An Exploration of Pre-exposure Prophylaxis (PrEP) Initiation Among Women Who Inject Drugs.
Pre-exposure prophylaxis (PrEP) is an effective but understudied tool for preventing HIV among women who inject drugs (WWID). This article is the first to explore WWID's rationale for PrEP initiation (or refusal) in a real-world setting. Purposive sampling was used to recruit 25 WWID, participating...
| Publicado en: | Archives of Sexual Behavior Vol. 49; no. 6; pp. 2205 - 2213 |
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| Autores principales: | , , , , , , , |
| Formato: | journal article |
| Publicado: |
Springer Nature
Aug2020
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=144236992&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 144236992 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00040002 ASX jtl: Archives of Sexual Behavior issn: 00040002 maglogo: N pubinfo: dt: Aug2020 vid: 49 iid: 6 pid: 237 pub: Springer Nature artinfo: ui: 144236992 10.1007/s10508-020-01684-0 ppf: 2205 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P size: 546KB tig: atl: An Exploration of Pre-exposure Prophylaxis (PrEP) Initiation Among Women Who Inject Drugs. aug: au: Felsher, Marisa Ziegler, Eliza Smith, Laramie R. Sherman, Susan G. Amico, K. Rivet Fox, Rachel Madden, Kayla Roth, Alexis M. affil: Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, 3215 Market St., Room 454, 19104, Philadelphia, PA, USA Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA Department of Medicine, University of California, San Diego, San Diego, CA, USA Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA Department of Health Behavior and Health Education, School of Public Health, University of Michigan, Ann Arbor, MI, USA Public Health Management Corporation Care Clinic, Philadelphia, PA, USA Prevention Point Philadelphia, Philadelphia, PA, USA su: Women's health Women's attitudes Pre-exposure prophylaxis HIV prevention Intravenous drug abusers Prevention of diseases in women sug: subj: Women's health Women's attitudes Pre-exposure prophylaxis HIV prevention Intravenous drug abusers Prevention of diseases in women keyword: Health belief model HIV Women who inject drugs Health belief model HIV Women who inject drugs ab: Pre-exposure prophylaxis (PrEP) is an effective but understudied tool for preventing HIV among women who inject drugs (WWID). This article is the first to explore WWID's rationale for PrEP initiation (or refusal) in a real-world setting. Purposive sampling was used to recruit 25 WWID, participating in a PrEP demonstration project operating within a syringe services program, based on whether they initiated or declined PrEP care. Content analysis of qualitative interviews was used to explore decisions to initiate PrEP (or not). We found that WWID view HIV as severe, perceive themselves to be susceptible to HIV, and believe PrEP is beneficial for HIV prevention. For some, however, real and perceived barriers outweighed benefits, leading to decisions not to initiate PrEP. Barriers included HIV stigma, fear of side effects, and needing assurance that PrEP care will be available long-term. Despite viewing PrEP as an important HIV prevention tool, not all WWID who were offered PrEP initiated it. For these women, supports to buffer perceived barriers to initiation and access to post-exposure prophylaxis may be warranted. For women who initiate, it is possible that adherence will wane if perceived risk does not remain high. Research to understand PrEP persistence is needed. pubtype: Academic Journal doctype: journal article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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