“What Is the Benefit?”: Perceptions and Preferences for Long-Acting Injectable Antiretroviral Therapy among People Living with HIV

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Citation

Rodriguez Gonzalez, Humberto; Volcan, Andrea Isabel; Castonguay, Breana Jae Uhrig; Carda-Auten, Jessica; Ruiz, Carolina; Peretti, Matteo; Suarez, Angela; Kerrigan, Deanna L.; Wohl, David Alain; & Barrington, Clare (2023). "What Is the Benefit?": Perceptions and Preferences for Long-Acting Injectable Antiretroviral Therapy among People Living with HIV. AIDS Education and Prevention, 35(6), 467-483. PMCID: PMC10785827

Abstract

Long-acting injectable antiretroviral therapy (LA-ART) expands treatment options for people living with HIV (PLWH). This qualitative study characterizes LA-ART awareness, perceptions, and preferences among PLWH engaged in HIV care. From 2019 through 2021, we conducted semistructured in-depth interviews with 71 PLWH sampled from three clinics in three U.S. settings (North Carolina, Washington, DC, Massachusetts). Transcripts were analyzed using narrative and thematic techniques. Participant mean age was 46 years (range 24-72); most were cisgender men (55%) and virally suppressed (73%). Most participants had not heard of LA-ART and reacted with a mix of excitement and cautiousness. Potential LA-ART benefits included easier adherence, privacy, and effectiveness; concerns included effectiveness, side effects, costs, and increased clinic visits. Participants appreciated that LA-ART could support achieving and sustaining viral suppression. To inform their decision, participants wanted more information and convenient access and administration. Findings indicated that a shared decision-making approach and economic and logistical support for PLWH could facilitate LA-ART uptake.

URL

https://doi.org/10.1521/aeap.2023.35.6.467

Reference Type

Journal Article

Year Published

2023

Journal Title

AIDS Education and Prevention

Author(s)

Rodriguez Gonzalez, Humberto
Volcan, Andrea Isabel
Castonguay, Breana Jae Uhrig
Carda-Auten, Jessica
Ruiz, Carolina
Peretti, Matteo
Suarez, Angela
Kerrigan, Deanna L.
Wohl, David Alain
Barrington, Clare

Article Type

Regular

PMCID

PMC10785827

Continent/Country

United States

State

North Carolina
Massachusetts
Washington D.C.

Race/Ethnicity

Hispanic/Latinx
Black
White

ORCiD

Barrington - 0000-0001-7802-4051