title: Community Federally Qualified Health Centers as Homes for HIV Preexposure Prophylaxis: Perspectives from South Florida.
abstract: Preexposure prophylaxis (PrEP) for HIV has the potential to reduce HIV incidence in highly affected areas. The Southeastern United States is disproportionately impacted by HIV, and 3 counties in South Florida have the highest incidence of new HIV infections in the United States. This study explored the feasibility, acceptability, and uptake of PrEP in South Florida. Focus groups consisting of providers, administrators, and case managers at HIV-servicing community health centers and federally qualified health centers in South Florida reported broad support but low implementation of PrEP. Generally, participants indicated that the centers were appropriate locations for implementation. However, practical concerns and perceived limitations due to financial, insurance, and immigration status of those who would potentially benefit from the intervention were widely reported. Addressing provider concerns appears necessary for successful expansion of PrEP implementation in highly impacted areas such as South Florida.
authors: Division of Infectious Diseases, University of Miami Miller School of Medicine, Miami, FL, USA sdoblecki@med.miami.edu.
authors: Susanne
authors: S
authors: Doblecki-Lewis
authors: Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
authors: Deborah
authors: D
authors: Jones
mesh_terms: D019380:Anti-HIV Agents / Q000627:therapeutic use*; D001291:Attitude of Health Personnel; D003151:Community Health Centers; D005240:Feasibility Studies; D005431:Florida; D017144:Focus Groups; D015658:HIV Infections / Q000188:drug therapy* / Q000517:prevention & control*; D006282:Health Personnel; D006801:Humans; D010349:Patient Compliance; D065129:Pre-Exposure Prophylaxis; D018570:Risk Assessment
chemical_list: D019380:Anti-HIV Agents
keywords: HIV prevention; community health centers; medical providers; preexposure prophylaxis