The Leaky Preexposure Prophylaxis Cascade: Barriers and Facilitators to Preexposure Prophylaxis Uptake and Adherence Among Youth Experiencing Homelessness in the US South, a Mixed Methods Study.

Autor:	Santa Maria D; Diane Santa Maria, DrPH, MSN, BSN, is a Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Mary Paul, MD, is a Professor, Baylor College of Medicine, Houston, Texas, USA.; Marguerita Lightfoot, PhD, is an Associate Dean for Research, Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon, USA.; Adeline M. Nyamathi, PhD, ANP, FAAN, is a Distinguished Professor and Founding Dean, Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA.; Yasmeen Quadri, MD, is an Associate Professor, Baylor College of Medicine, Houston, Texas, USA.; Nikhil Padhye, PhD, is a Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Eduardo Ocampo, MA, is a Patient/PrEP Navigator, Texas Children's Hospital, Houston, Texas, USA.; Roman Babayev, MD, is an Adolescent Medicine Physician, NYU Langone Health, New York City, New York, USA.; Melanie Watt Ramos, MD, is an Adolescent Medicine Fellow, Baylor College of Medicine, Houston, Texas, USA.; Sheryl L. Malone-Thomas, DNP, APRN, FNP-BC, AACRN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Margaret White, FNP, is a doctoral student, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Alejandro Carrillo, RN, is a Research Nurse, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Jennifer Torres Jones, MPH, is a Sr. Program Manager, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA., Paul M; Diane Santa Maria, DrPH, MSN, BSN, is a Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Mary Paul, MD, is a Professor, Baylor College of Medicine, Houston, Texas, USA.; Marguerita Lightfoot, PhD, is an Associate Dean for Research, Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon, USA.; Adeline M. Nyamathi, PhD, ANP, FAAN, is a Distinguished Professor and Founding Dean, Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA.; Yasmeen Quadri, MD, is an Associate Professor, Baylor College of Medicine, Houston, Texas, USA.; Nikhil Padhye, PhD, is a Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Eduardo Ocampo, MA, is a Patient/PrEP Navigator, Texas Children's Hospital, Houston, Texas, USA.; Roman Babayev, MD, is an Adolescent Medicine Physician, NYU Langone Health, New York City, New York, USA.; Melanie Watt Ramos, MD, is an Adolescent Medicine Fellow, Baylor College of Medicine, Houston, Texas, USA.; Sheryl L. Malone-Thomas, DNP, APRN, FNP-BC, AACRN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Margaret White, FNP, is a doctoral student, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Alejandro Carrillo, RN, is a Research Nurse, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Jennifer Torres Jones, MPH, is a Sr. Program Manager, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA., Lightfoot M; Diane Santa Maria, DrPH, MSN, BSN, is a Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Mary Paul, MD, is a Professor, Baylor College of Medicine, Houston, Texas, USA.; Marguerita Lightfoot, PhD, is an Associate Dean for Research, Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon, USA.; Adeline M. Nyamathi, PhD, ANP, FAAN, is a Distinguished Professor and Founding Dean, Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA.; Yasmeen Quadri, MD, is an Associate Professor, Baylor College of Medicine, Houston, Texas, USA.; Nikhil Padhye, PhD, is a Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Eduardo Ocampo, MA, is a Patient/PrEP Navigator, Texas Children's Hospital, Houston, Texas, USA.; Roman Babayev, MD, is an Adolescent Medicine Physician, NYU Langone Health, New York City, New York, USA.; Melanie Watt Ramos, MD, is an Adolescent Medicine Fellow, Baylor College of Medicine, Houston, Texas, USA.; Sheryl L. Malone-Thomas, DNP, APRN, FNP-BC, AACRN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Margaret White, FNP, is a doctoral student, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Alejandro Carrillo, RN, is a Research Nurse, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Jennifer Torres Jones, MPH, is a Sr. Program Manager, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA., Nyamathi A; Diane Santa Maria, DrPH, MSN, BSN, is a Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Mary Paul, MD, is a Professor, Baylor College of Medicine, Houston, Texas, USA.; Marguerita Lightfoot, PhD, is an Associate Dean for Research, Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon, USA.; Adeline M. Nyamathi, PhD, ANP, FAAN, is a Distinguished Professor and Founding Dean, Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA.; Yasmeen Quadri, MD, is an Associate Professor, Baylor College of Medicine, Houston, Texas, USA.; Nikhil Padhye, PhD, is a Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Eduardo Ocampo, MA, is a Patient/PrEP Navigator, Texas Children's Hospital, Houston, Texas, USA.; Roman Babayev, MD, is an Adolescent Medicine Physician, NYU Langone Health, New York City, New York, USA.; Melanie Watt Ramos, MD, is an Adolescent Medicine Fellow, Baylor College of Medicine, Houston, Texas, USA.; Sheryl L. Malone-Thomas, DNP, APRN, FNP-BC, AACRN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Margaret White, FNP, is a doctoral student, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Alejandro Carrillo, RN, is a Research Nurse, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Jennifer Torres Jones, MPH, is a Sr. Program Manager, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA., Quadri Y; Diane Santa Maria, DrPH, MSN, BSN, is a Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Mary Paul, MD, is a Professor, Baylor College of Medicine, Houston, Texas, USA.; Marguerita Lightfoot, PhD, is an Associate Dean for Research, Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon, USA.; Adeline M. Nyamathi, PhD, ANP, FAAN, is a Distinguished Professor and Founding Dean, Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA.; Yasmeen Quadri, MD, is an Associate Professor, Baylor College of Medicine, Houston, Texas, USA.; Nikhil Padhye, PhD, is a Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Eduardo Ocampo, MA, is a Patient/PrEP Navigator, Texas Children's Hospital, Houston, Texas, USA.; Roman Babayev, MD, is an Adolescent Medicine Physician, NYU Langone Health, New York City, New York, USA.; Melanie Watt Ramos, MD, is an Adolescent Medicine Fellow, Baylor College of Medicine, Houston, Texas, USA.; Sheryl L. Malone-Thomas, DNP, APRN, FNP-BC, AACRN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Margaret White, FNP, is a doctoral student, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Alejandro Carrillo, RN, is a Research Nurse, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Jennifer Torres Jones, MPH, is a Sr. Program Manager, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA., Padhye N; Diane Santa Maria, DrPH, MSN, BSN, is a Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Mary Paul, MD, is a Professor, Baylor College of Medicine, Houston, Texas, USA.; Marguerita Lightfoot, PhD, is an Associate Dean for Research, Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon, USA.; Adeline M. Nyamathi, PhD, ANP, FAAN, is a Distinguished Professor and Founding Dean, Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA.; Yasmeen Quadri, MD, is an Associate Professor, Baylor College of Medicine, Houston, Texas, USA.; Nikhil Padhye, PhD, is a Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Eduardo Ocampo, MA, is a Patient/PrEP Navigator, Texas Children's Hospital, Houston, Texas, USA.; Roman Babayev, MD, is an Adolescent Medicine Physician, NYU Langone Health, New York City, New York, USA.; Melanie Watt Ramos, MD, is an Adolescent Medicine Fellow, Baylor College of Medicine, Houston, Texas, USA.; Sheryl L. Malone-Thomas, DNP, APRN, FNP-BC, AACRN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Margaret White, FNP, is a doctoral student, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Alejandro Carrillo, RN, is a Research Nurse, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Jennifer Torres Jones, MPH, is a Sr. Program Manager, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA., Ocampo E; Diane Santa Maria, DrPH, MSN, BSN, is a Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Mary Paul, MD, is a Professor, Baylor College of Medicine, Houston, Texas, USA.; Marguerita Lightfoot, PhD, is an Associate Dean for Research, Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon, USA.; Adeline M. Nyamathi, PhD, ANP, FAAN, is a Distinguished Professor and Founding Dean, Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA.; Yasmeen Quadri, MD, is an Associate Professor, Baylor College of Medicine, Houston, Texas, USA.; Nikhil Padhye, PhD, is a Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Eduardo Ocampo, MA, is a Patient/PrEP Navigator, Texas Children's Hospital, Houston, Texas, USA.; Roman Babayev, MD, is an Adolescent Medicine Physician, NYU Langone Health, New York City, New York, USA.; Melanie Watt Ramos, MD, is an Adolescent Medicine Fellow, Baylor College of Medicine, Houston, Texas, USA.; Sheryl L. Malone-Thomas, DNP, APRN, FNP-BC, AACRN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Margaret White, FNP, is a doctoral student, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Alejandro Carrillo, RN, is a Research Nurse, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Jennifer Torres Jones, MPH, is a Sr. Program Manager, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA., Babayev R; Diane Santa Maria, DrPH, MSN, BSN, is a Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Mary Paul, MD, is a Professor, Baylor College of Medicine, Houston, Texas, USA.; Marguerita Lightfoot, PhD, is an Associate Dean for Research, Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon, USA.; Adeline M. Nyamathi, PhD, ANP, FAAN, is a Distinguished Professor and Founding Dean, Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA.; Yasmeen Quadri, MD, is an Associate Professor, Baylor College of Medicine, Houston, Texas, USA.; Nikhil Padhye, PhD, is a Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Eduardo Ocampo, MA, is a Patient/PrEP Navigator, Texas Children's Hospital, Houston, Texas, USA.; Roman Babayev, MD, is an Adolescent Medicine Physician, NYU Langone Health, New York City, New York, USA.; Melanie Watt Ramos, MD, is an Adolescent Medicine Fellow, Baylor College of Medicine, Houston, Texas, USA.; Sheryl L. Malone-Thomas, DNP, APRN, FNP-BC, AACRN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Margaret White, FNP, is a doctoral student, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Alejandro Carrillo, RN, is a Research Nurse, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Jennifer Torres Jones, MPH, is a Sr. Program Manager, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA., Ramos MW; Diane Santa Maria, DrPH, MSN, BSN, is a Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Mary Paul, MD, is a Professor, Baylor College of Medicine, Houston, Texas, USA.; Marguerita Lightfoot, PhD, is an Associate Dean for Research, Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon, USA.; Adeline M. Nyamathi, PhD, ANP, FAAN, is a Distinguished Professor and Founding Dean, Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA.; Yasmeen Quadri, MD, is an Associate Professor, Baylor College of Medicine, Houston, Texas, USA.; Nikhil Padhye, PhD, is a Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Eduardo Ocampo, MA, is a Patient/PrEP Navigator, Texas Children's Hospital, Houston, Texas, USA.; Roman Babayev, MD, is an Adolescent Medicine Physician, NYU Langone Health, New York City, New York, USA.; Melanie Watt Ramos, MD, is an Adolescent Medicine Fellow, Baylor College of Medicine, Houston, Texas, USA.; Sheryl L. Malone-Thomas, DNP, APRN, FNP-BC, AACRN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Margaret White, FNP, is a doctoral student, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Alejandro Carrillo, RN, is a Research Nurse, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Jennifer Torres Jones, MPH, is a Sr. Program Manager, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA., Malone-Thomas SL; Diane Santa Maria, DrPH, MSN, BSN, is a Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Mary Paul, MD, is a Professor, Baylor College of Medicine, Houston, Texas, USA.; Marguerita Lightfoot, PhD, is an Associate Dean for Research, Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon, USA.; Adeline M. Nyamathi, PhD, ANP, FAAN, is a Distinguished Professor and Founding Dean, Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA.; Yasmeen Quadri, MD, is an Associate Professor, Baylor College of Medicine, Houston, Texas, USA.; Nikhil Padhye, PhD, is a Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Eduardo Ocampo, MA, is a Patient/PrEP Navigator, Texas Children's Hospital, Houston, Texas, USA.; Roman Babayev, MD, is an Adolescent Medicine Physician, NYU Langone Health, New York City, New York, USA.; Melanie Watt Ramos, MD, is an Adolescent Medicine Fellow, Baylor College of Medicine, Houston, Texas, USA.; Sheryl L. Malone-Thomas, DNP, APRN, FNP-BC, AACRN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Margaret White, FNP, is a doctoral student, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Alejandro Carrillo, RN, is a Research Nurse, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Jennifer Torres Jones, MPH, is a Sr. Program Manager, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA., White M; Diane Santa Maria, DrPH, MSN, BSN, is a Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Mary Paul, MD, is a Professor, Baylor College of Medicine, Houston, Texas, USA.; Marguerita Lightfoot, PhD, is an Associate Dean for Research, Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon, USA.; Adeline M. Nyamathi, PhD, ANP, FAAN, is a Distinguished Professor and Founding Dean, Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA.; Yasmeen Quadri, MD, is an Associate Professor, Baylor College of Medicine, Houston, Texas, USA.; Nikhil Padhye, PhD, is a Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Eduardo Ocampo, MA, is a Patient/PrEP Navigator, Texas Children's Hospital, Houston, Texas, USA.; Roman Babayev, MD, is an Adolescent Medicine Physician, NYU Langone Health, New York City, New York, USA.; Melanie Watt Ramos, MD, is an Adolescent Medicine Fellow, Baylor College of Medicine, Houston, Texas, USA.; Sheryl L. Malone-Thomas, DNP, APRN, FNP-BC, AACRN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Margaret White, FNP, is a doctoral student, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Alejandro Carrillo, RN, is a Research Nurse, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Jennifer Torres Jones, MPH, is a Sr. Program Manager, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA., Carrillo A; Diane Santa Maria, DrPH, MSN, BSN, is a Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Mary Paul, MD, is a Professor, Baylor College of Medicine, Houston, Texas, USA.; Marguerita Lightfoot, PhD, is an Associate Dean for Research, Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon, USA.; Adeline M. Nyamathi, PhD, ANP, FAAN, is a Distinguished Professor and Founding Dean, Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA.; Yasmeen Quadri, MD, is an Associate Professor, Baylor College of Medicine, Houston, Texas, USA.; Nikhil Padhye, PhD, is a Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Eduardo Ocampo, MA, is a Patient/PrEP Navigator, Texas Children's Hospital, Houston, Texas, USA.; Roman Babayev, MD, is an Adolescent Medicine Physician, NYU Langone Health, New York City, New York, USA.; Melanie Watt Ramos, MD, is an Adolescent Medicine Fellow, Baylor College of Medicine, Houston, Texas, USA.; Sheryl L. Malone-Thomas, DNP, APRN, FNP-BC, AACRN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Margaret White, FNP, is a doctoral student, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Alejandro Carrillo, RN, is a Research Nurse, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Jennifer Torres Jones, MPH, is a Sr. Program Manager, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA., Jones JT; Diane Santa Maria, DrPH, MSN, BSN, is a Dean and Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Mary Paul, MD, is a Professor, Baylor College of Medicine, Houston, Texas, USA.; Marguerita Lightfoot, PhD, is an Associate Dean for Research, Oregon Health & Science University-Portland State University School of Public Health, Portland, Oregon, USA.; Adeline M. Nyamathi, PhD, ANP, FAAN, is a Distinguished Professor and Founding Dean, Sue & Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA.; Yasmeen Quadri, MD, is an Associate Professor, Baylor College of Medicine, Houston, Texas, USA.; Nikhil Padhye, PhD, is a Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Eduardo Ocampo, MA, is a Patient/PrEP Navigator, Texas Children's Hospital, Houston, Texas, USA.; Roman Babayev, MD, is an Adolescent Medicine Physician, NYU Langone Health, New York City, New York, USA.; Melanie Watt Ramos, MD, is an Adolescent Medicine Fellow, Baylor College of Medicine, Houston, Texas, USA.; Sheryl L. Malone-Thomas, DNP, APRN, FNP-BC, AACRN, is an Assistant Professor, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Margaret White, FNP, is a doctoral student, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Alejandro Carrillo, RN, is a Research Nurse, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.; Jennifer Torres Jones, MPH, is a Sr. Program Manager, Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, Texas, USA.
Jazyk:	angličtina
Zdroj:	The Journal of the Association of Nurses in AIDS Care : JANAC [J Assoc Nurses AIDS Care] 2024 Dec 24. Date of Electronic Publication: 2024 Dec 24.
DOI:	10.1097/JNC.0000000000000516
Abstrakt:	Abstract: Adherence to preexposure prophylaxis (PrEP) is lower among high-risk populations, including youth experiencing homelessness (YEH). This study determined the feasibility of urine PrEP adherence biomarker testing and examined the barriers and facilitators to PrEP uptake and adherence among YEH. YEH were recruited from a randomized control trial conducted in a large urban setting in southern United States. Interviews (N = 40) were conducted to identify barriers and facilitators to PrEP uptake and adherence. PrEP urine-based adherence testing feasibility was conducted among those who started on PrEP. Twenty-two participants obtained a prescription and 15 youth completed at least one adherence test. Facilitators and barriers were categorized as individual, interpersonal and community, and structural among PrEP starters and nonstarters. PrEP uptake and adherence were low for eligible YEH. Enriching the understanding of the challenges and facilitators experienced with accessing PrEP for YEH can improve engagement in HIV prevention among YEH. (Copyright © 2024 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of Association of Nurses in AIDS Care.)
Databáze:	MEDLINE
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