Division of General Internal Medicine, Department of Medicine, Montefiore Medical Center/Albert Einstein College of Medicine, 3300 Kossuth Avenue, Bronx, NY, 10467, USA.
Department of Psychology, Hunter College, City University of New York, New York, NY, USA.
AIDS Behav. 2021 May;25(5):1411-1422. doi: 10.1007/s10461-020-02979-y.
Pre-exposure prophylaxis (PrEP) uptake remains woefully low among U.S. women at high risk for HIV acquisition. We evaluated a pilot intervention which involved Peers providing brief PrEP education and counseling at mobile syringe exchange sites and at sex worker and syringe exchange drop-in centers followed by navigation to PrEP care. Peers recruited English-proficient, self-identified women (i.e., cisgender and transgender women and persons with other transfeminine identities) over a 3-month period and delivered the intervention to 52 HIV-negative/status unknown participants. Thirty-eight participants (73.1%) reported PrEP interest, 27 (51.9%) accepted the offer of a PrEP appointment, 13 (25.0%) scheduled a PrEP appointment, 3 (5.8%) attended an initial PrEP appointment, and none were prescribed PrEP. We found a gap between PrEP interest and connecting women to PrEP care. Further study is needed to understand this gap, including exploring innovative approaches to delivering PrEP care to women at highest risk for HIV.
暴露前预防（PrEP）在美国艾滋病毒感染风险高的女性中使用率仍然低得令人痛心。我们评估了一项试点干预措施，该措施涉及同伴在流动注射器交换点和性工作者及注射器交换点临时中心提供简短的 PrEP 教育和咨询，随后引导至 PrEP 护理。同伴在 3 个月的时间内招募了精通英语、自我认同的女性（即跨性别女性和其他跨女性身份的人），并向 52 名 HIV 阴性/未知状况的参与者提供了干预措施。38 名参与者（73.1%）表示有 PrEP 兴趣，27 名（51.9%）接受了 PrEP 预约的邀请，13 名（25.0%）安排了 PrEP 预约，3 名（5.8%）参加了初始 PrEP 预约，没有人被开处 PrEP 药物。我们发现 PrEP 兴趣和将女性与 PrEP 护理联系起来之间存在差距。需要进一步研究来了解这一差距，包括探索向感染艾滋病毒风险最高的女性提供 PrEP 护理的创新方法。
