Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/29547
Title: Client and provider perspectives on new HIV prevention tools for MSM in the Americas
Authors: Lippman, Sheri A
Koester, Kimberly A
Amico, K Rivet
Lama, Javier R
Fernandes, Nilo Martinez
Gonzales, Pedro
Grinsztejn, Beatriz
Liu, Al
Buchbinder, Susan
Koblin, Beryl A
Affilliation: University of California San Francisco. Department of Medicine. Center for AIDS Prevention Studies. San Francisco, California, USA.
University of California San Francisco. Department of Medicine. Center for AIDS Prevention Studies. San Francisco, California, USA.
University of Connecticut. Intervention and Prevention. Center for Health. Storrs, Connecticut, USA.
Asociación Civil Impacta Salud y Educación. Lima, Peru.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Asociación Civil Impacta Salud y Educación. Lima, Peru.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
San Francisco Department of Public Health. Bridge HIV. San Francisco, California, USA.
San Francisco Department of Public Health. Bridge HIV. San Francisco, California, USA.
New York Blood Center. Laboratory of Infectious Disease Prevention. New York, NY, USA.
Abstract: Men who have sex with men (MSM) in the Americas require targeted, combination HIV prevention approaches. We solicited client and provider perspectives on emerging prevention interventions including HIV pre-exposure prophylaxis (PrEP) and HIV self-tests through focus groups and in-depth interviews with 130 MSM and 41 providers across four sites: New York, San Francisco, Lima, and Rio de Janeiro. Among the MSM participants, we identified three prevention typologies: non-condom users, inconsistent condom users, and consistent condom users. Northern and Southern MSM differed in the variety of harm reduction strategies utilized: where U.S. MSM relied on condom use as well as disclosure and seroadaptive behaviors for prevention, condom use without disclosure or serostatus discussions was the norm in South America. Interest in new prevention technologies was shaped by the social context. U.S. MSM preferences differed by typology, such that non-condom users were interested in taking PrEP and using home HIV tests. MSM in Brazil, regardless of typology, were interested in exploring new prevention options. MSM in Peru demonstrated moderate interest but were less comfortable with adopting new strategies. MSM and providers' opinions differed substantially with respect to new prevention options. Across sites, most providers were reticent to engage with new prevention options, though some NGO-based providers were more supportive of exploring new prevention tools. Both clients and providers will need to be engaged in developing integrated prevention strategies for MSM.
Issue Date: 2015
Citation: LIPPMAN, Sheri A. et al. Client and Provider Perspectives on New HIV Prevention Tools for MSM in the Americas. PLoS ONE, v. 10, n. 3, p. e0121044, 2015
DOI: 10.1371/journal.pone.0121044
ISSN: 1932-6203
Copyright: open access
Appears in Collections:INI - Artigos de Periódicos

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