Acceptability of Pre-Exposure Prophylaxis (PrEP) as an HIV Prevention Strategy: Barriers and Facilitators to PrEP Uptake among At-Risk Peruvian Populations
South America, HIV, MSM, FSW, PrEP Acceptability
Digital Object Identifier (DOI)
This study examined Pre-Exposure Prophylaxis (PrEP) acceptability among female sex workers, male-to-female transgendered persons, and men who have sex with men in Lima, Peru. Focus groups explored social issues associated with PrEP acceptability and conjoint analysis assessed preferences among eight hypothetical PrEP scenarios with varying attribute profiles and their relative impact on acceptability. Conjoint analysis revealed that PrEP acceptability ranged from 19.8 to 82.5 out of a possible score of 100 across the eight hypothetical PrEP scenarios. Out-of-pocket cost had the greatest impact on PrEP acceptability (25.2, p < 0.001), followed by efficacy (21.4, p < 0.001) and potential side effects (14.7, p < 0.001). Focus group data supported these findings, and also revealed that potential sexual risk disinhibition, stigma and discrimination associated with PrEP use, and mistrust of health care professionals were also concerns. These issues will require careful attention when planning for PrEP roll-out if proven efficacious in ongoing clinical trials.
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Citation / Publisher Attribution
International Journal of STD and AIDS, v. 22, issue 5, p. 256-262
This is a post-peer-review, pre-copyedit version of an article published in International Journal of STD and AIDS. The final authenticated version is available online at: https://doi.org/10.1258/ijsa.2010.010134.
Scholar Commons Citation
Galea, Jerome T.; Kinsler, Janni J.; Salazar, Ximena; Lee, Sung-Jae; Giron, Maziel; Sayles, Jennifer N.; Cáceres, Carlos; and Cunningham, William E., "Acceptability of Pre-Exposure Prophylaxis (PrEP) as an HIV Prevention Strategy: Barriers and Facilitators to PrEP Uptake among At-Risk Peruvian Populations" (2011). Social Work Faculty Publications. 57.