The Use of Online Posts to Identify Barriers to and Facilitators of HIV Pre-exposure Prophylaxis (PrEP) Among Men Who Have Sex with Men: A Comparison to a Systematic Review of the Peer-Reviewed Literature
Pre-exposure prophylaxis (PrEP) remains an under-utilized HIV prevention tool among men who have sex with men (MSM). To more comprehensively elucidate barriers and facilitators to PrEP use among US MSM, we conducted a systematic review of peer-reviewed published articles and content analysis of onli...
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| Veröffentlicht in: | AIDS and behavior 2018-04, Vol.22 (4), p.1080-1095 |
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| creator | Hannaford, Alisse Lipshie-Williams, Madeleine Starrels, Joanna L. Arnsten, Julia H. Rizzuto, Jessica Cohen, Phillip Jacobs, Damon Patel, Viraj V. |
| description | Pre-exposure prophylaxis (PrEP) remains an under-utilized HIV prevention tool among men who have sex with men (MSM). To more comprehensively elucidate barriers and facilitators to PrEP use among US MSM, we conducted a systematic review of peer-reviewed published articles and content analysis of online posts about PrEP. We searched peer-reviewed databases (Medline, Web of Science, Google Scholar) using MESH headings and keywords about PrEP and/or HIV prevention from 2005 to 2015. We included original studies among MSM in the US that reported on barriers, facilitators, or other factors related to PrEP use. We also searched online posts and associated comments (news articles, opinion pieces, blogs and other social media posts) in diverse venues (Facebook, Slate Outward, Huffington Post Gay Voices, Queerty, and My PrEP Experience blog) to identify posts about PrEP. We used content analysis to identify themes and compare potential differences between the peer-reviewed literature and online posts. We identified 25 peer-reviewed articles and 28 online posts meeting inclusion criteria. We identified 48 unique barriers and 46 facilitators to using PrEP. These 94 themes fit into six overarching categories: (1) access (n = 14), (2) attitudes/beliefs (n = 24), (3) attributes of PrEP (n = 13), (4) behaviors (n = 11), (5) sociodemographic characteristics (n = 8), and (6) social network (n = 6). In all categories, analysis of online posts resulted in identification of a greater number of unique themes. Thirty-eight themes were identified in the online posts that were not identified in the peer-reviewed literature. We identified barriers and facilitators to PrEP in online posts that were not identified in a systematic review of the peer-reviewed literature. By incorporating data both from a systematic review of peer-reviewed articles and from online posts, we have identified salient and novel information about barriers to and facilitators of PrEP use. Traditional research approaches may not comprehensively capture current factors important for designing and implementing PrEP related interventions. |
| doi_str_mv | 10.1007/s10461-017-2011-3 |
| format | Article |
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To more comprehensively elucidate barriers and facilitators to PrEP use among US MSM, we conducted a systematic review of peer-reviewed published articles and content analysis of online posts about PrEP. We searched peer-reviewed databases (Medline, Web of Science, Google Scholar) using MESH headings and keywords about PrEP and/or HIV prevention from 2005 to 2015. We included original studies among MSM in the US that reported on barriers, facilitators, or other factors related to PrEP use. We also searched online posts and associated comments (news articles, opinion pieces, blogs and other social media posts) in diverse venues (Facebook, Slate Outward, Huffington Post Gay Voices, Queerty, and My PrEP Experience blog) to identify posts about PrEP. We used content analysis to identify themes and compare potential differences between the peer-reviewed literature and online posts. We identified 25 peer-reviewed articles and 28 online posts meeting inclusion criteria. We identified 48 unique barriers and 46 facilitators to using PrEP. These 94 themes fit into six overarching categories: (1) access (n = 14), (2) attitudes/beliefs (n = 24), (3) attributes of PrEP (n = 13), (4) behaviors (n = 11), (5) sociodemographic characteristics (n = 8), and (6) social network (n = 6). In all categories, analysis of online posts resulted in identification of a greater number of unique themes. Thirty-eight themes were identified in the online posts that were not identified in the peer-reviewed literature. We identified barriers and facilitators to PrEP in online posts that were not identified in a systematic review of the peer-reviewed literature. By incorporating data both from a systematic review of peer-reviewed articles and from online posts, we have identified salient and novel information about barriers to and facilitators of PrEP use. 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All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-799d4e614702dd83226f77bd2ff74e958ec96857137cbb3c78236943ec7a322a3</citedby><cites>FETCH-LOGICAL-c470t-799d4e614702dd83226f77bd2ff74e958ec96857137cbb3c78236943ec7a322a3</cites><orcidid>0000-0002-0276-9820</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10461-017-2011-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10461-017-2011-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,776,780,881,27321,27901,27902,33751,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29285638$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hannaford, Alisse</creatorcontrib><creatorcontrib>Lipshie-Williams, Madeleine</creatorcontrib><creatorcontrib>Starrels, Joanna L.</creatorcontrib><creatorcontrib>Arnsten, Julia H.</creatorcontrib><creatorcontrib>Rizzuto, Jessica</creatorcontrib><creatorcontrib>Cohen, Phillip</creatorcontrib><creatorcontrib>Jacobs, Damon</creatorcontrib><creatorcontrib>Patel, Viraj V.</creatorcontrib><title>The Use of Online Posts to Identify Barriers to and Facilitators of HIV Pre-exposure Prophylaxis (PrEP) Among Men Who Have Sex with Men: A Comparison to a Systematic Review of the Peer-Reviewed Literature</title><title>AIDS and behavior</title><addtitle>AIDS Behav</addtitle><addtitle>AIDS Behav</addtitle><description>Pre-exposure prophylaxis (PrEP) remains an under-utilized HIV prevention tool among men who have sex with men (MSM). To more comprehensively elucidate barriers and facilitators to PrEP use among US MSM, we conducted a systematic review of peer-reviewed published articles and content analysis of online posts about PrEP. We searched peer-reviewed databases (Medline, Web of Science, Google Scholar) using MESH headings and keywords about PrEP and/or HIV prevention from 2005 to 2015. We included original studies among MSM in the US that reported on barriers, facilitators, or other factors related to PrEP use. We also searched online posts and associated comments (news articles, opinion pieces, blogs and other social media posts) in diverse venues (Facebook, Slate Outward, Huffington Post Gay Voices, Queerty, and My PrEP Experience blog) to identify posts about PrEP. We used content analysis to identify themes and compare potential differences between the peer-reviewed literature and online posts. We identified 25 peer-reviewed articles and 28 online posts meeting inclusion criteria. We identified 48 unique barriers and 46 facilitators to using PrEP. These 94 themes fit into six overarching categories: (1) access (n = 14), (2) attitudes/beliefs (n = 24), (3) attributes of PrEP (n = 13), (4) behaviors (n = 11), (5) sociodemographic characteristics (n = 8), and (6) social network (n = 6). In all categories, analysis of online posts resulted in identification of a greater number of unique themes. Thirty-eight themes were identified in the online posts that were not identified in the peer-reviewed literature. We identified barriers and facilitators to PrEP in online posts that were not identified in a systematic review of the peer-reviewed literature. By incorporating data both from a systematic review of peer-reviewed articles and from online posts, we have identified salient and novel information about barriers to and facilitators of PrEP use. Traditional research approaches may not comprehensively capture current factors important for designing and implementing PrEP related interventions.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adult</subject><subject>AIDS</subject><subject>Anti-HIV Agents - administration & dosage</subject><subject>Barriers</subject><subject>Content analysis</subject><subject>Digital media</subject><subject>Disease prevention</subject><subject>Eligibility Determination</subject><subject>Evidence-based medicine</subject><subject>Gays & lesbians</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health Psychology</subject><subject>Health Services Accessibility</subject><subject>HIV</subject><subject>HIV Infections - prevention & control</subject><subject>HIV Infections - psychology</subject><subject>Homosexuality, Male - psychology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Internet</subject><subject>Literature reviews</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Men who have sex with men</subject><subject>Mens health</subject><subject>Original Paper</subject><subject>Peers</subject><subject>Pre-Exposure Prophylaxis</subject><subject>Prevention</subject><subject>Prophylaxis</subject><subject>Public Health</subject><subject>Reviews</subject><subject>Safe Sex - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>AIDS and behavior</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hannaford, Alisse</au><au>Lipshie-Williams, Madeleine</au><au>Starrels, Joanna L.</au><au>Arnsten, Julia H.</au><au>Rizzuto, Jessica</au><au>Cohen, Phillip</au><au>Jacobs, Damon</au><au>Patel, Viraj V.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Use of Online Posts to Identify Barriers to and Facilitators of HIV Pre-exposure Prophylaxis (PrEP) Among Men Who Have Sex with Men: A Comparison to a Systematic Review of the Peer-Reviewed Literature</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2018-04-01</date><risdate>2018</risdate><volume>22</volume><issue>4</issue><spage>1080</spage><epage>1095</epage><pages>1080-1095</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><abstract>Pre-exposure prophylaxis (PrEP) remains an under-utilized HIV prevention tool among men who have sex with men (MSM). To more comprehensively elucidate barriers and facilitators to PrEP use among US MSM, we conducted a systematic review of peer-reviewed published articles and content analysis of online posts about PrEP. We searched peer-reviewed databases (Medline, Web of Science, Google Scholar) using MESH headings and keywords about PrEP and/or HIV prevention from 2005 to 2015. We included original studies among MSM in the US that reported on barriers, facilitators, or other factors related to PrEP use. We also searched online posts and associated comments (news articles, opinion pieces, blogs and other social media posts) in diverse venues (Facebook, Slate Outward, Huffington Post Gay Voices, Queerty, and My PrEP Experience blog) to identify posts about PrEP. We used content analysis to identify themes and compare potential differences between the peer-reviewed literature and online posts. We identified 25 peer-reviewed articles and 28 online posts meeting inclusion criteria. We identified 48 unique barriers and 46 facilitators to using PrEP. These 94 themes fit into six overarching categories: (1) access (n = 14), (2) attitudes/beliefs (n = 24), (3) attributes of PrEP (n = 13), (4) behaviors (n = 11), (5) sociodemographic characteristics (n = 8), and (6) social network (n = 6). In all categories, analysis of online posts resulted in identification of a greater number of unique themes. Thirty-eight themes were identified in the online posts that were not identified in the peer-reviewed literature. We identified barriers and facilitators to PrEP in online posts that were not identified in a systematic review of the peer-reviewed literature. By incorporating data both from a systematic review of peer-reviewed articles and from online posts, we have identified salient and novel information about barriers to and facilitators of PrEP use. Traditional research approaches may not comprehensively capture current factors important for designing and implementing PrEP related interventions.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29285638</pmid><doi>10.1007/s10461-017-2011-3</doi><tpages>16</tpages><orcidid>https://orcid.org/0000-0002-0276-9820</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1090-7165 |
| ispartof | AIDS and behavior, 2018-04, Vol.22 (4), p.1080-1095 |
| issn | 1090-7165 1573-3254 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5991474 |
| source | MEDLINE; Sociological Abstracts; SpringerLink Journals - AutoHoldings |
| subjects | Acquired immune deficiency syndrome Adult AIDS Anti-HIV Agents - administration & dosage Barriers Content analysis Digital media Disease prevention Eligibility Determination Evidence-based medicine Gays & lesbians Health Knowledge, Attitudes, Practice Health Psychology Health Services Accessibility HIV HIV Infections - prevention & control HIV Infections - psychology Homosexuality, Male - psychology Human immunodeficiency virus Humans Infectious Diseases Internet Literature reviews Male Medicine Medicine & Public Health Men who have sex with men Mens health Original Paper Peers Pre-Exposure Prophylaxis Prevention Prophylaxis Public Health Reviews Safe Sex - statistics & numerical data Scientific papers Search engines Sexual Partners Sexually transmitted diseases Social Media Social networks Social organization Sociodemographics STD Surveys and Questionnaires Systematic review Unsafe Sex - statistics & numerical data |
| title | The Use of Online Posts to Identify Barriers to and Facilitators of HIV Pre-exposure Prophylaxis (PrEP) Among Men Who Have Sex with Men: A Comparison to a Systematic Review of the Peer-Reviewed Literature |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T18%3A33%3A36IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Use%20of%20Online%20Posts%20to%20Identify%20Barriers%20to%20and%20Facilitators%20of%20HIV%20Pre-exposure%20Prophylaxis%20(PrEP)%20Among%20Men%20Who%20Have%20Sex%20with%20Men:%20A%20Comparison%20to%20a%20Systematic%20Review%20of%20the%20Peer-Reviewed%20Literature&rft.jtitle=AIDS%20and%20behavior&rft.au=Hannaford,%20Alisse&rft.date=2018-04-01&rft.volume=22&rft.issue=4&rft.spage=1080&rft.epage=1095&rft.pages=1080-1095&rft.issn=1090-7165&rft.eissn=1573-3254&rft_id=info:doi/10.1007/s10461-017-2011-3&rft_dat=%3Cproquest_pubme%3E1982841804%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1981373702&rft_id=info:pmid/29285638&rfr_iscdi=true |