20th International AIDS Conference - Melbourne, Australia

Abstract

MOPE257 - Poster Exhibition


Findings from a gay men's sexual health think tank meeting of advocates, researchers, and providers on using pre-exposure prophylaxis to redress disparities in provider-client communication around gay men's sexual health

M. Canon1, J. Hecht2, S. Gibson2, J. Auerbach3, R. O'Neal1, R. McKeel1, E. Claymore4

1San Francisco AIDS Foundation, Public Affairs, San Francisco, United States, 2San Francisco AIDS Foundation, Programs & Services, San Francisco, United States, 3University of California, School of Medicine, San Francisco, United States, 4University of California, Berkeley, United States

Background: Substantial cultural competency gaps exist in provider-client communication around gay men''s sexual health. The U.S. Food and Drug Administration''s approval of pre-exposure prophylaxis (PrEP) presents an opportunity to redress these disparities. Currently, there is little consensus among providers on how to appropriately implement PrEP. More guidance and discussion are needed to harness the emergence of PrEP to advance the discourse around gay men''s sexual health, HIV prevention, and promising biomedical technologies, and to identify the most effective strategy and output(s) for improving the quality and effectiveness of these provider-client conversations.
Description: San Francisco AIDS Foundation (SFAF), with financial support from Gilead Sciences, convened 26 thought leaders and experts for a gay men''s sexual health think tank on December 16 and 17, 2013, in San Francisco, California. Participants included primary care doctors, infectious disease specialists, community service providers, public health officials, government representatives, researchers, and advocates. Day One included presentations and group discussion defining gay men''s sexual health and ideal provider-client conversations around PrEP. Day Two concentrated on identifying what is needed for providers and clients to have these conversations. Participants designated SFAF and peer organizations to fill identified needs.
Lessons learned: Understanding the environmental contexts and motivations of providers and clients is important for improving their PrEP literacy. To optimize provider-client communications around gay men''s sexual health and HIV prevention in the context of PrEP, providers need more infrastructure support, with PrEP screening tools, official PrEP guidelines, and provider reimbursement. Clients need more targeted outreach efforts to educate and empower them to advocate for their own health needs. It is imperative to simplify processes but not oversimplify information, and to accommodate gay and bisexual men''s preference for accessing sexual health care services at community sites.
Conclusions/Next steps: This meeting was a successful first step in an important, ongoing process to advance gay men''s sexual health. SFAF plans to engage more stakeholders by convening a follow-up think tank meeting with providers to develop PrEP support tools and instruments.

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