{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T01:45:07Z","timestamp":1789177507150,"version":"build-2803163510"},"reference-count":44,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["AIDS Patient Care and STDs"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:p>HIV pre-exposure prophylaxis (PrEP) is underutilized in the United States. Emergency departments (EDs) can be strategic locations for initiating PrEP; however, knowledge concerning patients\u2019 receptivity to ED PrEP programs is limited. This study explores ED patients\u2019 perspectives on PrEP service delivery and their preferences for implementation. Semi-structured qualitative interviews were conducted with 15 potentially PrEP-eligible ED patients to examine their receptiveness to PrEP services, preferences for delivery methods, and logistical considerations. Most participants were open to learning about PrEP in the ED, provided it did not delay care, occur during distress, or compromise privacy. Universal PrEP education was viewed as reducing stigma and increasing awareness, while targeted screening was considered efficient. Participants strongly preferred receiving information in person rather than via videos or pamphlets. Concerns included ensuring ED staff expertise and maintaining privacy during PrEP-related discussions. Opinions on initiating same-day PrEP versus prescriptions or referrals varied, with participants valuing flexibility and linkage to care. This first qualitative study of ED patients\u2019 perspectives on PrEP services highlights general receptiveness, with key concerns about privacy, expertise, and wait times. Patient-centered approaches, such as integrating services into ED workflows, offering flexible initiation options, and providing privacy, can address barriers and enhance the feasibility of ED-based PrEP programs.<\/jats:p>","DOI":"10.1089\/apc.2025.0009","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T11:39:02Z","timestamp":1745840342000},"page":"192-202","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Emergency Department Patients\u2019 Perspectives on Being Offered Human Immunodeficiency Virus Pre-Exposure Prophylaxis Services in an Urban Emergency Department"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2565-5690","authenticated-orcid":false,"given":"Rachel E.","family":"Solnick","sequence":"first","affiliation":[{"name":"Icahn School of Medicine at Mount Sinai Hospital, Department of Emergency Medicine, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiana","family":"Gonzalez-Argoti","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine, Bronx, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurie J.","family":"Bauman","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine, Bronx, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine Tagliaferri","family":"Rael","sequence":"additional","affiliation":[{"name":"University of Colorado College of Nursing, Anschutz Medical Campus, Aurora, Colorado, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanne E.","family":"Mantell","sequence":"additional","affiliation":[{"name":"HIV Center for Clinical and Behavioral Studies, Department of Psychiatry, Columbia University, New York, New York, USA."},{"name":"New York State Psychiatric Institute, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne","family":"Calderon","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College, Thomas Jefferson University Hospital, Department of Emergency Medicine, Jefferson Health System, Philadelphia, PA, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethan","family":"Cowan","sequence":"additional","affiliation":[{"name":"Rutgers New Jersey Medical School, Department of Emergency Medicine, Newark, New Jersey, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susie","family":"Hoffman","sequence":"additional","affiliation":[{"name":"New York State Psychiatric Institute, New York, New York, USA."},{"name":"HIV Center for Clinical and Behavioral Studies, Departments of Psychiatry and Epidemiology, Columbia University, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,8]]},"reference":[{"key":"e_1_3_5_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa1108524"},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1011205"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1110711"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(13)61127-7"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/qai.0000000000001707"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12325-020-01295-0"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6741a3"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2021.01119"},{"key":"e_1_3_5_10_2","unstructured":"Deeper Look: PrEP [Internet]. 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