Culturally competent sexual healthcare as a prerequisite for obtaining preexposure prophylaxis: Findings from a qualitative study

Kevin M. Maloney; Douglas S. Krakower; Dale Ziobro; Joshua G. Rosenberger; David Novak; Kenneth H. Mayer

doi:10.1089/lgbt.2016.0068

Culturally competent sexual healthcare as a prerequisite for obtaining preexposure prophylaxis: Findings from a qualitative study

Kevin M. Maloney, Douglas S. Krakower, Dale Ziobro, Joshua G. Rosenberger, David Novak, Kenneth H. Mayer

Research output: Contribution to journal › Article

25 Scopus citations

Abstract

Purpose: Men who have sex with men (MSM) experience stigma in healthcare settings, which impedes disclosure of sexual behavior, potentially limiting uptake of preexposure prophylaxis (PrEP). The purpose of this study was to describe the context of this limitation and explore geographical variability. Methods: To understand how discomfort in healthcare settings affects PrEP utilization, we conducted two online focus groups with geographically diverse samples of MSM. Results: Respondents identified primary care providers as preferred sources for PrEP, but potential uptake was limited by barriers to establishing nonjudgmental relationships with these providers. Conclusion: Improved patient-provider communication about sexual behaviors might increase PrEP use among MSM.

Original language	English (US)
Pages (from-to)	310-314
Number of pages	5
Journal	LGBT Health
Volume	4
Issue number	4
DOIs	https://doi.org/10.1089/lgbt.2016.0068
State	Published - Aug 2017

All Science Journal Classification (ASJC) codes

Dermatology
Obstetrics and Gynecology
Public Health, Environmental and Occupational Health
Psychiatry and Mental health
Urology

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10.1089/lgbt.2016.0068

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Maloney, K. M., Krakower, D. S., Ziobro, D., Rosenberger, J. G., Novak, D., & Mayer, K. H. (2017). Culturally competent sexual healthcare as a prerequisite for obtaining preexposure prophylaxis: Findings from a qualitative study. LGBT Health, 4(4), 310-314. https://doi.org/10.1089/lgbt.2016.0068

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abstract = "Purpose: Men who have sex with men (MSM) experience stigma in healthcare settings, which impedes disclosure of sexual behavior, potentially limiting uptake of preexposure prophylaxis (PrEP). The purpose of this study was to describe the context of this limitation and explore geographical variability. Methods: To understand how discomfort in healthcare settings affects PrEP utilization, we conducted two online focus groups with geographically diverse samples of MSM. Results: Respondents identified primary care providers as preferred sources for PrEP, but potential uptake was limited by barriers to establishing nonjudgmental relationships with these providers. Conclusion: Improved patient-provider communication about sexual behaviors might increase PrEP use among MSM.",

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