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How Do Gay and Bisexual Men Make Up for Missed PrEP Doses, and What Impact Does Missing a Dose Have on Their Subsequent Sexual Behavior?

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Title: How Do Gay and Bisexual Men Make Up for Missed PrEP Doses, and What Impact Does Missing a Dose Have on Their Subsequent Sexual Behavior?
Authors: Grov, Christian, D'Angelo, Alexa B., Flynn, Anthony W. P., Lopez-Rios, Javier, Pantalone, David W., Holloway, Ian W., Whitfield, Thomas H. F., Parsons, Jeffrey T.
Source: AIDS Education & Prevention. Aug2018, Vol. 30 Issue 4, p275-286. 12p. 1 Chart.
Subjects: HIV prevention, Bisexual people, Drugs, Gay men, HIV infections, Interviewing, Preventive medicine, Oral drug administration, Patient compliance, Human sexuality, Qualitative research, Narratives, Anti-HIV agents
Geographic Terms: New York (State)
Abstract: HIV pre-exposure prophylaxis (PrEP) is being adopted by members of key populations, such as gay and bisexual men (GBM). Since adherence to a daily PrEP regimen ensures a maximum protection, it is critical to understand GBM's behavioral responses to having missed PrEP doses. We report on qualitative interviews with GBM taking PrEP. We identified three behavioral responses: (1) 59% continued with their next scheduled dose; (2) 49% described “making up” for a missed dose by taking medication as soon as possible; and (3) 11% reported “doubling” the next PrEP dose. Participants provided potentially contradictory narratives about their sexual behavior after a missed dose: (1) 54% described making no changes; (2) 49% described adjusting their sexual behavior to reduce HIV risk; and (3) 10% said their decision would be contingent upon how many doses were missed. For PrEP prescribers, our data provide a useful lens to understand patients' lived experiences with PrEP. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Education & Prevention is the property of Guilford Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: How Do Gay and Bisexual Men Make Up for Missed PrEP Doses, and What Impact Does Missing a Dose Have on Their Subsequent Sexual Behavior?
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Education+%26+Prevention%22">AIDS Education & Prevention</searchLink>. Aug2018, Vol. 30 Issue 4, p275-286. 12p. 1 Chart.
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  Data: <searchLink fieldCode="DE" term="%22HIV+prevention%22">HIV prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Bisexual+people%22">Bisexual people</searchLink><br /><searchLink fieldCode="DE" term="%22Drugs%22">Drugs</searchLink><br /><searchLink fieldCode="DE" term="%22Gay+men%22">Gay men</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Preventive+medicine%22">Preventive medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Oral+drug+administration%22">Oral drug administration</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Human+sexuality%22">Human sexuality</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Narratives%22">Narratives</searchLink><br /><searchLink fieldCode="DE" term="%22Anti-HIV+agents%22">Anti-HIV agents</searchLink>
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  Data: HIV pre-exposure prophylaxis (PrEP) is being adopted by members of key populations, such as gay and bisexual men (GBM). Since adherence to a daily PrEP regimen ensures a maximum protection, it is critical to understand GBM's behavioral responses to having missed PrEP doses. We report on qualitative interviews with GBM taking PrEP. We identified three behavioral responses: (1) 59% continued with their next scheduled dose; (2) 49% described “making up” for a missed dose by taking medication as soon as possible; and (3) 11% reported “doubling” the next PrEP dose. Participants provided potentially contradictory narratives about their sexual behavior after a missed dose: (1) 54% described making no changes; (2) 49% described adjusting their sexual behavior to reduce HIV risk; and (3) 10% said their decision would be contingent upon how many doses were missed. For PrEP prescribers, our data provide a useful lens to understand patients' lived experiences with PrEP. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of AIDS Education & Prevention is the property of Guilford Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=131445853
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      – Type: doi
        Value: 10.1521/aeap.2018.30.4.275
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 12
        StartPage: 275
    Subjects:
      – SubjectFull: HIV prevention
        Type: general
      – SubjectFull: Bisexual people
        Type: general
      – SubjectFull: Drugs
        Type: general
      – SubjectFull: Gay men
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Preventive medicine
        Type: general
      – SubjectFull: Oral drug administration
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      – SubjectFull: Patient compliance
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      – SubjectFull: Human sexuality
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      – SubjectFull: Qualitative research
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      – SubjectFull: Narratives
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      – SubjectFull: Anti-HIV agents
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      – SubjectFull: New York (State)
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      – TitleFull: How Do Gay and Bisexual Men Make Up for Missed PrEP Doses, and What Impact Does Missing a Dose Have on Their Subsequent Sexual Behavior?
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              Text: Aug2018
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