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Primary Care Physician Kevin Hatfield, MD, on Barriers to Daily Oral PrEP Adherence

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Dr Hatfield shares a case of a patient living in shared housing who was concerned about her housemates seeing her PrEP medication.

Daily oral PrEP is highly effective for preventing HIV, but adherence in real-world primary care settings can be more complex than it appears. In this video, primary care and family medicine physician Kevin Hatfield, MD, discusses the less visible barriers that can interfere with consistent PrEP use—including stigma, privacy concerns, and lifestyle factors—and explains how clinicians can better recognize when patients may be struggling despite reporting good adherence.

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