PrEP Care Continuum Engagement Among Persons Who Inject Drugs: Rural and Urban Differences in Stigma and Social Infrastructure

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dc.contributor.authorWalters, Suzan M.
dc.contributor.authorFrank, David
dc.contributor.authorVan Ham, Brent
dc.contributor.authorJaiswal, Jessica
dc.contributor.authorMuncan, Brandon
dc.contributor.authorEarnshaw, Valerie
dc.contributor.authorSchneider, John
dc.contributor.authorFriedman, Samuel R.
dc.contributor.authorOmpad, Danielle C.
dc.contributor.otherNew York University
dc.contributor.otherSouthern Illinois University
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.contributor.otherState University of New York (SUNY) Stony Brook
dc.contributor.otherStony Brook University Hospital
dc.contributor.otherUniversity of Delaware
dc.contributor.otherUniversity of Chicago
dc.date.accessioned2023-09-28T19:08:06Z
dc.date.available2023-09-28T19:08:06Z
dc.date.issued2022
dc.description.abstractPre-exposure prophylaxis (PrEP) is a medication that prevents HIV acquisition, yet PrEP uptake has been low among people who inject drugs. Stigma has been identified as a fundamental driver of population health and may be a significant barrier to PrEP care engagement among PWID. However, there has been limited research on how stigma operates in rural and urban settings in relation to PrEP. Using in-depth semi-structured qualitative interviews (n = 57) we explore PrEP continuum engagement among people actively injecting drugs in rural and urban settings. Urban participants had more awareness and knowledge. Willingness to use PrEP was similar in both settings. However, no participant was currently using PrEP. Stigmas against drug use, HIV, and sexualities were identified as barriers to PrEP uptake, particularly in the rural setting. Syringe service programs in the urban setting were highlighted as a welcoming space where PWID could socialize and therefore mitigate stigma and foster information sharing.en_US
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.citationWalters, S. M., Frank, D., Van Ham, B., Jaiswal, J., Muncan, B., Earnshaw, V., Schneider, J., Friedman, S. R., & Ompad, D. C. (2021). PrEP Care Continuum Engagement Among Persons Who Inject Drugs: Rural and Urban Differences in Stigma and Social Infrastructure. In AIDS and Behavior (Vol. 26, Issue 4, pp. 1308–1320). Springer Science and Business Media LLC. https://doi.org/10.1007/s10461-021-03488-2
dc.identifier.doi10.1007/s10461-021-03488-2
dc.identifier.orcidhttps://orcid.org/0000-0003-0240-0393
dc.identifier.urihttps://ir.ua.edu/handle/123456789/10918
dc.languageEnglish
dc.language.isoen_US
dc.publisherSpringer
dc.rights.licenseAttribution 4.0 International (CC BY 4.0)
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectPre-exposure prophylaxis (PrEP)
dc.subjectPersons who inject drugs (PWID)
dc.subjectStigma
dc.subjectHIV
dc.subjectSocial infrastructure
dc.subjectThird places
dc.subjectRural
dc.subjectUrban
dc.subjectNEW-YORK-CITY
dc.subjectHIV PREEXPOSURE PROPHYLAXIS
dc.subjectSUBSTANCE USE
dc.subjectSYRINGE EXCHANGE
dc.subjectFUNDAMENTAL CAUSES
dc.subjectSTRUCTURAL STIGMA
dc.subjectCOLLECTIVE MEMORY
dc.subjectHEALTH
dc.subjectPEOPLE
dc.subjectINFECTION
dc.subjectPublic, Environmental & Occupational Health
dc.subjectSocial Sciences, Biomedical
dc.titlePrEP Care Continuum Engagement Among Persons Who Inject Drugs: Rural and Urban Differences in Stigma and Social Infrastructureen_US
dc.typeArticle
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