“Having one person who looks like you is not enough”: A qualitative analysis of PrEP providers’ perspectives on the expansion of services to Latino sexual minority men

Introduction Latino sexual minority men (SMM) represent 26% of new HIV diagnoses among sexual minority men, with lower PrEP utilization rates despite its effectiveness. Provider perceptions play a crucial role in effective PrEP delivery, necessitating coordination with Latino SMM.Methods We interviewed 10 providers from an LGBTQ health center in a major city using convenience sampling via clinic administrator emails until saturation. Interviews, conducted over Zoom, lasting 45–60 minutes. Data analysis was performed using NVivo, employing thematic analysis based on Levesque’s healthcare access dimensions, along with cross-case analysis and analytical coding.Results Appropriateness and acceptability of services were the most salient topics discussed. Respondents reported inconsistent language accommodations for the Spanish speaking population, while others reported the utilization of an interpreter line. Participants commented on issues with the cultural representation across all departments at the clinic. Providers also noted specific barriers to care among Latino SMM, such as a lack of Latino representation in clinical and health care coordination positions.Conclusion Our study focused on provider perceptions of engaging Latino SMM. Findings highlight the significance of service appropriateness and acceptability, suggesting that cultural preferences and service adequacy may play a larger role in PrEP access for Latino SMM than traditional barriers like affordability and availability.