Suboptimal HIV Pre-exposure Prophylaxis Awareness and Willingness to Use Among Women Who Use Drugs in the United States: A Systematic Review and Meta-analysis.
In the United States (U.S.), more than 12 million women reported illicit drug use in the past month. Drug use has been linked to increased risk for HIV, but little is known about the uptake of HIV pre-exposure prophylaxis (PrEP) to prevent HIV among women who use drugs (WWUD). Following the PRISMA g...
| Publicado en: | AIDS & Behavior Vol. 23; no. 10; pp. 2641 - 2654 |
|---|---|
| Autores principales: | , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
Oct2019
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=139077955&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 139077955 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Oct2019 vid: 23 iid: 10 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 139077955 139077955 144130378 139077955 10.1007/s10461-019-02573-x 139077955 ppf: 2641 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Suboptimal HIV Pre-exposure Prophylaxis Awareness and Willingness to Use Among Women Who Use Drugs in the United States: A Systematic Review and Meta-analysis. aug: au: Zhang, Chen McMahon, James Simmons, Janie Brown, L. Lauren Nash, Robertson Liu, Yu affil: School of Nursing, University of Rochester Medical Center, 255 Crittenden Blvd, 14622, Rochester, NY, USA sug: subj: HIV Infections Prevention and Control Cognition Pre-Exposure Prophylaxis Utilization Substance Use Disorders Psychosocial Factors Women's Health Psychosocial Factors Human United States Female Systematic Review Meta Analysis Literature Searching Continuity of Patient Care Race Factors Health Promotion Female ab: In the United States (U.S.), more than 12 million women reported illicit drug use in the past month. Drug use has been linked to increased risk for HIV, but little is known about the uptake of HIV pre-exposure prophylaxis (PrEP) to prevent HIV among women who use drugs (WWUD). Following the PRISMA guideline, we conducted a multi-database literature search to assess engagement along the PrEP care continuum among WWUD in the U.S. Seven studies with a total of 755 women were included in the review: 370 (49%) Black, 126 (16.7%) Hispanics, and 259 (34.3%) Whites. Employing random-effect models, data indicate 20.6% (95% CI 8.7%, 32.4%) of WWUD were aware of PrEP, and 60.2% (95% CI 52.2%, 68.2%) of those aware were also willing to use PrEP. Notwithstanding study limitations, our findings suggest there may be potential to increase PrEP uptake among WWUD, but efforts must first concentrate on improving PrEP awareness among this population. Resumen: En los Estados Unidos (EE. UU.), más de 12 millones de mujeres reportaron el uso de drogas ilícitas en el último mes. El uso de drogas se ha relacionado con un mayor riesgo de contraer el VIH, pero se sabe poco sobre la aceptación de la profilaxis preexposición (PrEP) para prevenir el VIH entre las mujeres que consumen drogas (MQCD). Siguiendo la guía de PRISMA, realizamos una búsqueda bibliográfica en múltiples bases de datos para evaluar el compromiso a lo largo de la cascada de atención de PrEP entre MQCD en los EE. UU. Se incluyeron siete estudios con un total de 755 mujeres en la revisión: 370 (49%) afroamericanas, 126 (16,7%) hispanas y 259 (34,3%) blancas. Empleando modelos de efectos aleatorios, los datos indican que el 20,6% (IC 95% = 8,7%, 32,4%) de MQCD tenían conocimiento de la PrEP, y un impresionante 60,2% (IC 95% = 52,2%, 68,2%) de las informadas también estaban dispuestas a utilizer la PrEP. A pesar de las limitaciones del estudio, nuestros hallazgos sugieren que puede haber un potencial para aumentar la aceptación de PrEP entre MQCD, pero los esfuerzos deben concentrarse primero en mejorar la conciencia de PrEP entre esta población. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|