HIV Services Implementation Within US Syringe Services Programs: A Qualitative Exploration.
The recent rise in HIV incidence among people who inject drugs in the United States highlights an urgent need to improve HIV testing, treatment linkage, and pre-exposure prophylaxis access in this group. Syringe services programs (SSPs) play a critical role by offering or linking clients to these se...
| Publicado en: | AIDS Patient Care & STDs Vol. 39; no. 11; pp. 441 - 450 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Mary Ann Liebert, Inc.
Nov2025
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| 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=189287637&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 189287637 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10872914 33C jtl: AIDS Patient Care & STDs issn: 10872914 maglogo: N pubinfo: dt: Nov2025 vid: 39 iid: 11 pid: 1365 pub: Mary Ann Liebert, Inc. place: New Rochelle, New York artinfo: ui: 189287637 189287637 189287637 10.1177/10872914251376934 189287637 ppf: 441 ppct: 9 formats: tig: atl: HIV Services Implementation Within US Syringe Services Programs: A Qualitative Exploration. aug: au: Roth, Alexis M. Forman, Elana Akiba, Christopher F. Eger, William H. Laurano, Rose Huffaker, Shelby L. Patel, Sheila V. Smith, Jessica Lambdin, Barrot H. Bazzi, Angela R. affil: Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania, USA. sug: subj: HIV Infections Prevention and Control Health Care Delivery Health Services Accessibility Needle Exchange Programs Program Evaluation Implementation Science Funding Source United States Human Qualitative Studies Purposive Sample Semi-Structured Interview Audiorecording Persons Who Use Intravenous Drugs Substance Abuse, Intravenous Harm Reduction Health Care Delivery, Integrated Health Screening Pre-Exposure Prophylaxis Referral and Consultation After Care Financial Support Patient Autonomy Thematic Analysis Data Analysis Software ab: The recent rise in HIV incidence among people who inject drugs in the United States highlights an urgent need to improve HIV testing, treatment linkage, and pre-exposure prophylaxis access in this group. Syringe services programs (SSPs) play a critical role by offering or linking clients to these services, yet little is known about how such care is delivered. Informed by the Consolidated Framework for Implementation Research, we conducted qualitative interviews with 41 representatives from 27 SSPs across the United States to characterize the current service delivery landscape, identify barriers to care, and explore modifiable implementation determinants. Rapid qualitative analysis revealed four primary HIV service delivery models: "one-stop shop" offering integrated, on-site HIV testing and follow-up care provided by the SSP; "test and refer" with integrated, on-site testing services followed by referrals to external partners for follow-up care; "co-located services" with SSPs relying on external partner organizations to provide HIV testing (and additional services) on-site; and "hand-off" involving referrals to off-site, external partners for HIV testing and follow-up care. SSPs faced varied implementation challenges, including staffing, funding, and space constraints; competing priorities; availability and accessibility of local partnerships; as well as SSP culture, which values participant autonomy (recipient-centeredness). These contextual factors influenced the feasibility and acceptability of HIV services and why SSPs adopted a particular service delivery model. To strengthen HIV prevention and care in SSPs, tailored implementation strategies are needed that account for programs' unique constraints and capacities. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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