Considerations for the Design of Pre-exposure Prophylaxis (PrEP) Interventions for Women: Lessons Learned from the Implementation of a Novel PrEP Intervention

被引：29

作者：

Walters, Suzan M. ^{[1
]}

Platt, Joey ^{[2
]}

Anakaraonye, Amarachi ^{[2
]}

Golub, Sarit A. ^{[3
]}

Cunningham, Chinazo O. ^{[2
]}

Norton, Brianna L. ^{[2
]}

Sevelius, Jae M. ^{[4
]}

Blackstock, Oni J. ^{[2
]}

机构：

[1] NYU, Sch Global Publ Hlth, New York, NY 10003 USA

[2] Montefiore Med Ctr, Albert Einstein Coll Med, Dept Med, Div Gen Internal Med, 3300 Kossuth Ave, Bronx, NY 10467 USA

[3] CUNY Hunter Coll, Dept Psychol, 695 Pk Ave, New York, NY 10021 USA

[4] Univ Calif San Francisco, Dept Med, San Francisco, CA 94143 USA

来源：

AIDS AND BEHAVIOR | 2021年 / 25卷 / 12期

关键词：

Cisgender women; Transgender women; Pre-exposure prophylaxis; HIV; Syringe service program; Drug use; Exchange sex; INJECTION-DRUG USERS; SYRINGE EXCHANGE PROGRAMS; HIV RISK BEHAVIORS; AFRICAN-AMERICAN; UNITED-STATES; GENDER-DIFFERENCES; SAN-FRANCISCO; PEER SUPPORT; CONDOM USE; AT-RISK;

D O I：

10.1007/s10461-021-03353-2

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Pre-exposure prophylaxis (PrEP) uptake among women in the United States has been low. To increase uptake, we developed a peer outreach and navigation PrEP intervention. Semi-structured qualitative interviews with 32 cisgender women and 3 transgender women were conducted to assess the intervention. We used a thematic approach to identify barriers to, and facilitators of the intervention. Facilitators included interest in PrEP, offer of health and social services, the intervention's women-focused approach, and peer outreach and navigation. Barriers were perceived HIV risk, concerns about medication side effects or interactions, housing insecurity and travel, co-occurring health-related conditions, and caregiving responsibilities. We recommend that future interventions consider packaging PrEP in local community settings, such as syringe exchange programs; include services such as food and housing assistance; use peers to recruit and educate women; integrate a culturally appropriate women's focus; and consider providing same-day PrEP.

引用

页码：3987 / 3999

页数：13

共 90 条

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