Perceptions of DoxyPEP use Among Racial & Ethnic Minority Patients.

IF 2.2 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Racial and Ethnic Health Disparities Pub Date : 2026-10-09 DOI:10.1007/s40615-026-03062-3

Dennis Rivera-Cash, Alo Rodriguez, Ankshita Dasgupta, Juan Rivera, Aniruddha Hazra, Jade Pagkas-Bather, Jose I Gutierrez, Moira C McNulty, Maria Pyra

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引用次数: 0

Abstract

To maximize the impact of doxycycline post-exposure prophylaxis (doxyPEP) in controlling the bacterial STI epidemic, understanding of the barriers to delivering doxyPEP to the most vulnerable populations is essential. Guided by the COM-B (capability, opportunity, motivation, and behavior) framework, we interviewed 26 racial and ethnically diverse participants eligible for doxyPEP to identify barriers and facilitators to doxyPEP use. Participants reported facilitators such as: knowledge; positive clinical encounters; community normalization; and beliefs regarding efficacy, peer attitudes and motivations around doxyPEP. Barriers included confusion with HIV PrEP and a need for more knowledge; access to healthcare or negative experiences with healthcare; limited community awareness and concerns around disclosure. However, participants also described potential solutions, including specific knowledge needed, low barrier and non-judgmental healthcare, home STI testing, and increased community awareness and normalization.

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少数民族患者对DoxyPEP使用的看法。

为了最大限度地发挥多西环素暴露后预防（doxyPEP）在控制细菌性性传播感染流行方面的作用，了解向最脆弱人群提供多西环素暴露后预防的障碍至关重要。在COM-B（能力、机会、动机和行为）框架的指导下，我们采访了26名符合doxyPEP资格的不同种族和民族的参与者，以确定使用doxyPEP的障碍和促进因素。参与者报告了促进因素，如：知识；积极的临床接触；社区规范化;以及对doxyPEP功效、同伴态度和动机的看法。障碍包括对艾滋病毒预防的混淆和需要更多的知识；获得医疗保健或与医疗保健有关的负面经历；社区对信息披露的认识和关注有限。然而，与会者也描述了可能的解决办法，包括所需的具体知识、低障碍和非判断性保健、家庭性传播感染检测以及提高社区意识和正常化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Racial and Ethnic Health Disparities PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

7.30

自引率

5.10%

发文量

263

期刊介绍： Journal of Racial and Ethnic Health Disparities reports on the scholarly progress of work to understand, address, and ultimately eliminate health disparities based on race and ethnicity. Efforts to explore underlying causes of health disparities and to describe interventions that have been undertaken to address racial and ethnic health disparities are featured. Promising studies that are ongoing or studies that have longer term data are welcome, as are studies that serve as lessons for best practices in eliminating health disparities. Original research, systematic reviews, and commentaries presenting the state-of-the-art thinking on problems centered on health disparities will be considered for publication. We particularly encourage review articles that generate innovative and testable ideas, and constructive discussions and/or critiques of health disparities.Because the Journal of Racial and Ethnic Health Disparities receives a large number of submissions, about 30% of submissions to the Journal are sent out for full peer review.