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Publication Profiles

Acceptability and Comfort Regarding Remotely Delivered PrEP Services in Mississippi

Citation

Giorlando KK, Arnold T, Barnett AP, et al. Acceptability and Comfort Regarding Remotely Delivered PrEP Services in Mississippi. J Int Assoc Provid AIDS Care. 2023;22:23259582231186868. doi:10.1177/23259582231186868

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Acceptability, Feasibility

Continuum target addressed:

PrEP initiation, PrEP persistence

Geography:

Mississippi

Study Participant Classification:

Recipients of care

Plain Language Objectives

The researchers asked adults eligible for HIV prevention medication in Mississippi how comfortable they were receiving PrEP through telemedicine, home testing, mailed prescriptions, and other locations.

Plain Language Abstract

Access to pre-exposure prophylaxis, or PrEP, is concentrated in Mississippi’s urban areas, leaving many communities underserved. Researchers surveyed 63 PrEP-eligible adults recruited through community organizations while they received HIV testing between December 2019 and May 2022. They also interviewed 26 participants about remote PrEP care. Survey respondents reported the greatest comfort with mailed PrEP delivery (average score 5.14) and telemedicine (4.89), and the lowest comfort with receiving services at gyms (3.92). Comfort differed significantly between mail delivery and gyms. Interview participants generally described remote services as accessible, private, simple, and capable of providing good-quality care. These findings reflect stated comfort and perceptions among the study sample; the researchers did not implement remote PrEP services or measure whether people started or continued PrEP. The authors concluded that remote PrEP options appeared acceptable and feasible in this sample and could help address unmet access needs in Mississippi, while broader implementation and outcome evaluation would still be needed.

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