The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Rhode Island Hospital, Providence, Rhode Island.
AIDS Educ Prev. 2021 Jun;33(3):216-233. doi: 10.1521/aeap.2021.33.3.216.
Women experiencing incarceration (WEI) in the United States are disproportionately impacted by HIV, yet HIV pre-exposure prophylaxis (PrEP) is underutilized by women in the United States. In order to inform an intervention to promote PrEP initiation during incarceration and facilitate linkage to PrEP care following release from incarceration, we conducted individual, semistructured qualitative interviews with WEI ( = 21) and key stakeholders ( = 14). While WEI had little or no previous knowledge about PrEP, they viewed it as something that would benefit women involved in the criminal justice system. Participants stated that HIV-related stigma and underestimation of HIV risk might serve as barriers to PrEP initiation during incarceration. Participants reported that competing priorities, difficulty scheduling an appointment, and lack of motivation could interfere with linkage to PrEP care in the community. Further, cost, substance use, and difficulty remembering to take the medication were cited most commonly as likely barriers to adherence.
在美国，被监禁的女性（WEI）受到艾滋病毒的影响不成比例，然而，在美国，女性对艾滋病毒暴露前预防（PrEP）的使用率很低。为了为促进监禁期间 PrEP 起始和促进释放后与 PrEP 护理的联系提供信息，我们对 WEI（=21）和关键利益相关者（=14）进行了个体、半结构化定性访谈。虽然 WEI 对 PrEP 知之甚少或一无所知，但她们认为这对参与刑事司法系统的女性有益。参与者表示，与艾滋病毒相关的耻辱感和对艾滋病毒风险的低估可能是监禁期间启动 PrEP 的障碍。参与者报告说，竞争的优先事项、预约的困难以及缺乏动力可能会干扰在社区中与 PrEP 护理的联系。此外，费用、药物使用和难以记住服药是最常被提及的可能的药物依从性障碍。
