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A missing perspective: injectable pre-exposure prophylaxis for people who inject drugs.
- Source :
-
AIDS care [AIDS Care] 2019 Oct; Vol. 31 (10), pp. 1214-1220. Date of Electronic Publication: 2019 Mar 01. - Publication Year :
- 2019
-
Abstract
- The efficacy of pre-exposure prophylaxis (PrEP) for HIV prevention has been established among people who inject drugs (PWID). HIV uninfected, at risk PWID, could likely benefit from long-acting injectable formulations of PrEP ("LAI-PrEP"); however, its acceptability in this population has not been previously documented. Thirty-three HIV-uninfected PWID in the U.S. Northeast completed an in-depth interview regarding perceived acceptability of LAI-PrEP. Coded data were synthesized using deductive thematic analysis. The majority of PWID interviewed believed LAI-PrEP would be acceptable. Participants perceived that receiving injections every two months would reduce barriers to daily oral PrEP adherence, including forgetting while "high" and safeguarding pills when homeless. A few participants expressed concerns regarding LAI-PrEP, including medical mistrust, a concern that injections could alter their "high" or be "triggering" for PWID. LAI-PrEP has the potential to reduce HIV among PWID; however, their perspectives are largely absent from research examining its efficacy, representing a missed opportunity.
- Subjects :
- Adult
Anti-HIV Agents therapeutic use
Female
HIV Infections drug therapy
Humans
Interviews as Topic
Male
Middle Aged
Qualitative Research
Sexual Behavior
Trust
Black or African American psychology
Anti-HIV Agents administration & dosage
HIV Infections prevention & control
HIV Seronegativity
Patient Acceptance of Health Care psychology
Pre-Exposure Prophylaxis
Substance Abuse, Intravenous complications
Subjects
Details
- Language :
- English
- ISSN :
- 1360-0451
- Volume :
- 31
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- AIDS care
- Publication Type :
- Academic Journal
- Accession number :
- 30822103
- Full Text :
- https://doi.org/10.1080/09540121.2019.1587356