Aids Education and Prevention最新文献

筛选
英文 中文
Scaling Up HIV Self-Testing and Linkage to Care Among Women Who Exchange Sex and/or Use Drugs in Kazakhstan. 在哈萨克斯坦交换性生活和/或使用毒品的妇女中推广 HIV 自我检测和护理链接。
IF 1.6 4区 医学
Aids Education and Prevention Pub Date : 2024-06-01 DOI: 10.1521/aeap.2024.36.3.216
Brooke S West, Meruyert Darisheva, Tara McCrimmon, Natalya Zholnerova, Ekaterina Grigorchuk, Laura Starbird, Assel Terlikbayeva, Sholpan Primbetova, Baurzhan Baiserkin, Zhannat Mussina, Sayrankul Kasymbekova, Olivia Cordingley, Victoria A Frye
{"title":"Scaling Up HIV Self-Testing and Linkage to Care Among Women Who Exchange Sex and/or Use Drugs in Kazakhstan.","authors":"Brooke S West, Meruyert Darisheva, Tara McCrimmon, Natalya Zholnerova, Ekaterina Grigorchuk, Laura Starbird, Assel Terlikbayeva, Sholpan Primbetova, Baurzhan Baiserkin, Zhannat Mussina, Sayrankul Kasymbekova, Olivia Cordingley, Victoria A Frye","doi":"10.1521/aeap.2024.36.3.216","DOIUrl":"10.1521/aeap.2024.36.3.216","url":null,"abstract":"<p><p>HIV testing is the point of entry for linkage to treatment and prevention and is critically important to ending the HIV epidemic. HIV self-testing (HST) is an acceptable, user-controlled tool that can address testing barriers, which is especially important for populations who need to test frequently, like women who exchange or trade sex for money or other needed resources (WES) and women who use drugs. HST is feasible and acceptable among WES, but research among WES who also use drugs is limited, particularly in places like Kazakhstan, where HIV rates remain high and where scale-up of HST and pre-exposure prophylaxis (PrEP) is in process. To develop effective programming, there is a need to develop tailored services for WES and/or use drugs that address key barriers. We discuss opportunities to increase HST and linkage to services among WES and/or use drugs in Kazakhstan, with a focus on stigma reduction.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 3","pages":"216-228"},"PeriodicalIF":1.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11440631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Analysis of Participant Stigma and Associated Costs of a Peer-Led Social Media HIV Intervention. 分析由同龄人主导的社交媒体艾滋病干预措施的参与者耻辱感和相关成本。
IF 1.6 4区 医学
Aids Education and Prevention Pub Date : 2024-04-01 DOI: 10.1521/aeap.2024.36.2.113
Navkiranjit Gill, Jim E Banta, Leonard Gashugi, Sean D Young
{"title":"Analysis of Participant Stigma and Associated Costs of a Peer-Led Social Media HIV Intervention.","authors":"Navkiranjit Gill, Jim E Banta, Leonard Gashugi, Sean D Young","doi":"10.1521/aeap.2024.36.2.113","DOIUrl":"10.1521/aeap.2024.36.2.113","url":null,"abstract":"<p><p>HIV-related stigma is a primary barrier to seeking HIV care. Online social media interventions utilizing peer-led approaches provide an opportunity to revolutionize HIV health behavior change. Secondary analysis of the UCLA HOPE Study (6 waves) was done to examine the effectiveness of an online peer-led intervention in reducing HIV-related internalized stigma (IS), association between IS and sexual risk behaviors (SRB), and associated costs for changing the likelihood of HIV testing. Among 897 participants, an inverse relationship between IS (Discomfort with people with HIV, Stereotypes, Moral Judgment) and SRB (Number of Sexual Partners, Sexual Encounters) factors was identified over time (<i>p</i> < .05). Engagement in stigma conversations increased participant likelihood to request HIV tests (<i>B</i> = 0.02, Wald = 8.10, <i>p</i> = .004) when made in group versus one-on-one contact. Innovative technology has potential to improve HIV-care efforts through expanded reach to at-risk populations, improved communication maintenance, ease of accessibility, and user anonymity.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 2","pages":"113-128"},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140859122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Program Director Reports of COVID-19 Lockdown-Driven Service Changes in Community-Based STI Clinics and Syringe Services Programs in the Southeastern U.S. 美国东南部社区性传播疾病诊所和注射器服务计划项目主任关于 COVID-19 禁闭驱动的服务变化的报告
IF 1.6 4区 医学
Aids Education and Prevention Pub Date : 2024-04-01 DOI: 10.1521/aeap.2024.36.2.129
Mary A Hatch, Tanja C Laschober, Melissa M Ertl, Margaret M Paschen-Wolff, Gaia Norman, Lynette Wright, Susan Tross
{"title":"Program Director Reports of COVID-19 Lockdown-Driven Service Changes in Community-Based STI Clinics and Syringe Services Programs in the Southeastern U.S.","authors":"Mary A Hatch, Tanja C Laschober, Melissa M Ertl, Margaret M Paschen-Wolff, Gaia Norman, Lynette Wright, Susan Tross","doi":"10.1521/aeap.2024.36.2.129","DOIUrl":"10.1521/aeap.2024.36.2.129","url":null,"abstract":"<p><p>The COVID-19 pandemic strained the U.S. health care system, posing logistical challenges for community-based programs. This study surveyed 11 program directors in sexually transmitted infection (STI) clinics and syringe services programs (SSPs) that served people who use substances and are at risk for HIV in five southeastern U.S. states. Brief survey questions asked about programs' use of in-person and telehealth services. Results indicated widespread reduction of in-person services and concomitant adoption of telehealth services. In STI clinics, telehealth replaced in-person visits for all but urgent treatment of active symptoms. In SSPs, in-person contact continued or increased from pre-pandemic volumes. In both programs, the most salient telehealth use barrier was limited device or internet access and limited technological ease. Services were sustained through innovative adaptations. This snapshot of response to the early COVID-19 lockdown phase offers actionable guidance about service preparedness for future public health catastrophes in community-based programs serving vulnerable populations.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 2","pages":"129-140"},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11608127/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Asian People Reached by the Centers for Disease Control and Prevention HIV Testing Program in the United States: HIV Testing, Linkage to HIV Medical Care, and Interview for Partner Services 2014-2020. 美国疾病控制和预防中心艾滋病毒检测项目所覆盖的亚裔人群:2014-2020 年艾滋病毒检测、艾滋病毒医疗护理链接和伴侣服务访谈》(HIV Testing, Linkage to HIV Medical Care, and Interview for Partner Services 2014-2020)。
IF 1.6 4区 医学
Aids Education and Prevention Pub Date : 2024-04-01 DOI: 10.1521/aeap.2024.36.2.103
Songli Xu, Guoshen Wang, Weston Williams, Mariette Marano Lee, Carolyn Wright, Gary Uhl
{"title":"Asian People Reached by the Centers for Disease Control and Prevention HIV Testing Program in the United States: HIV Testing, Linkage to HIV Medical Care, and Interview for Partner Services 2014-2020.","authors":"Songli Xu, Guoshen Wang, Weston Williams, Mariette Marano Lee, Carolyn Wright, Gary Uhl","doi":"10.1521/aeap.2024.36.2.103","DOIUrl":"10.1521/aeap.2024.36.2.103","url":null,"abstract":"<p><p>The purpose of this analysis is to describe HIV tests and associated outcomes for Asian people reached by the Centers for Disease Control and Prevention (CDC) HIV testing program. We analyzed CDC-funded HIV tests among Asian individuals in the United States, Puerto Rico, and the U.S. Virgin Islands (2014-2020). Of the 415,560 tests, the positivity of new diagnoses was higher among males (0.49%, aPR = 7.64) than females (0.06%), and in the West (0.42%, aPR = 1.15) than in the South (0.25%). In non-health care settings, positivity was highest among men who have sex with men (MSM; 0.87%) and transgender people (0.46%). Linkage to HIV medical care among Asian people was 87.5%, and 70.7% were interviewed for partner services. Our findings suggest that improvements are crucial, particularly for Asian MSM, in linkage to care and interview for partner services.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 2","pages":"103-112"},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Evidence Project: Protocol for Systematic Reviews of Behavioral Interventions and Behavioral Aspects of Biomedical Interventions for HIV Prevention, Treatment, and Health Service Delivery in Low- and Middle-Income Countries. 证据项目:中低收入国家艾滋病预防、治疗和健康服务提供的行为干预和生物医学干预的行为方面的系统性审查协议》。
IF 1.6 4区 医学
Aids Education and Prevention Pub Date : 2024-04-01 DOI: 10.1521/aeap.2024.36.2.87
Caitlin E Kennedy, Ping Teresa Yeh, Virginia A Fonner, Kevin A Armstrong, Julie A Denison, Kevin R O'Reilly, Michael D Sweat
{"title":"The Evidence Project: Protocol for Systematic Reviews of Behavioral Interventions and Behavioral Aspects of Biomedical Interventions for HIV Prevention, Treatment, and Health Service Delivery in Low- and Middle-Income Countries.","authors":"Caitlin E Kennedy, Ping Teresa Yeh, Virginia A Fonner, Kevin A Armstrong, Julie A Denison, Kevin R O'Reilly, Michael D Sweat","doi":"10.1521/aeap.2024.36.2.87","DOIUrl":"10.1521/aeap.2024.36.2.87","url":null,"abstract":"<p><p>The Evidence Project conducts systematic reviews and meta-analyses of HIV behavioral interventions, behavioral aspects of biomedical interventions, combination prevention strategies, modes of service delivery, and integrated programs in low- and middle-income countries. Here, we present the overall protocol for our reviews. For each topic, we conduct a comprehensive search of five online databases, complemented by secondary reference searching. Articles are included if they are published in peer-reviewed journals and present pre/post or multi-arm data on outcomes of interest. Data are extracted from each included article by two trained coders working independently using standardized coding forms, with differences resolved by consensus. Risk of bias is assessed with the Evidence Project tool. Data are synthesized descriptively, and meta-analysis is conducted when there are similarly measured outcomes across studies. For over 20 years, this approach has allowed us to synthesize literature on the effectiveness of interventions and contribute to the global HIV response.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 2","pages":"87-102"},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11793103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140853266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Awareness and Knowledge of HIV-Associated Neurocognitive Disorder Among Middle-Aged and Older People Living With HIV/AIDS in Southern Nevada: Implications for HIV/AIDS Community-Based Education Programs. 南内华达州中老年艾滋病毒/艾滋病感染者对艾滋病毒相关神经认知障碍的认识和了解:艾滋病社区教育计划的意义》。
IF 1.6 4区 医学
Aids Education and Prevention Pub Date : 2024-04-01 DOI: 10.1521/aeap.2024.36.2.141
Brandon Ranuschio, Sherry Bell, Jason Flatt, Lianne Barnes, Trinity Puno, Andrea Navarro, Alexander Ribeiro, Nadia Sheik-Yosef, Esmeralda Villalobos, Janelle Wackens, Renato M Liboro
{"title":"Awareness and Knowledge of HIV-Associated Neurocognitive Disorder Among Middle-Aged and Older People Living With HIV/AIDS in Southern Nevada: Implications for HIV/AIDS Community-Based Education Programs.","authors":"Brandon Ranuschio, Sherry Bell, Jason Flatt, Lianne Barnes, Trinity Puno, Andrea Navarro, Alexander Ribeiro, Nadia Sheik-Yosef, Esmeralda Villalobos, Janelle Wackens, Renato M Liboro","doi":"10.1521/aeap.2024.36.2.141","DOIUrl":"10.1521/aeap.2024.36.2.141","url":null,"abstract":"<p><p>Although a significant amount of biomedical research has been conducted to study HIV-associated neurocognitive disorder (HAND), there has been scant research done to assess the awareness and knowledge of this public health concern among middle-aged and older people living with HIV/AIDS (PLWH). Our qualitative community-based participatory research study sought to address this research gap by examining the awareness and knowledge of HAND among relevant stakeholders in southern Nevada, USA. We conducted 15 semistructured interviews with middle-aged and older PLWH to examine their awareness and knowledge of HAND and access to pertinent resources. After our thematic analysis of our interviews, we identified two overarching themes: (1) limited awareness and knowledge of HAND among PLWH, and (2) southern Nevada social determinants of health. Our findings underscore the importance of raising awareness and knowledge of HAND among PLWH through community-based education programs, and improving access to resources related to social determinants of health.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 2","pages":"141-154"},"PeriodicalIF":1.6,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Knowledge of Pre- and Postexposure Prophylaxis for HIV Prevention Among Internal Medicine Residents in the United States. 美国内科住院医师对接触前和接触后预防艾滋病知识的了解。
IF 1.6 4区 医学
Aids Education and Prevention Pub Date : 2024-02-01 DOI: 10.1521/aeap.2024.36.1.48
Lucy X Li, Jessica S Lin, Sean Tackett, Amanda Bertram, Stephen D Sisson, Darius Rastegar, Gail Berkenblit
{"title":"Knowledge of Pre- and Postexposure Prophylaxis for HIV Prevention Among Internal Medicine Residents in the United States.","authors":"Lucy X Li, Jessica S Lin, Sean Tackett, Amanda Bertram, Stephen D Sisson, Darius Rastegar, Gail Berkenblit","doi":"10.1521/aeap.2024.36.1.48","DOIUrl":"10.1521/aeap.2024.36.1.48","url":null,"abstract":"<p><p>Prescription rates of pre-exposure prophylaxis (PrEP) have remained low among noninfectious disease providers in the United States despite almost a decade since their introduction. For future primary care doctors, residency is the optimal time to build practice patterns around HIV prevention. We assessed baseline knowledge of PrEP in specific pre- and post-exposure prophylaxis content areas among internal medicine trainees who completed the Physician Education and Assessment Center HIV learning module between 2013 to 2020 (<i>N</i> = 12,060). Resident baseline PrEP knowledge was universally low; despite rising awareness of antiretroviral therapy for PrEP in successive years following the nadir of 41% in 2014, still only 56% of residents affirmed this means of HIV prevention by 2020. Knowledge remained limited regardless of academic year, local HIV prevalence, or training program type. Online module completion increased competence across all content areas. There is still a deficit in HIV prevention knowledge across U.S. internal medicine residents, suggesting insufficient education and exposure to HIV-related care.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 1","pages":"48-59"},"PeriodicalIF":1.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Experiences of Successful PrEP Uptake Among Adolescent Sexual Minority Men in the United States: A Qualitative Exploration. 美国性少数群体男性青少年成功采用 PrEP 的经历:定性探索。
IF 1.6 4区 医学
Aids Education and Prevention Pub Date : 2024-02-01 DOI: 10.1521/aeap.2024.36.1.1
Jacob Gordon, Val Wongsomboon, Andrés Alvarado Avila, Julianna Lorenzo, Brian Mustanski, Kathryn Macapagal
{"title":"Experiences of Successful PrEP Uptake Among Adolescent Sexual Minority Men in the United States: A Qualitative Exploration.","authors":"Jacob Gordon, Val Wongsomboon, Andrés Alvarado Avila, Julianna Lorenzo, Brian Mustanski, Kathryn Macapagal","doi":"10.1521/aeap.2024.36.1.1","DOIUrl":"10.1521/aeap.2024.36.1.1","url":null,"abstract":"<p><p>Male adolescent sexual minorities are at elevated risk of HIV acquisition yet demonstrate low rates of PrEP uptake. Understanding the experiences of adolescents who have successfully accessed PrEP may inform ways to best support adolescents seeking PrEP. Adolescent sexual minorities (<i>N</i> = 100) who reported utilizing PrEP responded to open-ended items asking about their initial PrEP experiences and advice for others. Qualitative analysis suggested that adolescents' ability to access PrEP is influenced by managing parental involvement and seeking culturally competent health care providers. Additionally, they reported how the benefits and drawbacks of taking PrEP played a role in their PrEP use. Findings suggest that educational PrEP interventions targeted at this population could improve uptake by incorporating discussions on side effects and mental health benefits associated with PrEP use. Structural interventions are warranted that improve adolescents' ability to seek sexual health care independently and make room for parental involvement when adolescents could benefit from their support.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 1","pages":"1-15"},"PeriodicalIF":1.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11376320/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
PIVOT: A New Approach to HIV Capacity-Building Assistance. PIVOT:艾滋病能力建设援助的新方法。
IF 1.6 4区 医学
Aids Education and Prevention Pub Date : 2024-02-01 DOI: 10.1521/aeap.2024.36.1.73
Sarah Suarez, Shayla Knighton-Black, Carla Mena, Alonda Hutchinson-Hall, Guillermo Chacon
{"title":"PIVOT: A New Approach to HIV Capacity-Building Assistance.","authors":"Sarah Suarez, Shayla Knighton-Black, Carla Mena, Alonda Hutchinson-Hall, Guillermo Chacon","doi":"10.1521/aeap.2024.36.1.73","DOIUrl":"10.1521/aeap.2024.36.1.73","url":null,"abstract":"<p><p>In 2004, a national nonprofit established a capacity-building assistance (CBA) program aimed at bolstering the capabilities of health departments and community-based organizations in implementing and evaluating HIV prevention interventions for racial and minority populations. Recognizing the need for a specialized CBA model to support HIV prevention programs, the program developed the Customized Holistic Analytical Networking Grassroots Evaluatory (CHANGE) approach. This article introduces the Prioritizing Intersectional Values for Organizational Technical Assistance (PIVOT) approach as a progressive evolution of CBA strategies tailored to the contemporary HIV landscape. PIVOT, founded on seven core values and focused on four key areas, is structured across three stages of CBA delivery. Effective capacity building mandates the CBA partners to be well versed in HIV organizational culture and capable of delivering strategies ensuring long-term sustainability. This article offers invaluable insights and lessons that inform the development and implementation of the PIVOT approach, drawing from two decades of service delivery.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 1","pages":"73-86"},"PeriodicalIF":1.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Facilitators and Barriers to PrEP Acceptability and Initiation Among Opioid Treatment Program Patients and Staff. 阿片类药物治疗计划患者和工作人员接受和启动 PrEP 的促进因素和障碍。
IF 1.6 4区 医学
Aids Education and Prevention Pub Date : 2024-02-01 DOI: 10.1521/aeap.2024.36.1.60
Kiera Chan, Mary M Mitchell, Emilie Casselle, Alexis A Bender
{"title":"Facilitators and Barriers to PrEP Acceptability and Initiation Among Opioid Treatment Program Patients and Staff.","authors":"Kiera Chan, Mary M Mitchell, Emilie Casselle, Alexis A Bender","doi":"10.1521/aeap.2024.36.1.60","DOIUrl":"10.1521/aeap.2024.36.1.60","url":null,"abstract":"<p><p>The Centers for Disease Control and Prevention recommends PrEP (pre-exposure prophylaxis) for people who use drugs, yet uptake remains low. This study explores the acceptability and potential uptake of PrEP among participants in an opioid treatment program (OTP). We conducted 26 in-depth, semistructured interviews with staff and patients at an OTP in Baltimore, Maryland. Overall, participants felt that providing PrEP within the program would be beneficial, but they noted competing priorities among populations engaging in high-risk behaviors and lack of willingness among groups with lower risk behaviors. Participants reported several barriers to PrEP use among people who use drugs and who use medications for opioid use, including cost, competing priorities, stigma, and misconceptions about who should use PrEP. Facilitators to PrEP use were described as health benefits, trusted relationships with providers, and existing resources in the opioid treatment program. Practitioners should consider addressing barriers to access and stigma within an OTP setting for HIV prevention tools.</p>","PeriodicalId":47801,"journal":{"name":"Aids Education and Prevention","volume":"36 1","pages":"60-72"},"PeriodicalIF":1.6,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信