Medical providers and harm reduction views on pre-exposure prophylaxis for hiv prevention among people who inject drugs
| Autor: | Elizabeth Costenbader, Rebecca B. Hershow, William Zule, Carol E. Golin, Michelle Gonzalez, Lauren Brinkley-Rubinstein |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice medicine.medical_specialty Health (social science) Anti-HIV Agents Attitude of Health Personnel Health Personnel Social Stigma Human immunodeficiency virus (HIV) HIV Infections medicine.disease_cause Article Interviews as Topic 03 medical and health sciences Pre-exposure prophylaxis 0302 clinical medicine Harm Reduction Surveys and Questionnaires North Carolina medicine Humans 030212 general & internal medicine Medical prescription Substance Abuse Intravenous Qualitative Research Syringe Harm reduction 030505 public health business.industry Public Health Environmental and Occupational Health Professional-Patient Relations Awareness Outreach Infectious Diseases Family medicine Female Pre-Exposure Prophylaxis 0305 other medical science business Limited resources Qualitative research |
| Zdroj: | AIDS Educ Prev |
| DOI: | 10.17615/mkn0-w650 |
| Popis: | Despite high pre-exposure prophylaxis (PrEP) acceptability among people who inject drugs (PWID) and PrEP providers, PrEP uptake is low and little is known about how to promote PrEP among PWID. This qualitative study with providers in North Carolina explored views on PrEP delivery approaches for PWID. Interviewers conducted semistructured interviews with 10 PrEP providers and 10 harm reduction (HR) providers. Interviews were transcribed and analyzed. Many participants expressed acceptability for providing PrEP referrals at syringe exchange sites, stationing PrEP providers at syringe exchange sites to provide PrEP prescriptions, and providing standing orders for PrEP at syringe exchange sites. Barriers were identified, including low PrEP awareness and limited resources. Many advocated for co-location of HR and PrEP services and scaled-up outreach services. PrEP providers emphasized maintenance of clinical requirements, while HR providers emphasized flexibility when treating PWID. Promoting PrEP uptake and adherence among PWID likely requires integration of HR and PrEP services. |
| Databáze: | OpenAIRE |
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