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Publication Profiles

Addressing Disparities in Pre-Exposure Prophylaxis (PrEP) Access: Implementing a Community-Centered Mobile PrEP Program in South Florida

Citation

Butts S, Young B, Blackmon J, Doblecki-Lewis S. Addressing Disparities in Pre-Exposure Prophylaxis (PrEP) Access: Implementing a Community-Centered Mobile PrEP Program in South Florida. Res Sq. 2023:rs.3.rs-2799359. doi:10.21203/rs.3.rs-2799359/v1

Implementation stage:

Implementation

Implementation outcomes reported:

Acceptability, Appropriateness, Feasibility, Adoption

Continuum target addressed:

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

Geography:

Miami-Dade County-FL, Broward County-FL

Study Participant Classification:

Recipients of care, Providers, Community member(s)

Plain Language Objectives

The researchers wanted to understand what helped or hindered a mobile clinic offering HIV prevention medication in Liberty City. They asked clients, community partners, and program staff about their experiences and views.

Plain Language Abstract

Black and Latino men who have sex with men face unequal access to pre-exposure prophylaxis, or PrEP, which prevents HIV. The University of Miami expanded a mobile PrEP program into Liberty City, a Miami neighborhood with high HIV incidence and limited PrEP access. Researchers interviewed 41 people: 21 clients, 10 representatives of local health organizations, and 10 program staff. Participants said no-cost services, a convenient location, program-paid rides, individual navigation, and staff with shared lived experience helped people obtain care and rebuild trust. They also stressed that the program needed to become familiar with the community before launching, particularly because Black communities may face distinct barriers to sexual health care. These findings reflect participants’ perspectives, not a comparison with another service model. Overall, participants viewed the mobile program as acceptable and accessible. The authors concluded that community engagement and preparation should be central to future implementation and that the program should be studied in other highly affected neighborhoods.

Key Takeaways

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