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核心技术专利:CN118964589B侵权必究
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针对在注射器服务项目中注射毒品者的长效注射制剂:一项定性可接受性和可行性研究。

Long-Acting Injectable Prep for People Who Inject Drugs at a Syringe Services Program: A Qualitative Acceptability and Feasibility Study.

作者信息

Suarez Edward, Tookes Hansel E, Coppola Marissa, Plesons Marina, Serota David, St George Sara M, Bartholomew Tyler S

机构信息

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.

出版信息

AIDS Behav. 2025 Apr;29(4):1235-1246. doi: 10.1007/s10461-024-04598-3. Epub 2025 Jan 9.


DOI:10.1007/s10461-024-04598-3
PMID:39779623
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11985550/
Abstract

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.

摘要

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。

相似文献

[1]
Long-Acting Injectable Prep for People Who Inject Drugs at a Syringe Services Program: A Qualitative Acceptability and Feasibility Study.

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[2]
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引用本文的文献

[1]
"The Simplest Way to Go": An Exploration of Why Women Who Inject Drugs Chose Long-Acting Injectable Cabotegravir Instead of Daily Oral PrEP.

AIDS Behav. 2025-8-6

[2]
Willingness to Take Long-Acting Injectable Preexposure Prophylaxis (PrEP) and Preference for PrEP Modalities Among People Who Inject Drugs in Washington, DC.

Open Forum Infect Dis. 2025-7-3

本文引用的文献

[1]
Long-acting Injectable PrEP Interest and General PrEP Awareness among People who Inject Drugs in the San Diego-Tijuana Border Metroplex.

AIDS Behav. 2024-5

[2]
Study protocol for an efficacy trial of the "PrEP for Health" intervention to increase HIV PrEP use among people who inject drugs.

BMC Public Health. 2023-3-17

[3]
Adaptation of the Tele-Harm Reduction intervention to promote initiation and retention in buprenorphine treatment among people who inject drugs: a retrospective cohort study.

Ann Med. 2023-12

[4]
Participant perceptions on the acceptability and feasibility of a telemedicine-based HIV PrEP and buprenorphine/naloxone program embedded within syringe services programs: a qualitative descriptive evaluation.

Harm Reduct J. 2022-12-3

[5]
"We want everything in a one-stop shop": acceptability and feasibility of PrEP and buprenorphine implementation with mobile syringe services for Black people who inject drugs.

Harm Reduct J. 2022-12-3

[6]
Acceptability of injectable pre-exposure prophylaxis among people who inject drugs in three urban U.S. settings.

BMC Infect Dis. 2022-9-14

[7]
Long-Acting Injectable Human Immunodeficiency Virus Pre-Exposure Prophylaxis Preferred Over Other Modalities Among People Who Inject Drugs: Findings from a Qualitative Study in California.

AIDS Patient Care STDS. 2022-7

[8]
Patient and Provider Perspectives on a Novel, Low-Threshold HIV PrEP Program for People Who Inject Drugs Experiencing Homelessness.

J Gen Intern Med. 2023-3

[9]
Oral pre-exposure prophylaxis (PrEP) to prevent HIV: a systematic review and meta-analysis of clinical effectiveness, safety, adherence and risk compensation in all populations.

BMJ Open. 2022-5-11

[10]
Acceptability, feasibility, and pilot results of the tele-harm reduction intervention for rapid initiation of antiretrovirals among people who inject drugs.

Drug Alcohol Depend. 2021-12-1

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