracescreeningsexsexuality

Identifiers

PMID35138252
PMCPMC8867290
OpenAlexW4200192487

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.