PrEP Care Continuum Engagement Among Persons Who Inject Drugs: Rural and Urban Differences in Stigma and Social Infrastructure
| Autor: | Brandon Muncan, John A. Schneider, Brent Van Ham, Valerie A. Earnshaw, Samuel R. Friedman, Jessica Jaiswal, Suzan M. Walters, David M. Frank, Danielle C. Ompad |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Social Psychology Anti-HIV Agents Social Stigma Human immunodeficiency virus (HIV) Persons who inject drugs (PWID) Stigma (botany) Human sexuality HIV Infections Population health medicine.disease_cause Pre-exposure prophylaxis (PrEP) Social infrastructure Drug Users Nursing medicine Third places Urban Humans Rural Substance Abuse Intravenous Original Paper Public health Public Health Environmental and Occupational Health HIV Continuity of Patient Care Care Continuum Health psychology Stigma Infectious Diseases Social Capital Pre-Exposure Prophylaxis Psychology |
| Zdroj: | AIDS and Behavior |
| ISSN: | 1573-3254 1090-7165 |
| Popis: | 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. Supplementary Information The online version contains supplementary material available at 10.1007/s10461-021-03488-2. |
| Databáze: | OpenAIRE |
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