农村阿巴拉契亚地区注射吸毒者使用 PrEP 的障碍和促进因素：一项定性研究。
Barriers and Facilitators to PrEP Use Among People Who Inject Drugs in Rural Appalachia: A Qualitative Study.
机构信息
Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, 624 N. Broadway, Baltimore, MD, 21205, USA.
DC Center for AIDS Research, Department of Psychology, George Washington University, 2125 G St. NW, Washington, DC, 20052, USA.
出版信息
AIDS Behav. 2020 Jun;24(6):1942-1950. doi: 10.1007/s10461-019-02767-3.
The opioid crisis has increased risks for injection drug use-associated HIV outbreaks in rural communities throughout the United States. Existing research has examined pre-exposure prophylaxis (PrEP) utilization among people who inject drugs (PWID); however, no studies have been conducted to explore barriers and facilitators of PrEP use among rural PWID in Appalachia. We conducted qualitative interviews with PWID (n = 48) in two rural counties in West Virginia to explore barriers and facilitators of PrEP use. Among our participants, the majority (68.8%) had never heard of PrEP. Upon learning about PrEP, most participants expressed willingness to use it. Rural PWID described several factors that may impede PrEP utilization (e.g., housing instability, forgetting to take PrEP). Participants also identified practical strategies to support sustained PrEP utilization, such as integrating PrEP services into venues PWID access. This research provides important insights into the barriers and facilitators of PrEP utilization among rural PWID.
阿片类药物危机增加了全美农村社区与注射毒品使用相关的艾滋病毒爆发的风险。现有研究已经检查了在注射毒品者（PWID）中使用暴露前预防（PrEP）的情况；然而，尚未有研究探讨在阿巴拉契亚地区农村 PWID 中使用 PrEP 的障碍和促进因素。我们在西弗吉尼亚州的两个农村县对 PWID（n=48）进行了定性访谈，以探讨使用 PrEP 的障碍和促进因素。在我们的参与者中，大多数（68.8%）从未听说过 PrEP。在了解 PrEP 后，大多数参与者表示愿意使用它。农村 PWID 描述了一些可能阻碍 PrEP 使用的因素（例如，住房不稳定，忘记服用 PrEP）。参与者还确定了支持持续使用 PrEP 的实用策略，例如将 PrEP 服务整合到 PWID 可访问的场所。这项研究为了解农村 PWID 使用 PrEP 的障碍和促进因素提供了重要的见解。
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