A Pilot Study to Evaluate a Novel Pre-exposure Prophylaxis Peer Outreach and Navigation Intervention for Women at High Risk for HIV Infection

Blackstock, Oni J.; Platt, Joey; Golub, Sarit A.; Anakaraonye, Amarachi R.; Norton, Brianna L.; Walters, Suzan M.; Sevelius, Jae; Cunningham, Chinazo O.

doi:10.1007/s10461-020-02979-y

Cited by 36 publications

(27 citation statements)

References 50 publications

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“…Throughout the PrEP-UP intervention peers assisted with appointment scheduling, provided appointment reminders, transportation to appointments, and accompaniment to PrEP care appointments. More detailed information on the PrEP-UP intervention has previously been published [ 55 ]. This study reports the findings from semi-structured qualitative interviews that were conducted with women to assess their experiences with the PrEP-UP intervention.…”

Section: Methodsmentioning

confidence: 99%

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Considerations for the Design of Pre-exposure Prophylaxis (PrEP) Interventions for Women: Lessons Learned from the Implementation of a Novel PrEP Intervention

et al. 2021

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Pre-exposure prophylaxis (PrEP) uptake among women in the United States has been low. To increase uptake, we developed a peer outreach and navigation PrEP intervention. Semi-structured qualitative interviews with 32 cisgender women and 3 transgender women were conducted to assess the intervention. We used a thematic approach to identify barriers to, and facilitators of the intervention. Facilitators included interest in PrEP, offer of health and social services, the intervention’s women-focused approach, and peer outreach and navigation. Barriers were perceived HIV risk, concerns about medication side effects or interactions, housing insecurity and travel, co-occurring health-related conditions, and caregiving responsibilities. We recommend that future interventions consider packaging PrEP in local community settings, such as syringe exchange programs; include services such as food and housing assistance; use peers to recruit and educate women; integrate a culturally appropriate women’s focus; and consider providing same-day PrEP.

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Section: Methodsmentioning

confidence: 99%

“…PrEP-UP was delivered in collaboration with an established community-based organization serving women who engage in drugs use and/or exchange sex. The intervention and outcomes from the pilot study are described elsewhere [ 55 ]. It is important to note is that no women started PrEP.…”

Section: Introductionmentioning

confidence: 99%

Considerations for the Design of Pre-exposure Prophylaxis (PrEP) Interventions for Women: Lessons Learned from the Implementation of a Novel PrEP Intervention

et al. 2021

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“…Two studies found that although most PWID accessing SSPs expressed interest in using PrEP, none initiated PrEP. 96,100 In a study of women who inject drugs, more than two thirds initiated PrEP, although of these, only about a third remained on PrEP at Week 24 and daily adherence was low. 101 These findings suggest that SSPs offering PrEP need support to help identify and address barriers to PrEP uptake and adherence among their clients.…”

Section: Role Of Syringe Services Programs In Hiv Testingmentioning

confidence: 99%

Syringe Services Programs’ Role in Ending the HIV Epidemic in the U.S.: Why We Cannot Do It Without Them

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Chapin-Bardales

et al. 2021

American Journal of Preventive Medicine

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“…Past research on PWID has shown lack of PrEP awareness [ 5 , 8 , 65 , 104 – 106 ] and lack of accurate PrEP knowledge as barriers to PrEP uptake [ 105 ]. Yet, once aware and knowledgeable about PrEP, PWID are interested in taking it [ 5 , 107 ]. Similar to other studies, participants in this study described perceived low HIV risk as a reason for not being interested in taking PrEP [ 108 ].…”

Section: Discussionmentioning

confidence: 99%

PrEP Care Continuum Engagement Among Persons Who Inject Drugs: Rural and Urban Differences in Stigma and Social Infrastructure

et al. 2021

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Pre-exposure prophylaxis (PrEP) is a medication that prevents HIV acquisition, yet PrEP uptake has been low among people who inject drugs. Stigma has been identified as a fundamental driver of population health and may be a significant barrier to PrEP care engagement among PWID. However, there has been limited research on how stigma operates in rural and urban settings in relation to PrEP. Using in-depth semi-structured qualitative interviews (n = 57) we explore PrEP continuum engagement among people actively injecting drugs in rural and urban settings. Urban participants had more awareness and knowledge. Willingness to use PrEP was similar in both settings. However, no participant was currently using PrEP. Stigmas against drug use, HIV, and sexualities were identified as barriers to PrEP uptake, particularly in the rural setting. Syringe service programs in the urban setting were highlighted as a welcoming space where PWID could socialize and therefore mitigate stigma and foster information sharing.

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A Pilot Study to Evaluate a Novel Pre-exposure Prophylaxis Peer Outreach and Navigation Intervention for Women at High Risk for HIV Infection

Cited by 36 publications

References 50 publications

Considerations for the Design of Pre-exposure Prophylaxis (PrEP) Interventions for Women: Lessons Learned from the Implementation of a Novel PrEP Intervention

Considerations for the Design of Pre-exposure Prophylaxis (PrEP) Interventions for Women: Lessons Learned from the Implementation of a Novel PrEP Intervention

Syringe Services Programs’ Role in Ending the HIV Epidemic in the U.S.: Why We Cannot Do It Without Them

PrEP Care Continuum Engagement Among Persons Who Inject Drugs: Rural and Urban Differences in Stigma and Social Infrastructure

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