Journal
AIDS EDUCATION AND PREVENTION
Volume 31, Issue 4, Pages 363-379Publisher
GUILFORD PUBLICATIONS INC
DOI: 10.1521/aeap.2019.31.4.363
Keywords
pre-exposure prophylaxis; HIV prevention; people who inject drugs; intervention development; qualitative research
Funding
- 2017 developmental grant from the University of North Carolina at Chapel Hill Center for AIDS Research (CFAR), an NIH [P30 AI50410]
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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.
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