Attitudes and Interest Toward HIV Pre-Exposure Prophylaxis Among Participants Using HIV Non-Occupational Post-Exposure Prophylaxis
Methods: Participants enrolled in an observational study of co-formulated Tenofovir/Emtricitabine/Elvitegravir/Cobicistat for consensual NPEP were administered a survey to assess perceptions about and interest to use PrEP at day 14 (D14) and day 90 (D90) of an NPEP study at a large urban community health center between May, 2013 and March, 2014. Proportions were calculated for categorical variables. A Chi-square test or Fisher’s exact test was used to measure differences in responses.
Results: Of the 33 participants that completed the D14 and D90 visits for the NPEP study, 87% participants completed the D14 and D90 surveys, all of whom were men. Their mean age was 34.6, and most were Caucasian (79.3%) and men who have sex with men (86.2%). Most (65.5%) had heard of PrEP as of D14. Among 23 who reported having a primary care provider, 34.8% did not feel comfortable talking to their provider about PrEP, the most common reason (62.5%) being that they did not feel comfortable discussing sexual practices with them. Respondents were more likely to report that they thought they could access PrEP via an STD clinic (75.9%; p=0.008), an LGBT provider (86.2%; p=0.0008), or an HIV provider (86.2%; p=0.0008) than their primary care provider (41.4%). Most respondents (58.6%) expressed interest in starting PrEP at D14, which increased to 75.9% at D90 after completing NPEP (p=0.162). Of those that completed the NPEP study thus far, 24.2% were referred to a PrEP program, accessing medication through a research study or a medical provider.
Conclusion: The majority of NPEP users reported a high interest in using PrEP, which tended to increase after completing their NPEP course. They perceived discomfort with discussing their sexual behavior with their PCP as a barrier to accessing PrEP compared to other clinical venues. Linkages should be strengthened between NPEP and PrEP programs.
D. Krakower, None
J. Adelson-Mitty, None
M. Gelman, None
K. Mayer, None