Examining HIV pre-exposure prophylaxis (PrEP) acceptability among rural people who inject drugs: predictors of PrEP interest among syringe service program clients.
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| Title: | Examining HIV pre-exposure prophylaxis (PrEP) acceptability among rural people who inject drugs: predictors of PrEP interest among syringe service program clients. |
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| Authors: | Surratt, Hilary L., Brown, Sarah, Burton, Abby L., Cranford, Will, Green, Christie, Mersch, Stephanie M., Rains, Rebecca, Westgate, Philip M. |
| Source: | AIDS Care. Dec2024, Vol. 36 Issue 12, p1858-1868. 11p. |
| Subjects: | HIV prevention, Needle exchange programs, Research funding, Social determinants of health, Interviewing, Descriptive statistics, Pre-exposure prophylaxis, Rural conditions, Research methodology, Patients' attitudes, Intravenous drug abusers, Psychosocial factors, Community-based social services, Social stigma |
| Geographic Terms: | Kentucky |
| Abstract: | Rural communities in the US have increasing HIV burden tied to injection drug use, yet engagement in pre-exposure prophylaxis (PrEP) care has been low among people who inject drugs (PWID). Syringe service programs (SSPs) are widely implemented in Kentucky's Appalachian region, presenting an important opportunity to scale PrEP services. This paper examines PrEP awareness, interest and preferences among PWID attending community-based SSPs in Appalachia. Eighty participants were enrolled from two SSP locations. Eligibility included: ≥ 18 years old, current injection drug use and SSP use, and an indication for PrEP as defined by CDC guidelines. Participants completed a structured baseline interview. Predictors of PrEP awareness, interest and formulation preferences were examined. 38.8% reported baseline awareness of PrEP, 50% expressed high interest in PrEP, and 48.1%reported a preference for injectable PrEP. Significant bivariate predictors of PrEP interest included: current worry about health, higher perceived HIV risk, higher community HIV stigma, and higher enacted substance use stigma in the past year; in the adjusted model, enacted substance use stigma remained significant. Findings demonstrate substantial interest in PrEP among rural PWID. Intrapersonal and social determinant factors were associated with PrEP interest, which suggests the importance of multi-level intervention targets to increase PrEP uptake. [ABSTRACT FROM AUTHOR] |
| Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 180828297 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Examining HIV pre-exposure prophylaxis (PrEP) acceptability among rural people who inject drugs: predictors of PrEP interest among syringe service program clients. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Surratt%2C+Hilary+L%2E%22">Surratt, Hilary L.</searchLink><br /><searchLink fieldCode="AR" term="%22Brown%2C+Sarah%22">Brown, Sarah</searchLink><br /><searchLink fieldCode="AR" term="%22Burton%2C+Abby+L%2E%22">Burton, Abby L.</searchLink><br /><searchLink fieldCode="AR" term="%22Cranford%2C+Will%22">Cranford, Will</searchLink><br /><searchLink fieldCode="AR" term="%22Green%2C+Christie%22">Green, Christie</searchLink><br /><searchLink fieldCode="AR" term="%22Mersch%2C+Stephanie+M%2E%22">Mersch, Stephanie M.</searchLink><br /><searchLink fieldCode="AR" term="%22Rains%2C+Rebecca%22">Rains, Rebecca</searchLink><br /><searchLink fieldCode="AR" term="%22Westgate%2C+Philip+M%2E%22">Westgate, Philip M.</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Dec2024, Vol. 36 Issue 12, p1858-1868. 11p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22HIV+prevention%22">HIV prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Needle+exchange+programs%22">Needle exchange programs</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Social+determinants+of+health%22">Social determinants of health</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Pre-exposure+prophylaxis%22">Pre-exposure prophylaxis</searchLink><br /><searchLink fieldCode="DE" term="%22Rural+conditions%22">Rural conditions</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Patients'+attitudes%22">Patients' attitudes</searchLink><br /><searchLink fieldCode="DE" term="%22Intravenous+drug+abusers%22">Intravenous drug abusers</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Community-based+social+services%22">Community-based social services</searchLink><br /><searchLink fieldCode="DE" term="%22Social+stigma%22">Social stigma</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Kentucky%22">Kentucky</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Rural communities in the US have increasing HIV burden tied to injection drug use, yet engagement in pre-exposure prophylaxis (PrEP) care has been low among people who inject drugs (PWID). Syringe service programs (SSPs) are widely implemented in Kentucky's Appalachian region, presenting an important opportunity to scale PrEP services. This paper examines PrEP awareness, interest and preferences among PWID attending community-based SSPs in Appalachia. Eighty participants were enrolled from two SSP locations. Eligibility included: ≥ 18 years old, current injection drug use and SSP use, and an indication for PrEP as defined by CDC guidelines. Participants completed a structured baseline interview. Predictors of PrEP awareness, interest and formulation preferences were examined. 38.8% reported baseline awareness of PrEP, 50% expressed high interest in PrEP, and 48.1%reported a preference for injectable PrEP. Significant bivariate predictors of PrEP interest included: current worry about health, higher perceived HIV risk, higher community HIV stigma, and higher enacted substance use stigma in the past year; in the adjusted model, enacted substance use stigma remained significant. Findings demonstrate substantial interest in PrEP among rural PWID. Intrapersonal and social determinant factors were associated with PrEP interest, which suggests the importance of multi-level intervention targets to increase PrEP uptake. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=180828297 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/09540121.2024.2390067 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 11 StartPage: 1858 Subjects: – SubjectFull: HIV prevention Type: general – SubjectFull: Needle exchange programs Type: general – SubjectFull: Research funding Type: general – SubjectFull: Social determinants of health Type: general – SubjectFull: Interviewing Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Pre-exposure prophylaxis Type: general – SubjectFull: Rural conditions Type: general – SubjectFull: Research methodology Type: general – SubjectFull: Patients' attitudes Type: general – SubjectFull: Intravenous drug abusers Type: general – SubjectFull: Psychosocial factors Type: general – SubjectFull: Community-based social services Type: general – SubjectFull: Social stigma Type: general – SubjectFull: Kentucky Type: general Titles: – TitleFull: Examining HIV pre-exposure prophylaxis (PrEP) acceptability among rural people who inject drugs: predictors of PrEP interest among syringe service program clients. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Surratt, Hilary L. – PersonEntity: Name: NameFull: Brown, Sarah – PersonEntity: Name: NameFull: Burton, Abby L. – PersonEntity: Name: NameFull: Cranford, Will – PersonEntity: Name: NameFull: Green, Christie – PersonEntity: Name: NameFull: Mersch, Stephanie M. – PersonEntity: Name: NameFull: Rains, Rebecca – PersonEntity: Name: NameFull: Westgate, Philip M. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 12 Text: Dec2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 09540121 Numbering: – Type: volume Value: 36 – Type: issue Value: 12 Titles: – TitleFull: AIDS Care Type: main |
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