Access to Healthcare, HIV/STI Testing, and Preferred Pre-Exposure Prophylaxis Providers among Men Who Have Sex with Men and Men Who Engage in Street-Based Sex Work in the US
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{"title"=>"Access to healthcare, HIV/STI testing, and preferred pre-exposure prophylaxis providers among men who have sex with men and men who engage in street-based sex work in the US", "type"=>"journal", "authors"=>[{"first_name"=>"Kristen", "last_name"=>"Underhill", "scopus_author_id"=>"15027946600"}, {"first_name"=>"Kathleen M.", "last_name"=>"Morrow", "scopus_author_id"=>"13605496200"}, {"first_name"=>"Christopher M.", "last_name"=>"Colleran", "scopus_author_id"=>"55212697100"}, {"first_name"=>"Richard", "last_name"=>"Holcomb", "scopus_author_id"=>"56379857700"}, {"first_name"=>"Don", "last_name"=>"Operario", "scopus_author_id"=>"9244129600"}, {"first_name"=>"Sarah K.", "last_name"=>"Calabrese", "scopus_author_id"=>"19638401700"}, {"first_name"=>"Omar", "last_name"=>"Galárraga", "scopus_author_id"=>"16836222200"}, {"first_name"=>"Kenneth H.", "last_name"=>"Mayer", "scopus_author_id"=>"7201681809"}], "year"=>2014, "source"=>"PLoS ONE", "identifiers"=>{"pui"=>"600653241", "sgr"=>"84919360701", "pmid"=>"25386746", "scopus"=>"2-s2.0-84919360701", "isbn"=>"1932-6203 (Electronic)\\r1932-6203 (Linking)", "doi"=>"10.1371/journal.pone.0112425", "issn"=>"19326203"}, "id"=>"f2e66cb7-decd-382a-bd4e-f338e2886815", "abstract"=>"Background: Pre-exposure prophylaxis (PrEP) is a promising strategy for HIV prevention among men who have sex with men (MSM) and men who engage in sex work. But access will require routine HIV testing and contacts with healthcare providers. This study investigated men's healthcare and HIV testing experiences to inform PrEP implementation.; Methods: We conducted 8 focus groups (n = 38) in 2012 and 56 in-depth qualitative interviews in 2013-14 with male sex workers (MSWs) (n = 31) and other MSM (n = 25) in Providence, RI. MSWs primarily met clients in street-based sex work venues. Facilitators asked participants about access to healthcare and HIV/STI testing, healthcare needs, and preferred PrEP providers.; Results: MSWs primarily accessed care in emergency rooms (ERs), substance use clinics, correctional institutions, and walk-in clinics. Rates of HIV testing were high, but MSWs reported low access to other STI testing, low insurance coverage, and unmet healthcare needs including primary care, substance use treatment, and mental health services. MSM not engaging in sex work were more likely to report access to primary and specialist care. Rates of HIV testing among these MSM were slightly lower, but they reported more STI testing, more insurance coverage, and fewer unmet needs. Preferred PrEP providers for both groups included primary care physicians, infectious disease specialists, and psychiatrists. MSWs were also willing to access PrEP in substance use treatment and ER settings.; Conclusions: PrEP outreach efforts for MSWs and other MSM should engage diverse providers in many settings, including mental health and substance use treatment, ERs, needle exchanges, correctional institutions, and HIV testing centers. Access to PrEP will require financial assistance, but can build on existing healthcare contacts for both populations.; ", "link"=>"http://www.mendeley.com/research/access-healthcare-hivsti-testing-preferred-preexposure-prophylaxis-providers-among-men-sex-men-men-e", "reader_count"=>61, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>2, "Librarian"=>2, "Student > Doctoral Student"=>4, "Researcher"=>13, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>3, "Student > Master"=>14, "Other"=>7, "Student > Bachelor"=>5, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>2, "Librarian"=>2, "Student > Doctoral Student"=>4, "Researcher"=>13, "Student > Ph. D. Student"=>7, "Student > Postgraduate"=>3, "Student > Master"=>14, "Other"=>7, "Student > Bachelor"=>5, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>6, "Nursing and Health Professions"=>7, "Medicine and Dentistry"=>15, "Agricultural and Biological Sciences"=>2, "Philosophy"=>1, "Business, Management and Accounting"=>2, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Psychology"=>7, "Social Sciences"=>13, "Computer Science"=>2, "Immunology and Microbiology"=>1, "Economics, Econometrics and Finance"=>4}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>15}, "Social Sciences"=>{"Social Sciences"=>13}, "Psychology"=>{"Psychology"=>7}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>4}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>2}, "Computer Science"=>{"Computer Science"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>7}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>2}, "Unspecified"=>{"Unspecified"=>6}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}, "Philosophy"=>{"Philosophy"=>1}}, "reader_count_by_country"=>{"United States"=>2, "Denmark"=>1, "Brazil"=>1}, "group_count"=>7}

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  • {"files"=>["https://ndownloader.figshare.com/files/1787587"], "description"=>"<p>*As required by the National Institutes of Health, we collected data on Hispanic/Latino ethnicity separately from data on race, and we report these characteristics separately here. Participants who identified as Hispanic or Latino reported races including White, African American, and Refused to Respond.</p><p>**The approximate Federal Poverty Line for an individual ranged from $11,170 in 2012 to $11,670 in 2014.</p><p>*** = The CAGE questionnaire is a 4-point scale that assists in making diagnoses of alcoholism. A score of 2 or above suggests that the possibility of alcoholism should be investigated further <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0112425#pone.0112425-Ewing1\" target=\"_blank\">[54]</a>.</p><p>N/A = Response option was not offered to focus group participants, or question was not asked of focus group participants. We revised our questionnaire to include more questions and response options for the interview stage.</p><p>Selected Sample Characteristics.</p>", "links"=>[], "tags"=>["8 focus groups", "ri", "ER settings.ConclusionsPrEP outreach efforts", "Sex work", "HIV testing experiences", "HIV testing", "Insurance Coverage", "substance use treatment", "access", "STI testing", "HIV testing centers", "msw", "MSM", "Preferred PrEP providers", "healthcare"], "article_id"=>1235835, "categories"=>["Biological Sciences", "Science Policy"], "users"=>["Kristen Underhill", "Kathleen M. Morrow", "Christopher M. Colleran", "Richard Holcomb", "Don Operario", "Sarah K. Calabrese", "Omar Galárraga", "Kenneth H. Mayer"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0112425.t001", "stats"=>{"downloads"=>0, "page_views"=>18, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Selected_Sample_Characteristics_/1235835", "title"=>"Selected Sample Characteristics.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2014-11-11 02:59:32"}

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