Optimizing PrEP Uptake and Adherence Among Male Sex Workers

"PrEPare for Work" is a randomized controlled trial (RCT) whose goal is to test the efficacy of a behavioral intervention (Short Title: PrEPare for Work) in improving PrEP uptake, adherence, and persistence among male sex workers (MSW)

InclusionAge: 18 years or olderAssigned male sex at birthIdentifies as male at enrollmentReport having engaged in condomless anal sex with another man in the past 3 monthsReport having exchanged sex for money, drugs, items of value, or a place to stay with another man in the past 3 monthsReport HIV status as negative or unsureNot currently on PrEPAble to understand and speak English or SpanishExclusionUnable to provide informed consent due to severe mental or physical illness, cognitive impairment, or substance intoxication at the time of interview (will use an adapted version of the Evaluation to Sign Consent Form65 to assess capacity)Discovery of active suicidal ideation or major mental illness (e.g. untreated psychosis or mania) at the time of interview (these patients will be referred immediately for treatment)Laboratory or clinical findings that would preclude PrEP initiation (e.g. Chronic Hepatitis B Virus infection, decreased creatinine clearance)Participated in the pilot RCT and initiated PrEP during study participation