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Publication Profiles

Barriers and facilitators to PrEP use and HIV testing for subgroups of Latino sexual minority men

Citation

Lozano A, Jaramillo J, Prado G, Safren SA, Harkness A. Barriers and facilitators to PrEP use and HIV testing for subgroups of Latino sexual minority men. AIDS Care. 2023;35(9):1329-1337. doi:10.1080/09540121.2023.2216009

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Not applicable

Continuum target addressed:

HIV testing, PrEP initiation, PrEP persistence

Geography:

Miami-Dade County-FL

Study Participant Classification:

Recipients of care

Plain Language Objectives

The researchers examined what makes PrEP and HIV testing easier or harder for Latino sexual minority men and whether the most important issues differed by age or immigration experience.

Plain Language Abstract

Latino sexual minority men are not reached equitably by pre-exposure prophylaxis, or PrEP, and HIV testing. Researchers ranked reported barriers and facilitators and compared them among men younger than 40 versus 40 and older, and among United States-born, recently immigrated, and longer-established immigrant participants. Across groups, major influences included cost, knowledge, and whether people believed they needed or would benefit from a service. However, priorities varied. Age groups differed in the importance of affordability, navigation support, and normalizing services. Immigration groups differed in language needs, immigration concerns, and HIV knowledge. Some issues also depended on the service: mistrust and concern were barriers to PrEP but not to HIV testing. The findings identify associations and subgroup patterns rather than testing an implementation strategy. The authors concluded that programs should address common problems such as language, cost, and clinic systems while adapting to the distinct needs of age and immigration groups instead of using a single approach for all Latino sexual minority men.

Key Takeaways

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