Barriers and Facilitators to PrEP Use Among People Who Inject Drugs in Rural Appalachia: A Qualitative Study

被引：58

作者：

Allen, Sean T. ^{[1
]}

O'Rourke, Allison ^{[2
]}

White, Rebecca Hamilton ^{[1
]}

Smith, Katherine C. ^{[1
]}

Weir, Brian ^{[1
]}

Lucas, Gregory M. ^{[3
]}

Sherman, Susan G. ^{[1
]}

Grieb, Suzanne M. ^{[4
]}

机构：

[1] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, 624 N Broadway, Baltimore, MD 21205 USA

[2] George Washington Univ, DC Ctr AIDS Res, Dept Psychol, 2125 G St NW, Washington, DC 20052 USA

[3] Johns Hopkins Sch Med, Dept Med, 1830 E Monument St, Baltimore, MD 21205 USA

[4] Johns Hopkins Sch Med, Ctr Child & Community Hlth Res, Dept Pediat, Baltimore, MD 21224 USA

来源：

AIDS AND BEHAVIOR | 2020年 / 24卷 / 06期

关键词：

HIV; PrEP; Rural health; People who inject drugs; HIV PREEXPOSURE PROPHYLAXIS; C VIRUS-INFECTION; HEPATITIS-C; UNITED-STATES; AWARENESS; PREVENTION; SERVICES; PROGRAMS; PERSPECTIVES; WILLINGNESS;

D O I：

10.1007/s10461-019-02767-3

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The opioid crisis has increased risks for injection drug use-associated HIV outbreaks in rural communities throughout the United States. Existing research has examined pre-exposure prophylaxis (PrEP) utilization among people who inject drugs (PWID); however, no studies have been conducted to explore barriers and facilitators of PrEP use among rural PWID in Appalachia. We conducted qualitative interviews with PWID (n = 48) in two rural counties in West Virginia to explore barriers and facilitators of PrEP use. Among our participants, the majority (68.8%) had never heard of PrEP. Upon learning about PrEP, most participants expressed willingness to use it. Rural PWID described several factors that may impede PrEP utilization (e.g., housing instability, forgetting to take PrEP). Participants also identified practical strategies to support sustained PrEP utilization, such as integrating PrEP services into venues PWID access. This research provides important insights into the barriers and facilitators of PrEP utilization among rural PWID.

引用

页码：1942 / 1950

页数：9

共 49 条

[1] HIV providers' likelihood to prescribe pre-exposure prophylaxis (PrEP) for HIV prevention differs by patient type: a short report [J].

Adams, Leah M. ;

Balderson, Benjamin H. .

AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV, 2016, 28 (09) :1154-1158

[2]

AIDSVu, Mapping PrEP: First Ever Data on PrEP Users Across the U.S

[3] Understanding the public health consequences of suspending a rural syringe services program: a qualitative study of the experiences of people who inject drugs [J].

Allen, Sean T. ;

Grieb, Suzanne M. ;

O'Rourke, Allison ;

Yoder, Ryan ;

Planchet, Elise ;

White, Rebecca Hamilton ;

Sherman, Susan G. .

HARM REDUCTION JOURNAL, 2019, 16 (1)

[4] Estimating the Number of People Who Inject Drugs in A Rural County in Appalachia [J].

Allen, Sean T. ;

O'Rourke, Allison ;

White, Rebecca Hamilton ;

Schneider, Kristin E. ;

Kilkenny, Michael ;

Sherman, Susan G. .

AMERICAN JOURNAL OF PUBLIC HEALTH, 2019, 109 (03) :445-450

[5] Opioid Use Fueling HIV Transmission in an Urban Setting: An Outbreak of HIV Infection Among People Who Inject Drugs-Massachusetts, 2015-2018 [J].

Alpren, Charles ;

Dawson, Erica L. ;

John, Betsey ;

Cranston, Kevin ;

Panneer, Nivedha ;

Fukuda, H. Dawn ;

Roosevelt, Kathleen ;

Klevens, R. Monina ;

Bryant, Janice ;

Peters, Philip J. ;

Lyss, Sheryl B. ;

Switzer, William M. ;

Burrage, Amanda ;

Murray, Ashley ;

Agnew-Brune, Christine ;

Stiles, Tracy ;

McClung, Paul ;

Campbell, Ellsworth M. ;

Breen, Courtney ;

Randall, Liisa M. ;

Dasgupta, Sharoda ;

Onofrey, Shauna ;

Bixler, Danae ;

Hampton, Kischa ;

Jaeger, Jenifer Leaf ;

Hsu, Katherine K. ;

Adih, William ;

Callis, Barry ;

Goldman, Linda R. ;

Danner, Susie P. ;

Jia, Hongwei ;

Tumpney, Matthew ;

Board, Amy ;

Brown, Catherine ;

DeMaria, Alfred, Jr. ;

Buchacz, Kate .

AMERICAN JOURNAL OF PUBLIC HEALTH, 2020, 110 (01) :37-44

[6]

[Anonymous], 2019, PrEP

[7] Antiretroviral Prophylaxis for HIV Prevention in Heterosexual Men and Women [J].

Baeten, J. M. ;

Donnell, D. ;

Ndase, P. ;

Mugo, N. R. ;

Campbell, J. D. ;

Wangisi, J. ;

Tappero, J. W. ;

Bukusi, E. A. ;

Cohen, C. R. ;

Katabira, E. ;

Ronald, A. ;

Tumwesigye, E. ;

Were, E. ;

Fife, K. H. ;

Kiarie, J. ;

Farquhar, C. ;

John-Stewart, G. ;

Kakia, A. ;

Odoyo, J. ;

Mucunguzi, A. ;

Nakku-Joloba, E. ;

Twesigye, R. ;

Ngure, K. ;

Apaka, C. ;

Tamooh, H. ;

Gabona, F. ;

Mujugira, A. ;

Panteleeff, D. ;

Thomas, K. K. ;

Kidoguchi, L. ;

Krows, M. ;

Revall, J. ;

Morrison, S. ;

Haugen, H. ;

Emmanuel-Ogier, M. ;

Ondrejcek, L. ;

Coombs, R. W. ;

Frenkel, L. ;

Hendrix, C. ;

Bumpus, N. N. ;

Bangsberg, D. ;

Haberer, J. E. ;

Stevens, W. S. ;

Lingappa, J. R. ;

Celum, C. .

NEW ENGLAND JOURNAL OF MEDICINE, 2012, 367 (05) :399-410

[8] Limited Knowledge and Mixed Interest in Pre-Exposure Prophylaxis for HIV Prevention Among People Who Inject Drugs [J].

Bazzi, Angela R. ;

Biancarelli, Dea L. ;

Childs, Ellen ;

Drainoni, Mari-Lynn ;

Edeza, Alberto ;

Salhaney, Peter ;

Mimiaga, Matthew J. ;

Biello, Katie B. .

AIDS PATIENT CARE AND STDS, 2018, 32 (12) :529-537

[9] Perspectives on HIV pre-exposure prophylaxis (PrEP) utilization and related intervention needs among people who inject drugs [J].

Biello, K. B. ;

Bazzi, A. R. ;

Mimiaga, M. J. ;

Biancarelli, D. L. ;

Edeza, A. ;

Salhaney, P. ;

Childs, E. ;

Drainoni, M. L. .

HARM REDUCTION JOURNAL, 2018, 15

[10] A purposeful approach to the constant comparative method in the analysis of qualitative interviews [J].

Boeije, H .

QUALITY & QUANTITY, 2002, 36 (04) :391-409

← 1 2 3 4 5 →