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Fig 1.

Example of a choice task related to PrEP access*.

*This is one example only. Participants were shown a series of similar choice tasks with variation in the attributes presented; all possible attributes are listed in Table 1.

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Table 1.

Possible attributes for PrEP choice tasks.

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Fig 2.

Ranking of PrEP attributes among 18 young MSM during in-depth interviews in Upstate NY.

1st Rank: Medium Blue. 2nd Rank: Orange. 3rd Rank: Gray. 4th Rank: Yellow. 5th rank: Light Blue. 6th rank: Green. 7th Rank: Dark Blue.

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Table 2.

Sociodemographic characteristics of 236 PrEP eligible young men who have sex with men from an online survey in the U.S.

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Table 2 Expand

Table 3.

HIV risks of 236 PrEP eligible young men who have sex with men from an online survey in the U.S.

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Table 4.

HIV risk perception and PrEP perceptions of 236 PrEP eligible young men who have sex with men from an online survey in the U.S.

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Fig 3.

Directionality of PrEP access preferences among 236 young men who have sex with men*.

*Negative numbers indicate an option that was less preferred than the baseline option. Attributes: A. Insurance covered, compared to not covered; B. Requires new insurance, compared to not covered; C. Requires extra (supplemental) insurance, compared to not covered; D. Insurance not private (services used can be seen by family or employers), compared to private; E. Wait 1 week to start PrEP, compared to immediate start; F. Wait 4 weeks to start PrEP, compared to immediate start; G. Communicate online with provider, compared to in-person visits.

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Fig 4.

Mean willingness to pay for PrEP among 236 young men who have sex with men in the U.S.: Insurance options.

Red: Insurance covered, compared to not covered. Green: Insurance covered, compared to not covered. Turquoise: Requires new insurance, compared to not covered. Purple: Insurance not private (services can be seen by family or employers), compared to private.

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Fig 5.

Mean willingness to pay for PrEP among 236 young men who have sex with men in the U.S.: Additional options.

Red: Wait 4 weeks to start PrEP, compared to immediate start; Green: Wait 1 week to start PrEP, compared to immediate start; Blue: Communicate with provider online, compared to in-person visits.

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Fig 6.

Marginal willingness to pay for PrEP by insurance type for various insurance coverage scenarios among 236 young MSM.

A. PrEP is private (employers or family members cannot see benefits used); B. PrEP is not insurance covered; C. PrEP requires extra insurance; D. PrEP requires switch to a new insurance. Baseline insurance status. x. Participants on parental insurance; y. All participants, regardless of insurance status; z. Participants with employer-based exchange-based insurance.

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