Client and Provider Perspectives on New HIV Prevention Tools for MSM in the Americas

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 wi...

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Main Authors:	Lippman, Sheri A., Koester, Kimberly A., Amico, K. Rivet, Lama, Javier R., Martinez Fernandes, Nilo, Gonzales, Pedro, Grinsztejn, Beatriz, Liu, Al, Buchbinder, Susan, Koblin, Beryl A.
Format:	Online
Language:	English
Published:	Public Library of Science 2015
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4380356/

id	pubmed-4380356
recordtype	oai_dc
spelling	pubmed-43803562015-04-09 Client and Provider Perspectives on New HIV Prevention Tools for MSM in the Americas Lippman, Sheri A. Koester, Kimberly A. Amico, K. Rivet Lama, Javier R. Martinez Fernandes, Nilo Gonzales, Pedro Grinsztejn, Beatriz Liu, Al Buchbinder, Susan Koblin, Beryl A. Research Article 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. Public Library of Science 2015-03-31 /pmc/articles/PMC4380356/ /pubmed/25826246 http://dx.doi.org/10.1371/journal.pone.0121044 Text en © 2015 Lippman et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Lippman, Sheri A. Koester, Kimberly A. Amico, K. Rivet Lama, Javier R. Martinez Fernandes, Nilo Gonzales, Pedro Grinsztejn, Beatriz Liu, Al Buchbinder, Susan Koblin, Beryl A.
spellingShingle	Lippman, Sheri A. Koester, Kimberly A. Amico, K. Rivet Lama, Javier R. Martinez Fernandes, Nilo Gonzales, Pedro Grinsztejn, Beatriz Liu, Al Buchbinder, Susan Koblin, Beryl A. Client and Provider Perspectives on New HIV Prevention Tools for MSM in the Americas
author_facet	Lippman, Sheri A. Koester, Kimberly A. Amico, K. Rivet Lama, Javier R. Martinez Fernandes, Nilo Gonzales, Pedro Grinsztejn, Beatriz Liu, Al Buchbinder, Susan Koblin, Beryl A.
author_sort	Lippman, Sheri A.
title	Client and Provider Perspectives on New HIV Prevention Tools for MSM in the Americas
title_short	Client and Provider Perspectives on New HIV Prevention Tools for MSM in the Americas
title_full	Client and Provider Perspectives on New HIV Prevention Tools for MSM in the Americas
title_fullStr	Client and Provider Perspectives on New HIV Prevention Tools for MSM in the Americas
title_full_unstemmed	Client and Provider Perspectives on New HIV Prevention Tools for MSM in the Americas
title_sort	client and provider perspectives on new hiv prevention tools for msm in the americas
description	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.
publisher	Public Library of Science
publishDate	2015
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4380356/
_version_	1613205870850605056

Client and Provider Perspectives on New HIV Prevention Tools for MSM in the Americas

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