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Publication Profiles

“That was our afterparty”: a qualitative study of mobile, venue-based PrEP for MSM

Citation

Chamberlin G, Lopes MD, Iyer S, et al. “That was our afterparty”: a qualitative study of mobile, venue-based PrEP for MSM. BMC Health Serv Res. 2023;23(1):504. doi:10.1186/s12913-023-09475-8

Implementation stage:

Implementation

Implementation outcomes reported:

Acceptability, Feasibility

Continuum target addressed:

HIV testing, Linkage to preventative care, PrEP initiation, PrEP persistence

Geography:

Suffolk County-MA

Study Participant Classification:

Recipients of care, Providers

Plain Language Objectives

The researchers asked mobile-clinic users and staff how a van-based sexual health and HIV prevention service affected access and comfort, and what changes could make ongoing care easier.

Plain Language Abstract

Mobile clinics may reduce barriers to pre-exposure prophylaxis, or PrEP, but little is known about how patients and staff experience this model. Researchers interviewed or held focus groups with 19 people connected to a Boston mobile sexual health unit: 16 patients and three staff members. All patients were men who have sex with men, 63% were Hispanic or Latino, and 21% of patient interviews were conducted in Spanish. Participants said the van was practically and emotionally convenient, and its community-oriented environment improved their satisfaction with care. They generally supported expanding mobile services and suggested changes to make continuing care easier. However, mobile delivery did not remove all barriers; participants still described low perceptions of personal HIV risk and stigma related to sexual behavior. These qualitative findings reflect the views of this small group and do not show whether the mobile unit increased PrEP use compared with clinic care. The authors concluded that mobile units can support access, especially for people facing social and logistical barriers.

Key Takeaways

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