Linda Park, Addison Vang, Brittany Yang, Andrew Quanbeck
Barriers to Type 2 Diabetes Mellitus Management for Older Hmong Patients with Minimal English Language Skills: Accounts from Caregivers, Case Managers, and Clinicians
Journal of racial and ethnic health disparities
approval longacting preexposure prophylaxis prep laprep united states brings opportunities overcome barriers oral prep particularly among sexual gender minority communities bear higher hiv burden little known realtime decisionmaking among potential prep users laprep postlicensure held focus group discussions people assigned male birth sex men baltimore maryland explore decisionmaking values priorities surrounding prep usage sexual gender minorityaffirming health center provides prep services supported recruitment discussions included pilesorting activity audiorecorded recordings transcribed analyzed iteratively combining inductive deductive approach held five focus groups janjune 2023 23 participants 21 cisgender men sex men two transgender women sex men mean age 37 among participants 21 oral prep one injectable prep one never taken prep never heard laprep making decisions prep participants particularly valued efficacy preventing hiv side effects feeling sense security ease use perceptions varied whether oral injectable prep convenient participants valued new opportunity choice modality factors influencing prep access included cost individual awareness provider awareness level comfort healthcare environment participants emphasized providers informed prep placing burden informed prep comfort trust provider superseded proximity considerations access prep still low awareness laprep among sexual gender minority communities thus healthcare providers critical role influencing access laprep despite providers still vastly underinformed prep underprepared support clients contextualized ways clients likely engage care affirming providers offer nonjudgmental conversations sex life experiences provider education united states urgently needed better support clients choosing prep modality right supporting adherence effective hiv prevention