April 8, 2016 at 4:45 pm EST | by Staff reports
Study finds PrEP under-prescribed
PrEP under-prescribed, gay news, Washington Blade

The U.S. Centers for Disease Control has guidelines to help health care providers determine who is an appropriate candidate for PrEP.

LONDON — Out of a pool of more than 1,000 gay and bisexual men, a new UK study found that only 83 — fewer than one in 10 — reported PrEP use, Reuters reports.

But 42 percent of those who do use it said they had not skipped a single dose in the previous 90 days, and only 6 percent had skipped more than two doses per week, the investigators reported at the annual meeting of the Society of Behavioral Medicine in Washington, Reuters reports.

The lesson for care providers is that men are willing and able to take a daily pill, so it is important to talk to those who could benefit and increase prescription rates, study leader Jeffrey Parsons, a professor of psychology at Hunter College, City University of New York, told Reuters Health by email.

“The majority of gay men who are . . . good candidates for PrEP are not on the medication, and many haven’t spoken to their medical providers about PrEP. We need to get conversations going, and in general promote more open dialogue between doctors and patients regarding sexual health,” Parsons told Reuters.

The U.S. Centers for Disease Control has guidelines to help health care providers determine who is an appropriate candidate for PrEP with safer sex practices and Truvada, a pill made by Gilead that contains the antiviral drugs emtricitabine and tenofovir.

The findings are from One Thousand Strong, a three-year observational study of a U.S. national sample of gay and bisexual men ages 18 to 80 that is now underway, Reuters reports.

  • customartist

    Gay and bisexual men would address their healthcare needs and obtain care much more readily if they felt comfortable that their healthcare providers were not biased against them in the first place. Gay men are generally willing to take good care of themselves, in comparison to hetero men, IMHO.

    The healthcare system overall has no legitimate way for LGBT people to identify comfortably which providers are not biased again them to begin with. And it is unreasonable to expect people, of any class, to trust the care of their physical selves to providers who may likely hate them, both openly or covertly. Many providers are in denial about the existence of bias in the first place, and others see bias as an acceptable reality, so therefore bias perpetuates within the field.

    Currently there are two distinct situations. Gay and bi men in larger urban areas may find it easier to identify and locate unbiased care, but in smaller towns and rural areas it is difficult or impossible to find healthcare providers who are not homophobic, and by homophobic I include those who hate us, in addition to those who are afraid or additionally, generally unfamiliar or uneducated about LGBT people and how to care for them.

    This largely explains the void in LGBT healthcare. Relationships are a two-way street.

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