期刊
AIDS AND BEHAVIOR
卷 26, 期 4, 页码 1308-1320出版社
SPRINGER/PLENUM PUBLISHERS
DOI: 10.1007/s10461-021-03488-2
关键词
Pre-exposure prophylaxis (PrEP); Persons who inject drugs (PWID); Stigma; HIV; Social infrastructure; Third places; Rural; Urban
资金
- NIH Clinical and Translational Science Awards Program [UL1TR001445]
- National Institute on Drug Abuse (NIDA) [K01DA053159, P30DA01104, T32 DA007233-31, R25DA026401, 4UH3DA044829-03]
The study found that stigma is a major barrier to PrEP care engagement among people who inject drugs. Awareness and knowledge levels differ between urban and rural environments, but willingness to use PrEP is similar. Stigmas against drug use, HIV, and sexualities were identified as the main barriers to PrEP uptake in rural areas.
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.
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