Medical Providers and Harm Reduction Views on Pre-Exposure Prophylaxis for HIV Prevention Among People Who Inject Drugs

Hershow, Rebecca B.; González, Michelle A.; Costenbader, Elizabeth; Zule, William; Golin, Carol E.; Brinkley‐Rubinstein, Lauren

doi:10.1521/aeap.2019.31.4.363

Cited by 22 publications

(35 citation statements)

References 19 publications

(19 reference statements)

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“…With the vast growth of opioid intervention court programs across the country [ 38 ], incorporating activities connecting infectious disease prevention with current services such as medication-assisted treatment is imperative. Our findings echo those of prior studies regarding a need for informed integration of harm reduction with HIV prevention services [ 39 , 40 ].…”

Section: Discussionsupporting

confidence: 88%

“I think everybody should take it if they’re doing drugs, doing heroin, or having sex for money”: a qualitative study exploring perceptions of pre-exposure prophylaxis among female participants in an opioid intervention court program

Przybyla

Cerulli

Wilson

et al. 2020

Subst Abuse Treat Prev Policy

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Background Women’s rise in opioid use disorder has increased their presence in the criminal justice system and related risk behaviors for HIV infection. Although pre-exposure prophylaxis (PrEP) is an effective biomedical HIV prevention treatment, uptake among this high-risk population has been particularly low. Considerably little is known about the interplay between justice-involved women with opioid use disorder and HIV prevention. The aim of this study was to explore PrEP knowledge, attitudes, and perceptions for personal and partner use among women participants in the nation’s first ever opioid intervention court program. Methods The authors conducted semi-structured, in-depth interviews with 31 women recruited from an Opioid Intervention Court, a recent fast-track treatment response to combat overdose deaths. We utilized a consensual qualitative research approach to explore attitudes, perceptions, and preferences about PrEP from women at risk for HIV transmission via sexual and drug-related behavior and used thematic analysis methods to code and interpret the data. Results PrEP interest and motivation were impacted by various factors influencing the decision to consider PrEP initiation or comfort with partner use. Three primary themes emerged: HIV risk perceptions, barriers and facilitators to personal PrEP utilization, and perspectives on PrEP use by sexual partners. Conclusions Findings suggest courts may provide a venue to offer women PrEP education and HIV risk assessments. Study findings inform public health, substance use, and criminal justice research and practice with justice-involved participants experiencing opioid use disorder on the development of gender-specific PrEP interventions with the ultimate goal of reducing HIV incidence.

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Section: Discussionsupporting

confidence: 88%

“I think everybody should take it if they’re doing drugs, doing heroin, or having sex for money”: a qualitative study exploring perceptions of pre-exposure prophylaxis among female participants in an opioid intervention court program

Przybyla

Cerulli

Wilson

et al. 2020

Subst Abuse Treat Prev Policy

View full text Add to dashboard Cite

show abstract

“…With the vast growth of opioid intervention court programs across the country (32), incorporating activities connecting infectious disease prevention with current services such as medication-assisted treatment is imperative. Our ndings echo those of prior studies regarding a need for informed integration of harm reduction with HIV prevention services (33,34).…”

Section: Discussionsupporting

confidence: 85%

“I think everybody should take it if they’re doing drugs, doing heroin, or having sex for money”: A qualitative study exploring perceptions of pre-exposure prophylaxis among female participants in an opioid intervention court program

Przybyla

Cerulli

Wilson

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Women’s rise in opioid use disorder has increased their presence in the criminal justice system and related risk behaviors for HIV infection. Although pre-exposure prophylaxis (PrEP) is an effective biomedical HIV prevention treatment, uptake among this high-risk population has been particularly low. Considerably little is known about the interplay between justice-involved women with opioid use disorder and HIV prevention. The aim of this study was to explore PrEP knowledge, attitudes, and perceptions for personal and partner use among women participants in the nation’s first ever opiate intervention court program.Methods: The authors conducted semi-structured, in-depth interviews with 31 women recruited from an Opioid Intervention Court, a recent fast-track treatment response to combat overdose deaths. We utilized a consensual qualitative research approach to explore attitudes, perceptions, and preferences about PrEP from women at risk for HIV transmission via sexual and drug-related behavior and used thematic analysis methods to code and interpret the data. Results: PrEP interest and motivation were impacted by various factors influencing the decision to consider PrEP initiation or comfort with partner use. Three primary themes emerged regarding HIV risk perceptions, barriers and facilitators to personal PrEP utilization, and perspectives on PrEP use by sexual partners. Conclusions: Findings suggest courts may provide a venue to offer women PrEP education and HIV risk assessments. Study findings inform public health, substance use, and criminal justice research and practice with justice-involved participants experiencing opioid use disorder on the development of gender-specific PrEP interventions with the ultimate goal of reducing HIV incidence.

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“…[83][84][85][86]89 Providers also prefer service colocation, which could include placing PrEP providers within an SSP or allowing standing PrEP orders for PWID at SSPs. 73,99 Evidence-based program models for successful PrEP implementation within SSPs remain sorely needed. Two studies found that although most PWID accessing SSPs expressed interest in using PrEP, none initiated PrEP.…”

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

Broz

Carnes

Chapin-Bardales

et al. 2021

American Journal of Preventive Medicine

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Medical Providers and Harm Reduction Views on Pre-Exposure Prophylaxis for HIV Prevention Among People Who Inject Drugs

Cited by 22 publications

References 19 publications

“I think everybody should take it if they’re doing drugs, doing heroin, or having sex for money”: a qualitative study exploring perceptions of pre-exposure prophylaxis among female participants in an opioid intervention court program

“I think everybody should take it if they’re doing drugs, doing heroin, or having sex for money”: a qualitative study exploring perceptions of pre-exposure prophylaxis among female participants in an opioid intervention court program

“I think everybody should take it if they’re doing drugs, doing heroin, or having sex for money”: A qualitative study exploring perceptions of pre-exposure prophylaxis among female participants in an opioid intervention court program

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

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