Suarez Edward, Tookes Hansel E, Coppola Marissa, Plesons Marina, Serota David, St George Sara M, Bartholomew Tyler S
Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA.
Department of Medicine, University of Miami Miller School of Medicine, Miami, FL, USA.
AIDS Behav. 2025 Apr;29(4):1235-1246. doi: 10.1007/s10461-024-04598-3. Epub 2025 Jan 9.
Although people who inject drugs (PWID) are at high risk of acquiring HIV, knowledge and uptake of pre-exposure prophylaxis (PrEP) for HIV prevention among this population remain low due to numerous psychosocial and structural barriers. Multiple implementation strategies have been proposed to address this gap, notably providing long-acting injectable (LAI) formulations of PrEP and offering PrEP at syringe services programs (SSPs). This qualitative study explores the acceptability and feasibility of offering LAI-PrEP for PWID at risk for HIV at Florida's first legal SSP. In-depth semi-structured interviews were conducted with PWID (n = 25) and healthcare providers (n = 5), and transcripts were analyzed using iterative thematic analysis. The provision of LAI-PrEP at the SSP was overwhelmingly acceptable to both PWID and providers, and specific advantages and disadvantages of LAI-PrEP compared to oral PrEP among this population were elucidated. Likewise, PWID and providers identified facilitators and barriers to offering LAI-PrEP at the SSP and proposed recommendations for implementation. Overall, this study adds to the growing evidence that provision of LAI-PrEP at SSPs is acceptable and feasible and holds promise in expanding access to and uptake of HIV prevention services among PWID.
尽管注射毒品者(PWID)感染艾滋病毒的风险很高,但由于众多心理社会和结构性障碍,该人群中对艾滋病毒暴露前预防(PrEP)的了解和接受程度仍然很低。已经提出了多种实施策略来解决这一差距,特别是提供长效注射用(LAI)PrEP制剂,并在注射器服务项目(SSP)中提供PrEP。这项定性研究探讨了在佛罗里达州首个合法的SSP为有艾滋病毒感染风险的PWID提供LAI-PrEP的可接受性和可行性。对PWID(n = 25)和医疗保健提供者(n = 5)进行了深入的半结构化访谈,并使用迭代主题分析对访谈记录进行了分析。SSP提供LAI-PrEP在PWID和提供者中都得到了压倒性的认可,并且阐明了该人群中LAI-PrEP与口服PrEP相比的具体优缺点。同样,PWID和提供者确定了在SSP提供LAI-PrEP的促进因素和障碍,并提出了实施建议。总体而言,这项研究进一步证明,在SSP中提供LAI-PrEP是可接受和可行的,有望扩大PWID获得和接受艾滋病毒预防服务的机会。
BMC Health Serv Res. 2024-10-19
J Acquir Immune Defic Syndr. 2024-10-1