Evidence map›Paper›PMID 36271632›Full record

ArticleInternational journal of STD & AIDS2022

Paying for PrEP: A qualitative study of cost factors that impact pre-exposure prophylaxis uptake in the US.

Collette Sosnowy, Zachary Predmore, Lorraine T Dean, Julia Raifman, Christina Chu, Drew Galipeau, Kristen Nocka, Siena Napoleon, Philip Chan

Open access · greenAbstract read
In one paragraph

Article in International journal of STD & AIDS, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.5field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 15 citations in OpenAlex.

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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

9 authors at 4 institutions in 1 country.

Collette SosnowyDepartment of Medicine, 12321Brown University, Providence, RI, USA.ORCID 0000-0003-0887-7053
Zachary PredmoreDepartment of Health Policy and Management, Bloomberg School of Public Health, 25802Johns Hopkins University, Baltimore, MD, USA.
Lorraine T DeanDepartment of Epidemiology, Bloomberg School of Public Health, 25802Johns Hopkins University, Baltimore, MD, USA.
Julia RaifmanDepartment of Health Law, Policy & Management, 27118Boston University School of Public Health, Boston, MA, USA.
Christina ChuDepartment of Medicine, 12321Brown University, Providence, RI, USA.
Drew GalipeauDepartment of Medicine, 12321Brown University, Providence, RI, USA.
Kristen NockaDepartment of Health Law, Policy & Management, 27118Boston University School of Public Health, Boston, MA, USA.
Siena NapoleonDepartment of Medicine, 12321Brown University, Providence, RI, USA.
Philip ChanDepartment of Medicine, 12321Brown University, Providence, RI, USA.
Brown University · USBoston University · USJohns Hopkins University · USRAND Corporation · US

Funding

Vaccine Response and Immunotherapeutics SWGP30AI094189 · NIAID · JOHNS HOPKINS UNIVERSITY · PI Richard E. Chaisson · 2012 to 2026
$67.0M
The Brown Initiative in HIV and AIDS Clinical Research for Minority CommunitiesR25MH083620 · NIMH · MIRIAM HOSPITAL · PI NUNN, AMY STEWART · 2008 to 2025
$3.7M
A Structural Approach to Improving HIV Pre-Exposure Prophylaxis (PrEP) Implementation among High Risk MenK01MH116817 · NIMH · BOSTON UNIVERSITY MEDICAL CAMPUS · PI RAIFMAN, JULIA · 2018 to 2021
$639k
Predicting the impact of cost on HIV pre-exposure prophylaxis uptake and racial/ethnic disparities among MSMR21MH118019 · NIMH · MIRIAM HOSPITAL · PI CHAN, PHILIP ANDREW, DEAN, LORRAINE TIERA · 2019 to 2020
$452k
NIAID NIH HHS P30 AI094189NIMH NIH HHS K01 MH116817NIMH NIH HHS R21 MH118019NIMH NIH HHS R25 MH083620
6 · The paper itself

Abstract

backgroundConcerns about the actual and perceived costs of pre-exposure prophylaxis (PrEP) continue to be a major barrier to uptake among gay, bisexual and men who have sex with men (GBMSM) in the United States.

methodsWe conducted semi-structured interviews with 25 GBMSM who presented for routine health care at a STD clinic in the northeastern United States. The cohort included GBMSM who were or were not currently taking PrEP and represented varied health care coverage and financial resources. We used a structured coding scheme to analyze transcripts and identify themes relevant to cost factors.

resultsParticipants shared their perspectives about PrEP and their experiences with accessing and paying for PrEP. Our findings suggest that health care coverage or financial assistance were essential to PrEP access but were not easily accessible to all people and did not always cover all costs. Therefore, paying for PrEP had to be balanced with other life expenses. Participants had multiple sources for information about PrEP cost and assistance from clinic and pharmacy staff helped reduce burden and resolve difficulties.

conclusionAddressing gaps in health care coverage, providing financial support, and improving the enrollment process in a financial assistance program may improve PrEP uptake.

Indexed as

HIV InfectionsPre-Exposure ProphylaxisSexual and Gender MinoritiesBisexualityHomosexuality, MaleHumansMaleUnited States

Identifiers

PMID36271632
PMCPMC9912748
OpenAlexW4307091384

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.