At a pharmacy in Iowa, a 42-year-old Black gay man couldn't find a medication he needed. The pharmacist, a white woman, told him they didn't stock that medication. But while he waited to pay for his other purchases, he saw another customer place the medication he just asked for on the counter.
Half of Black gay men will be diagnosed with HIV, despite highly effective preventive treatments—why?
A report from the Iowa Department of Health and Human Services found that only a little over 23% of people in need of PrEP in Iowa. Only 10% of the people who started PrEP through the program were Black. In contrast, 83% of those who initiated TelePrEP were white.about their experiences with the drug. They were between 20 and 42 years old and lived in Johnson and Black Hawk counties, where there are some of the highest rates of HIV infections in the state.
Most of the men felt that inadequate medical insurance was a major barrier to PrEP usage. Five of our participants had no medical insurance, and only two had public medical coverage. Some of the participants were students with restricted access to private insurance. Some men were afraid of the potential side effects of the medications. One participant was concerned about the risk of developing cancer from using the drugs in the long run. There isFinally, some men were also worried about how effective the medications were and if they could rely on them if they had a partner living with HIV. However, when taken appropriately, PrEP can
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