Socio-Sexual Experiences and Access to Healthcare Among Informal PrEP Users in the Netherlands

Mart van Dijk; John B. F. de Wit; Rebecca Kamps; Thomas E. Guadamuz; Joel E. Martinez; Kai J. Jonas

doi:10.1007/s10461-020-03085-9

Socio-Sexual Experiences and Access to Healthcare Among Informal PrEP Users in the Netherlands

Mart van Dijk^*, John B. F. de Wit, Rebecca Kamps, Thomas E. Guadamuz, Joel E. Martinez, Kai J. Jonas

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

The aim of this qualitative study was to explore the experiences of informal PrEP users regarding access to PrEP and PrEP-related healthcare, community responses, sexual behavior and well-being. We interviewed 30 men who have sex with men (MSM) in semi-structured online interviews between March and August 2018. Interviews were analyzed using interpretive description. Informal PrEP users were well informed about the use of PrEP, but sometimes did not make use of renal testing. Participants reported a lack of PrEP knowledge among healthcare providers, which limited their access to PrEP and put them at risk, as they received incorrect information. Although some participants reported negative reactions from potential sex partners, most received positive reactions and were sometimes seen as more desirable sex partners. PrEP healthcare services should not only be accessible to formal PrEP users, but also to PrEP users who procure PrEP informally

Original language	English
Pages (from-to)	1236-1246
Number of pages	11
Journal	Aids and Behavior
Volume	25
Issue number	4
Early online date	16 Nov 2020
DOIs	https://doi.org/10.1007/s10461-020-03085-9
Publication status	Published - Apr 2021

Keywords

HIV prevention
Informal PrEP
MSM
PrEP
Sexual behavior
PREEXPOSURE PROPHYLAXIS PREP
SEXUAL RISK BEHAVIOR
HIV-INFECTION
PUBLIC-HEALTH
MEN
PREVENTION
BARRIERS
GAY
COMPENSATION

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Cite this

@article{4bb09952066247b1978cc87782290c20,

title = "Socio-Sexual Experiences and Access to Healthcare Among Informal PrEP Users in the Netherlands",

abstract = "The aim of this qualitative study was to explore the experiences of informal PrEP users regarding access to PrEP and PrEP-related healthcare, community responses, sexual behavior and well-being. We interviewed 30 men who have sex with men (MSM) in semi-structured online interviews between March and August 2018. Interviews were analyzed using interpretive description. Informal PrEP users were well informed about the use of PrEP, but sometimes did not make use of renal testing. Participants reported a lack of PrEP knowledge among healthcare providers, which limited their access to PrEP and put them at risk, as they received incorrect information. Although some participants reported negative reactions from potential sex partners, most received positive reactions and were sometimes seen as more desirable sex partners. PrEP healthcare services should not only be accessible to formal PrEP users, but also to PrEP users who procure PrEP informally",

keywords = "HIV prevention, Informal PrEP, MSM, PrEP, Sexual behavior, PREEXPOSURE PROPHYLAXIS PREP, SEXUAL RISK BEHAVIOR, HIV-INFECTION, PUBLIC-HEALTH, MEN, PREVENTION, BARRIERS, GAY, COMPENSATION",

author = "{van Dijk}, Mart and {de Wit}, {John B. F.} and Rebecca Kamps and Guadamuz, {Thomas E.} and Martinez, {Joel E.} and Jonas, {Kai J.}",

note = "Funding Information: This study was funded by the Dutch Aidsfonds (Grant number P-13301, made available to the last author). Publisher Copyright: {\textcopyright} 2020, The Author(s).",

year = "2021",

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doi = "10.1007/s10461-020-03085-9",

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AU - van Dijk, Mart

AU - de Wit, John B. F.

AU - Kamps, Rebecca

AU - Guadamuz, Thomas E.

AU - Martinez, Joel E.

AU - Jonas, Kai J.

PY - 2021/4

Y1 - 2021/4

N2 - The aim of this qualitative study was to explore the experiences of informal PrEP users regarding access to PrEP and PrEP-related healthcare, community responses, sexual behavior and well-being. We interviewed 30 men who have sex with men (MSM) in semi-structured online interviews between March and August 2018. Interviews were analyzed using interpretive description. Informal PrEP users were well informed about the use of PrEP, but sometimes did not make use of renal testing. Participants reported a lack of PrEP knowledge among healthcare providers, which limited their access to PrEP and put them at risk, as they received incorrect information. Although some participants reported negative reactions from potential sex partners, most received positive reactions and were sometimes seen as more desirable sex partners. PrEP healthcare services should not only be accessible to formal PrEP users, but also to PrEP users who procure PrEP informally

AB - The aim of this qualitative study was to explore the experiences of informal PrEP users regarding access to PrEP and PrEP-related healthcare, community responses, sexual behavior and well-being. We interviewed 30 men who have sex with men (MSM) in semi-structured online interviews between March and August 2018. Interviews were analyzed using interpretive description. Informal PrEP users were well informed about the use of PrEP, but sometimes did not make use of renal testing. Participants reported a lack of PrEP knowledge among healthcare providers, which limited their access to PrEP and put them at risk, as they received incorrect information. Although some participants reported negative reactions from potential sex partners, most received positive reactions and were sometimes seen as more desirable sex partners. PrEP healthcare services should not only be accessible to formal PrEP users, but also to PrEP users who procure PrEP informally

KW - HIV prevention

KW - Informal PrEP

KW - MSM

KW - PrEP

KW - Sexual behavior

KW - PREEXPOSURE PROPHYLAXIS PREP

KW - SEXUAL RISK BEHAVIOR

KW - HIV-INFECTION

KW - PUBLIC-HEALTH

KW - MEN

KW - PREVENTION

KW - BARRIERS

KW - GAY

KW - COMPENSATION

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