Interest in and Willingness to Use PrEP: A Cross-Sectional Study of Individuals with Problematic Substance Use Residing in a High HIV Prevalence Jurisdiction.

Although it is an effective HIV prevention method, pre-exposure prophylaxis (PrEP) is underutilized in the Southern US. Many people who use drugs (PWUD) have increased susceptibility to HIV which could be lessened by using PrEP. Potential barriers to PrEP use include lack of awareness of PrEP, low k...

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Published in:Archives of Sexual Behavior Vol. 53; no. 9; pp. 3687 - 3699
Main Authors: Heads, Angela M., de Dios, Constanza, An, Kaixuan, Yoon, Jin H., Suchting, Robert, Gilmore-Thomas, Adrienne, Schmitz, Joy M.
Format: Article
Published: Springer Nature Oct2024
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Oct2024
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        atl: Interest in and Willingness to Use PrEP: A Cross-Sectional Study of Individuals with Problematic Substance Use Residing in a High HIV Prevalence Jurisdiction.
      aug:
        au:
          Heads, Angela M.
          de Dios, Constanza
          An, Kaixuan
          Yoon, Jin H.
          Suchting, Robert
          Gilmore-Thomas, Adrienne
          Schmitz, Joy M.
        affil: https://ror.org/03gds6c39 Faillace Department of Psychiatry and Behavioral Sciences, McGovern Medical School, University of Texas Health Science Center at Houston, 1941 East Rd., BBSB Suite 1316, 77054, Houston, TX, USA
      su:
        Southern States
        Diagnostic & Statistical Manual of Mental Disorders (Book)
        Social stigma
        HIV prevention
        Pre-exposure prophylaxis
      sug:
        subj:
          Social stigma
          Southern States
          HIV prevention
          Pre-exposure prophylaxis
          Diagnostic & Statistical Manual of Mental Disorders (Book)
      keyword:
        DSM-5
        PrEP
        Southern US
        Stigma
        Substance use
        DSM-5
        PrEP
        Southern US
        Stigma
        Substance use
      ab: Although it is an effective HIV prevention method, pre-exposure prophylaxis (PrEP) is underutilized in the Southern US. Many people who use drugs (PWUD) have increased susceptibility to HIV which could be lessened by using PrEP. Potential barriers to PrEP use include lack of awareness of PrEP, low knowledge about HIV prevention, low self-efficacy for HIV prevention, inaccurate risk perceptions, and anticipated stigma. The current study examined predisposing, enabling, and reinforcing factors that may predict interest in PrEP. The purpose of the current study was to explore factors associated with interest in and willingness to use daily oral and long acting injectable PrEP among sexually active adult PWUD. The data were collected from adult participants (n = 270) residing in Harris County, TX, who self-reported problematic substance use and who reported oral, anal, or vaginal sex in the six months prior to completing the survey. The survey was distributed and completed online via Qualtrics Panels in March of 2022 and included measures of PrEP and HIV knowledge, PrEP stigma, sexual health self-efficacy, experiences of discrimination, health literacy, and medical mistrust. The majority of participants reported circumstances or behaviors that increased their susceptibility to HIV. Findings indicated that PrEP user stereotypes and PrEP anticipated disapproval by others were associated with interest in using daily oral PrEP and willingness to use long acting injectable PrEP. These results provide insight into reasons for low PrEP uptake among PWUD who live in a high HIV prevalence jurisdiction. Implications for HIV prevention intervention are discussed.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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