Location Preferences for Accessing Long-Acting Injectable Pre-Exposure Prophylaxis (LA-PrEP) Among Men Who Have Sex With Men (MSM) Currently on Daily Oral PrEP.
Jennifer L Glick, Danielle F Nestadt, Travis Sanchez, Kevin Li, Marissa Hannah, M Keith Rawlings, Alex R Rinehart, Supriya Sarkar, Vani Vannappagari
Author Information
Jennifer L Glick: Community Health Science & Policy (CHSP), Louisiana State University, Health Sciences Center, New Orleans, LA, USA. ORCID
Danielle F Nestadt: Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Travis Sanchez: Department Epidemiology, Emory Rollins School of Public Health, Atlanta, GA, USA.
Kevin Li: Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Marissa Hannah: Department Epidemiology, Emory Rollins School of Public Health, Atlanta, GA, USA.
M Keith Rawlings: ViiV Healthcare, Durham, NC, USA.
Alex R Rinehart: ViiV Healthcare, Durham, NC, USA.
Supriya Sarkar: ViiV Healthcare, Durham, NC, USA.
Vani Vannappagari: ViiV Healthcare, Durham, NC, USA.
We investigated men who have sex with men's (MSM) location preferences for long-acting injectable pre-exposure prophylaxis (LA-PrEP). MSM (���=���1076) who completed the 2021 American men's Internet Survey, were currently prescribed oral PrEP, and expressed LA-PrEP interest reported location preferences for receiving LA-PrEP: healthcare provider (HCP) setting, pharmacy, or at-home. HCP settings were preferred by 60% of participants; 26% preferred home and 14% preferred pharmacy. In adjusted models, high healthcare stigma was associated with preferring pharmacy and at-home versus HCP, while high friends/family stigma was associated with preferring HCP settings versus pharmacy. Healthcare access history was associated with preference for HCP setting versus home. Being 25 to 29 or 30 to 29 years old versus 40+ was associated with preferring HCP versus home. Private insurance was associated with location preferences. Findings support the need for multiple LA-PrEP service locations to best reach MSM and highlight multiple complex factors that influence such preferences.