Multilevel Factors Shaping Awareness of and Attitudes Toward Pre-exposure Prophylaxis for HIV Prevention among Criminal Justice-Involved Women

Dauria, Emily; Levine, Andrew S.; Hill, Samantha V.; Tolou‐Shams, Marina; Christopoulos, Katerina

doi:10.1007/s10508-020-01834-4

Cited by 20 publications

(27 citation statements)

References 51 publications

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“…However, a gap remains concerning the impact of PrEP for HIV prevention on Black adults with CJI. Previous research (24,39,40) has shown that PrEP awareness and acceptability is shaped by individual, social and sexual network, and community level factors, which in turn, should be leveraged to promote PrEP uptake and adherence among CJI adults. Given the emerging literature, innovative strategies and interventions designed to implement PrEP must consider the relevant factors in uencing PrEP awareness.…”

Section: Resultsmentioning

confidence: 99%

“…While well over half of the sample reported substance use during sex, only a small proportion had ever used PrEP. Given that low perceptions of HIV risk can negatively in uence awareness and willingness to use PrEP (39,42,50), low PrEP use in the sample may be explained by a broad lack of HIV risk perception and PrEP awareness. Similarly, social and structural level factors such as medical mistrust (51,52), racial bias by medical professionals (52) and health care service inaccessibility (20,49) may have also limited PrEP use in the present study.…”

Section: Resultsmentioning

confidence: 99%

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Factors Correlated with Pre-Exposure Prophylaxis (PrEP) Awareness and Use among Black Adults in the United States: Implications for Improving PrEP Uptake

Wilson

Przybyla

Gabriel

et al. 2021

Preprint

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In the United States, low rates of pre-exposure prophylaxis (PrEP) awareness and utilization persist among Black adults. To date, few studies have assessed PrEP awareness and use among a nationally representative sample of Black adults. The present study explored factors associated with PrEP awareness and use among Black adults in the United States. Most participants were unaware of PrEP (71%). Those reporting a history of incarceration [aOR 1.73 (1.04, 2.90), p <.05] and lifetime sexually transmitted infection testing [aOR 1.76 (1.19, 2.59), p <.05] had greater odds of awareness. In the sample, only 6% of participants had ever taken PrEP. Those with a history of incarceration [aOR 9.96 (2.82, 35.14), p <.05], concurrent sexual partners [aOR 1.09 (1.00, 1.18), p <.05], and substance use during sex [aOR 4.23 (1.02, 17.48), p <.05] had greater odds of use. Interventions to improve PrEP uptake among Black adults must consider the contextual factors associated with awareness and use.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Factors Correlated with Pre-Exposure Prophylaxis (PrEP) Awareness and Use among Black Adults in the United States: Implications for Improving PrEP Uptake

Wilson

Przybyla

Gabriel

et al. 2021

Preprint

View full text Add to dashboard Cite

show abstract

“…Peer-led interventions were among those that have been the most successful [ 41 ••, 42 ••]. Peer navigators build trust and reduce stigma and discrimination-related barriers to healthcare engagement, areas of particular importance for individuals involved in the carceral system who have intersecting stigmatized identities and have high levels of medical mistrust [ 47 ]. It should be noted, however, that research has yet to examine the mechanisms through which these relationships support care engagement and should be explored in future studies [ 44 •].…”

Section: Hiv Care Outcomes For Adults Released From Detention Settingsmentioning

confidence: 99%

“…Cisgender women involved in the carceral system experience a confluence of factors shaping their HIV risk and care engagement (e.g., substance use disorders) including those shaped by their gender (e.g., using injection equipment after men during IDU, interpersonal violence) [ 47 ]. In an analysis of baseline data from the CARE + Corrections study, women were less likely than both transgender women and cisgender men to achieve VS in the community [ 65 ].…”

Section: Hiv Care Outcomes For Adults Released From Detention Settingsmentioning

confidence: 99%

Interventions Designed to Improve HIV Continuum of Care Outcomes for Persons with HIV in Contact with the Carceral System in the USA

et al. 2022

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“…Specifically, this plan includes the prevention strategy of providing PrEP for those at risk for acquiring HIV. However, people involved in the justice system without HIV do not typically access PrEP [ 12 – 14 ]. Furthermore, persons who are prescribed PrEP prior to entering the justice system often lose access to their medication upon incarceration.…”

Section: Introductionmentioning

confidence: 99%

Study protocol of a randomized controlled trial comparing two linkage models for HIV prevention and treatment in justice-involved persons

et al. 2022

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Background Persons involved in the justice system are at high risk for HIV and drug overdose upon release to the community. This manuscript describes a randomized controlled trial of two evidence-based linkage interventions for provision of HIV prevention and treatment and substance use disorder (SUD) services in four high risk communities to assess which is more effective at addressing these needs upon reentry to the community from the justice system. Methods This is a 5-year hybrid type 1 effectiveness-implementation randomized controlled trial that compares two models (Patient Navigation [PN] or Mobile Health Unit [MHU] service delivery) of linking justice-involved individuals to the continuum of community-based HIV and SUD prevention and treatment service cascades of care. A total of 864 justice-involved individuals in four US communities with pre-arrest histories of opioid and/or stimulant use who are living with or at-risk of HIV will be randomized to receive either: (a) PN, wherein patient navigators will link study participants to community-based service providers; or (b) services delivered via an MHU, wherein study participants will be provided integrated HIV prevention/ treatment services and SUD services. The six-month post-release intervention will focus on access to pre-exposure prophylaxis (PrEP) for those without HIV and antiretroviral treatment (ART) for people living with HIV (PLH). Secondary outcomes will examine the continuum of PrEP and HIV care, including: HIV viral load, PrEP/ ART adherence; HIV risk behaviors; HCV testing and linkage to treatment; and sexually transmitted infection incidence and treatment. Additionally, opioid and other substance use disorder diagnoses, prescription, receipt, and retention on medication for opioid use disorder; opioid and stimulant use; and overdose will also be assessed. Primary implementation outcomes include feasibility, acceptability, sustainability, and costs required to implement and sustain the approaches as well as to scale-up in additional communities. Discussion Results from this project will help inform future methods of delivery of prevention, testing, and treatment of HIV, HCV, substance use disorders (particularly for opioids and stimulants), and sexually transmitted infections for justice-involved individuals in the community. Trial registration: Clincialtrials.gov NCT05286879 March 18, 2022.

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Multilevel Factors Shaping Awareness of and Attitudes Toward Pre-exposure Prophylaxis for HIV Prevention among Criminal Justice-Involved Women

Cited by 20 publications

References 51 publications

Factors Correlated with Pre-Exposure Prophylaxis (PrEP) Awareness and Use among Black Adults in the United States: Implications for Improving PrEP Uptake

Factors Correlated with Pre-Exposure Prophylaxis (PrEP) Awareness and Use among Black Adults in the United States: Implications for Improving PrEP Uptake

Interventions Designed to Improve HIV Continuum of Care Outcomes for Persons with HIV in Contact with the Carceral System in the USA

Study protocol of a randomized controlled trial comparing two linkage models for HIV prevention and treatment in justice-involved persons

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