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Accepted (AM)Open Access (License Unspecified), Open
Journal article
An Exploration of Pre-exposure Prophylaxis (PrEP) Initiation Among Women Who Inject Drugs
Archives of sexual behavior, v 49(6), pp 2205-2212
Aug 2020
PMID: 32274742
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
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.
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Details
- Title
- An Exploration of Pre-exposure Prophylaxis (PrEP) Initiation Among Women Who Inject Drugs
- Creators
- Marisa Felsher - Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, 3215 Market St., Room 454, Philadelphia, PA, 19104, USAEliza Ziegler - Drexel UniversityLaramie R Smith - University of California, San DiegoSusan G Sherman - BloombergK Rivet Amico - Department of Health Behavior and Health Education, School of Public health, University of Michigan, Ann Arbor, MI, USA.Rachel Fox - Public Health Management CorporationKayla Madden - Prevention Point Philadelphia, Philadelphia, PA, USA.Alexis M Roth - Drexel University
- Publication Details
- Archives of sexual behavior, v 49(6), pp 2205-2212
- Publisher
- Springer Nature
- Grant note
- R21 DA043417 / NIDA NIH HHS 1R21DA043417-01A1 / NIDA NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Infectious Diseases (and HIV Medicine); Community Health and Prevention
- Web of Science ID
- WOS:000543139300027
- Scopus ID
- 2-s2.0-85083444645
- Other Identifier
- 991019167906704721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychology, Clinical
- Social Sciences, Interdisciplinary