Department of Community and Health Systems, Indiana University School of Nursing, 1125 Atwater Ave, Bloomington, IN, 47401, USA.
Rural Center for AIDS/STD Prevention, Indiana University School of Public Health-Bloomington, Bloomington, IN, USA.
AIDS Behav. 2021 Oct;25(10):3085-3096. doi: 10.1007/s10461-021-03304-x. Epub 2021 May 18.
We explored knowledge, beliefs, and acceptability of pre-exposure prophylaxis (PrEP) for HIV prevention with reference to stigma among people who inject drugs (PWID) in two predominately rural U.S. states. We conducted interviews with 65 current or former PWID aged 18 years or older and living in Arizona or Indiana. Most (63%) of the interviewees were not aware of PrEP. They often confused PrEP with HIV treatment, and many believed that PrEP was only for sexual risk or gay sexual risk. Once they understood that PrEP was recommended for PWID, the participants held a positive view of PrEP and felt that a once-daily pill was feasible. Experiences of stigma about drug use remained a crucial barrier to accessing healthcare and PrEP. This was often linked with anticipated or expressed homophobia. PrEP interventions among PWID must focus on education and the confluence of stigmas in which PWID find themselves when considering PrEP.
我们针对美国两个以农村为主的州的吸毒者（PWID）的污名化问题，探讨了他们对 HIV 预防的暴露前预防（PrEP）的了解、信仰和可接受性。我们对 65 名年龄在 18 岁或以上、现正或曾经是 PWID ，并居住在亚利桑那州或印第安纳州的人进行了访谈。大多数（63%）受访者不了解 PrEP。他们经常将 PrEP 与 HIV 治疗混淆，许多人认为 PrEP 只适用于性风险或同性恋性风险。一旦他们了解到 PrEP 是推荐给 PWID 的，参与者对 PrEP 持积极的看法，并认为每日服用一片药是可行的。关于吸毒的污名化经历仍然是获得医疗保健和 PrEP 的一个重要障碍。这通常与预期或表达的恐同心理有关。针对 PWID 的 PrEP 干预措施必须注重教育，以及当考虑 PrEP 时，PWID 所处的污名化的融合。
