Official websites use. Share sensitive information only on official, secure websites. Findings further call into question assumptions of a linear stage progression and retention in care as a universal endpoint, instead revealing alternate trajectories of seasonal or intermittent PrEP use and, for some, an end goal of terminating PrEP.
An expanded PrEP cascade should consider alternate trajectories of use based on dynamic relationships and behavioural risks that may call for seasonal or intermittent use; systemic barriers in access to and sustaining PrEP; and multiple end goals including PrEP maintenance and discontinuation.
Reflective of a general shift to an HIV prevention paradigm dominated by biomedical approaches 21 , 22 , 23 , few studies have explored the subjective experiences of GBM in navigating PrEP.
The objectives of this study were 1 to explore, in depth, the experiences of GBM in considering, accessing and using or not using PrEP; and 2 to understand emerging sexual health, social and community issues among GBM in the PrEP era.
Questionnaire items included demographics and insurance status i. Interviews were conducted by AG at a private office at the University of Toronto or a mutually agreed upon public location. ALD and AG met biweekly during the coding process to compare codes and discuss emerging themes. A third coder ST then conducted secondary coding of select transcripts. Differences in coding and themes were resolved by consensus. Rigour was established through memoing i.
