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AIDS and Behavior
Published in: AIDS and Behavior 6/2020

01-06-2020 | Human Immunodeficiency Virus | Original Paper

Barriers and Facilitators to PrEP Use Among People Who Inject Drugs in Rural Appalachia: A Qualitative Study

Authors: Sean T. Allen, Allison O’Rourke, Rebecca Hamilton White, Katherine C. Smith, Brian Weir, Gregory M. Lucas, Susan G. Sherman, Suzanne M. Grieb

Published in: AIDS and Behavior | Issue 6/2020

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Abstract

The opioid crisis has increased risks for injection drug use-associated HIV outbreaks in rural communities throughout the United States. Existing research has examined pre-exposure prophylaxis (PrEP) utilization among people who inject drugs (PWID); however, no studies have been conducted to explore barriers and facilitators of PrEP use among rural PWID in Appalachia. We conducted qualitative interviews with PWID (n = 48) in two rural counties in West Virginia to explore barriers and facilitators of PrEP use. Among our participants, the majority (68.8%) had never heard of PrEP. Upon learning about PrEP, most participants expressed willingness to use it. Rural PWID described several factors that may impede PrEP utilization (e.g., housing instability, forgetting to take PrEP). Participants also identified practical strategies to support sustained PrEP utilization, such as integrating PrEP services into venues PWID access. This research provides important insights into the barriers and facilitators of PrEP utilization among rural PWID.
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Metadata
Title
Barriers and Facilitators to PrEP Use Among People Who Inject Drugs in Rural Appalachia: A Qualitative Study
Authors
Sean T. Allen
Allison O’Rourke
Rebecca Hamilton White
Katherine C. Smith
Brian Weir
Gregory M. Lucas
Susan G. Sherman
Suzanne M. Grieb
Publication date
01-06-2020
Publisher
Springer US
Published in
AIDS and Behavior / Issue 6/2020
Print ISSN: 1090-7165
Electronic ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-019-02767-3

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WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

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