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Publication Profiles

Using the andersen healthcare utilization model to assess willingness to screen for prep in pharmacy-based settings among cisgender sexually minoritized men: results from the 2020 american men’s internet survey

Citation

Alohan DI, Evans G, Sanchez T, et al. Using the andersen healthcare utilization model to assess willingness to screen for prep in pharmacy-based settings among cisgender sexually minoritized men: results from the 2020 american men’s internet survey. BMC Public Health. 2024;24(1):2349. doi:10.1186/s12889-024-19836-5

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Acceptability

Continuum target addressed:

PrEP initiation, Linkage to preventative care

Geography:

Non-priority jurisdiction

Study Participant Classification:

Recipients of care

Plain Language Objectives

The researchers surveyed more than 10,000 sexually minoritized men about being screened for HIV-prevention medication at a pharmacy. They wanted to learn how common willingness was and which attitudes or health concerns were associated with it.

Plain Language Abstract

Limited access to clinicians who prescribe pre-exposure prophylaxis, or PrEP, contributes to underuse among sexually minoritized men. Researchers analyzed responses from 10,816 participants in the 2020 American Men’s Internet Survey to examine willingness to complete PrEP screening in a pharmacy. Seventy-six percent said they were willing. Willingness was more common among men who were generally open to using PrEP, felt comfortable speaking with pharmacy staff, or had HIV-related concerns. Comfort talking with pharmacy staff had the strongest reported association. Researchers did not observe differences in willingness by race or ethnicity, education, household income, or insurance status. These findings suggest pharmacies may be an acceptable place to identify potential PrEP users across several demographic groups. However, the survey measured stated willingness, not actual pharmacy use or PrEP initiation. Because the analysis was cross-sectional and observational, it cannot show that comfort or concern caused willingness. Future work must test how pharmacy screening can be implemented and whether it improves equitable access.

Key Takeaways

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