?url_ver=Z39.88-2004&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Adc&rft.relation=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F27530%2F&rft.title=Enhancing+PrEP+uptake+among+MSM%3A+Findings+from+interviews+with+researchers+and+practitioners&rft.creator=Hoffmann%2C+Christopher&rft.description=BACKGROUND%3A+HIV+pre-exposure+prophylaxis+(PrEP)+is+a+prescription+antiretroviral+medication+that+an+HIV-negative+person+who+is+at+high+risk+for+HIV+infection+takes+once+per+day+to+prevent+infection.+The+most+recent+National+HIV%2FAIDS+Strategy+identifies+increasing+PrEP+uptake+among+men+who+have+sex+with+men+(MSM)+as+a+pillar+of+ending+the+AIDS+epidemic.+Extant+literature+suggests+that+barriers+to+PrEP+uptake+among+MSM+are+related+to+access%2C+stigma%2C+and+knowledge%2Fattitudes.+%0D%0A%0D%0AMETHODS%3A+From+February-March+2016%2C+semi-structured+interviews+were+conducted+with+researchers+and+practitioners+in+the+HIV+prevention+field+who+work+with+MSM+in+Pittsburgh%2C+Pennsylvania+(n%3D11).+An+interview+guide+was+used+that+asked+about+PrEP+barriers+and+ways+to+mitigate+these+barriers.+Interview+recordings+were+transcribed+and+analyzed+for+key+themes+using+ATLAS.ti+software.+%0D%0A%0D%0ARESULTS%3A+The+original+list+of+39+codes+was+condensed+into+five+key+themes.+The+five+key+themes+are+that+PrEP+is+empowering%3B+PrEP+barriers+are+multidimensional+and+overlapping%3B+episodic+PrEP+is+viewed+favorably%3B+PrEP+needs%2C+access%2C+and+perceptions+differ+by+race+and+age%3B+and+risk+compensation+is+real%2C+but+it+should+not+be+used+to+prohibit+PrEP+uptake.+A+list+of+all+PrEP+barriers+identified+in+the+interviews+is+presented.%0D%0A%0D%0APUBLIC+HEALTH+SIGNIFICANCE%3A+For+public+health+practice%2C+participants+in+these+interviews+identified+stigma+as+more+significant+of+a+barrier+to+PrEP+uptake+for+MSM+than+its+discussion+in+the+existing+literature+would+suggest.+PrEP+enhancement+efforts+should+simultaneously+target+multiple+barriers+across+constructs+for+maximum+effectiveness%2C+avoid+shaming+overtones%2C+and+be+inclusive+of+black+MSM.+A+table+is+presented+that+may+serve+as+a+map+to+intervention+design.+Research+is+needed+to+test+the+association+of+PrEP+use+and+STI+incidence+in+US-based+samples%2C+to+fine-tune+local+PrEP+uptake+efforts+in+other+regions%2C+and+to+monitor+unintended+consequences+of+PrEP+uptake+in+the+near+or+distant+future.&rft.date=2016-06-29&rft.type=University+of+Pittsburgh+ETD&rft.type=PeerReviewed&rft.format=application%2Fpdf&rft.language=en&rft.identifier=http%3A%2F%2Fd-scholarship-dev.library.pitt.edu%2F27530%2F1%2FHoffmannC_MPHThesis_April2016.pdf&rft.identifier=++Hoffmann%2C+Christopher++(2016)+Enhancing+PrEP+uptake+among+MSM%3A+Findings+from+interviews+with+researchers+and+practitioners.++Master's+Thesis%2C+University+of+Pittsburgh.++++(Unpublished)++