Facilitators and Barriers to PrEP Acceptability and Initiation Among Opioid Treatment Program Patients and Staff.

IF 1.6 4区 医学 Q2 EDUCATION & EDUCATIONAL RESEARCH Aids Education and Prevention Pub Date : 2024-02-01 DOI:10.1521/aeap.2024.36.1.60
Kiera Chan, Mary M Mitchell, Emilie Casselle, Alexis A Bender
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Abstract

The Centers for Disease Control and Prevention recommends PrEP (pre-exposure prophylaxis) for people who use drugs, yet uptake remains low. This study explores the acceptability and potential uptake of PrEP among participants in an opioid treatment program (OTP). We conducted 26 in-depth, semistructured interviews with staff and patients at an OTP in Baltimore, Maryland. Overall, participants felt that providing PrEP within the program would be beneficial, but they noted competing priorities among populations engaging in high-risk behaviors and lack of willingness among groups with lower risk behaviors. Participants reported several barriers to PrEP use among people who use drugs and who use medications for opioid use, including cost, competing priorities, stigma, and misconceptions about who should use PrEP. Facilitators to PrEP use were described as health benefits, trusted relationships with providers, and existing resources in the opioid treatment program. Practitioners should consider addressing barriers to access and stigma within an OTP setting for HIV prevention tools.

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阿片类药物治疗计划患者和工作人员接受和启动 PrEP 的促进因素和障碍。
美国疾病控制和预防中心推荐吸毒者使用 PrEP(暴露前预防),但接受率仍然很低。本研究探讨了阿片类药物治疗项目(OTP)参与者对 PrEP 的接受程度和潜在接受率。我们对马里兰州巴尔的摩市一家阿片类药物治疗机构的工作人员和患者进行了 26 次深入的半结构式访谈。总体而言,参与者认为在该项目中提供 PrEP 将是有益的,但他们注意到从事高风险行为的人群之间存在优先级竞争,而低风险行为的人群则缺乏意愿。与会人员报告了吸毒者和使用阿片类药物者使用 PrEP 的几个障碍,包括成本、相互竞争的优先事项、耻辱感以及对哪些人应该使用 PrEP 的误解。使用 PrEP 的促进因素包括健康益处、与医疗服务提供者之间的信任关系以及阿片类药物治疗项目中的现有资源。从业人员应考虑解决鸦片类药物治疗方案中使用艾滋病预防工具的障碍和污名化问题。
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来源期刊
CiteScore
2.20
自引率
5.60%
发文量
30
期刊介绍: Presenting state-of-the-art research and information, AIDS Education and Prevention is a vital addition to the library collections of medical schools, hospitals, and other institutions and organizations with HIV/AIDS research programs. The journal integrates public health, psychosocial, sociocultural, and public policy perspectives on issues of key concern nationally and globally.
期刊最新文献
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