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Intention to initiate and uptake of PrEP among women who injects drugs in a demonstration project: an application of the theory of planned behavior
Journal article   Open access   Peer reviewed

Intention to initiate and uptake of PrEP among women who injects drugs in a demonstration project: an application of the theory of planned behavior

Nguyen K. Tran, Marisa Felsher, Barbara Van Der Pol, Scarlett L. Bellamy, Jade McKnight and Alexis M. Roth
AIDS care, v 33(6), pp 746-753
03 Jun 2021
DOI: https://doi.org/10.1080/09540121.2021.1874267
PMID: 33486981
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8140983View
Accepted (AM)Open Access (License Unspecified),  Open

Abstract

HIV prevention pre-exposure prophylaxis Theory of planned behavior women who inject drugs
Some women who inject drugs (WWID) would benefit from pre-exposure prophylaxis (PrEP), yet there are few studies of issues related to uptake in real-world settings. In this study, participants (n = 95) were offered PrEP and responded to items measuring PrEP-related attitudes, norms, and perceived behavioral control based on the Theory of Planned Behavior. We tested associations with intention to initiate PrEP and uptake. Most WWID (88%) intended to initiate PrEP and 78% accepted a prescription. Compared to WWID who did not express PrEP intentions, those who did were less concerned about attitudinal and perceived behavioral control constructs such as temporary (75% vs. 36%, p = 0.01) and long-term (63% vs. 27%, p = 0.05) side effects, negative interactions with their birth control (93% vs. 38%, p < 0.01), their ability to take a daily pill (80% vs. 36%, p < 0.01), and the cost of PrEP (87% vs. 36%, p < 0.01). WWID who went on to take PrEP had fewer concerns with subjective norms constructs such as talking to health care providers about sex (91% vs. 65%, p < 0.01) and drug use (88% vs. 55%, p < 0.01) compared to those who did not. Attitudes and perceived behavioral control influenced intention while subjective norms had a greater impact on actual uptake.

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14 citations in Web of Science
12 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

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Collaboration types
Domestic collaboration
Web of Science research areas
Health Policy & Services
Psychology, Multidisciplinary
Public, Environmental & Occupational Health
Respiratory System
Social Sciences, Biomedical
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