Use of Pre-exposure Prophylaxis Among People Who Inject Drugs: Exploratory Findings of the Interaction Between Race, Homelessness, and Trust
| Autor: | Michael M. Copenhaver, Xin Zhou, Roman Shrestha, Elizabeth Didomizio, Frederick L. Altice, Divya K Chandra |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
030505 public health Social Psychology business.industry Public health Public Health Environmental and Occupational Health Ethnic group Logistic regression Moderation 03 medical and health sciences Health psychology Race (biology) Pre-exposure prophylaxis 0302 clinical medicine Infectious Diseases medicine 030212 general & internal medicine 0305 other medical science Psychiatry business Methadone medicine.drug |
| Zdroj: | AIDS and Behavior. 25:3743-3753 |
| ISSN: | 1573-3254 1090-7165 |
| DOI: | 10.1007/s10461-021-03227-7 |
| Popis: | Scale-up of pre-exposure prophylaxis (PrEP) in people who inject drugs (PWID) remains suboptimal. Patient-level factors are often complex and may contribute to scale-up. Using cross-sectional data from 234 opioid-dependent patients on methadone who met eligibility criteria for PrEP, we conducted logistic regression analyses to assess potential moderators associated with being on PrEP (n = 60). Mean provider trust was significantly higher among Blacks vs Whites (39.4 vs 34.9; p = 0.002) and non-homeless vs homeless participants (37.5 vs 34.8; p = 0.008). Though race/ethnicity was not a significant moderator on provider trust and PrEP use, increased provider trust was marginally associated with increased PrEP use among Blacks (p = 0.058). Additionally, homelessness significantly moderated provider trust and PrEP use (p = 0.024). Provider trust among non-homeless participants was positively correlated with PrEP use (p = 0.013) but not among homeless participants. Strategies that promote provider trust in Blacks and non-homeless PWID on methadone may improve PrEP scale-up. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink