The perspectives of street-involved youth who use drugs regarding the acceptability and feasibility of HIV pre-exposure prophylaxis: a qualitative study.
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| Title: | The perspectives of street-involved youth who use drugs regarding the acceptability and feasibility of HIV pre-exposure prophylaxis: a qualitative study. |
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| Authors: | Dahlby, Lucia, Boyd, Jade, Knight, Rod, Philbin, Morgan, Small, Will, Kerr, Thomas, McNeil, Ryan |
| Source: | AIDS Care. Apr2023, Vol. 35 Issue 4, p480-487. 8p. 1 Chart. |
| Subjects: | HIV prevention, Research methodology, Interviewing, Pre-exposure prophylaxis, Adolescent health, Qualitative research, Socioeconomic factors, Psychosocial factors, Research funding, Homeless persons, Drug abusers, Longitudinal method, Adolescence |
| Geographic Terms: | Canada |
| Abstract: | Street-involved youth who use drugs (YWUD) face an elevated risk of HIV acquisition and represent a key population for HIV prevention initiatives, including pre-exposure prophylaxis (PrEP). However, little is known regarding the acceptability and feasibility of PrEP uptake and adherence among this multiply-marginalized population. Semi-structured qualitative interviews were conducted with 24 street-involved YWUD (ages 17-24) to examine their perspectives toward PrEP; youth were recruited through a longitudinal prospective cohort study in Vancouver, Canada. Youth reported high levels of ambivalence toward PrEP despite engagement in HIV-related risk behaviors. This ambivalence was driven by misperceptions regarding HIV transmission, including stigmatizing associations between HIV transmission and personal hygiene. Such misperceptions led participants to enact strategies that were ineffective in preventing HIV transmission. Participants contested their inclusion as a "key population" for PrEP, which limited their enthusiasm for PrEP uptake and adherence. Participants also highlighted that wider social-structural inequities (e.g., housing vulnerability, poverty) that produced HIV-related risks were likely to undermine sustained PrEP use. Findings demonstrate the need for tailored implementation strategies to increase PrEP acceptability, including targeted education and anti-stigma interventions to increase awareness about HIV transmission. Interventions should also target structural inequities in order to fully address HIV risk and PrEP ambivalence. [ABSTRACT FROM AUTHOR] |
| Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
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| FullText | Links: – Type: pdflink Text: Availability: 1 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 163249631 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: The perspectives of street-involved youth who use drugs regarding the acceptability and feasibility of HIV pre-exposure prophylaxis: a qualitative study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Dahlby%2C+Lucia%22">Dahlby, Lucia</searchLink><br /><searchLink fieldCode="AR" term="%22Boyd%2C+Jade%22">Boyd, Jade</searchLink><br /><searchLink fieldCode="AR" term="%22Knight%2C+Rod%22">Knight, Rod</searchLink><br /><searchLink fieldCode="AR" term="%22Philbin%2C+Morgan%22">Philbin, Morgan</searchLink><br /><searchLink fieldCode="AR" term="%22Small%2C+Will%22">Small, Will</searchLink><br /><searchLink fieldCode="AR" term="%22Kerr%2C+Thomas%22">Kerr, Thomas</searchLink><br /><searchLink fieldCode="AR" term="%22McNeil%2C+Ryan%22">McNeil, Ryan</searchLink> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Apr2023, Vol. 35 Issue 4, p480-487. 8p. 1 Chart. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22HIV+prevention%22">HIV prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Pre-exposure+prophylaxis%22">Pre-exposure prophylaxis</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescent+health%22">Adolescent health</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+factors%22">Socioeconomic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Psychosocial+factors%22">Psychosocial factors</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Homeless+persons%22">Homeless persons</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+abusers%22">Drug abusers</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Adolescence%22">Adolescence</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Canada%22">Canada</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Street-involved youth who use drugs (YWUD) face an elevated risk of HIV acquisition and represent a key population for HIV prevention initiatives, including pre-exposure prophylaxis (PrEP). However, little is known regarding the acceptability and feasibility of PrEP uptake and adherence among this multiply-marginalized population. Semi-structured qualitative interviews were conducted with 24 street-involved YWUD (ages 17-24) to examine their perspectives toward PrEP; youth were recruited through a longitudinal prospective cohort study in Vancouver, Canada. Youth reported high levels of ambivalence toward PrEP despite engagement in HIV-related risk behaviors. This ambivalence was driven by misperceptions regarding HIV transmission, including stigmatizing associations between HIV transmission and personal hygiene. Such misperceptions led participants to enact strategies that were ineffective in preventing HIV transmission. Participants contested their inclusion as a "key population" for PrEP, which limited their enthusiasm for PrEP uptake and adherence. Participants also highlighted that wider social-structural inequities (e.g., housing vulnerability, poverty) that produced HIV-related risks were likely to undermine sustained PrEP use. Findings demonstrate the need for tailored implementation strategies to increase PrEP acceptability, including targeted education and anti-stigma interventions to increase awareness about HIV transmission. Interventions should also target structural inequities in order to fully address HIV risk and PrEP ambivalence. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=163249631 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/09540121.2022.2085868 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 8 StartPage: 480 Subjects: – SubjectFull: HIV prevention Type: general – SubjectFull: Research methodology Type: general – SubjectFull: Interviewing Type: general – SubjectFull: Pre-exposure prophylaxis Type: general – SubjectFull: Adolescent health Type: general – SubjectFull: Qualitative research Type: general – SubjectFull: Socioeconomic factors Type: general – SubjectFull: Psychosocial factors Type: general – SubjectFull: Research funding Type: general – SubjectFull: Homeless persons Type: general – SubjectFull: Drug abusers Type: general – SubjectFull: Longitudinal method Type: general – SubjectFull: Adolescence Type: general – SubjectFull: Canada Type: general Titles: – TitleFull: The perspectives of street-involved youth who use drugs regarding the acceptability and feasibility of HIV pre-exposure prophylaxis: a qualitative study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Dahlby, Lucia – PersonEntity: Name: NameFull: Boyd, Jade – PersonEntity: Name: NameFull: Knight, Rod – PersonEntity: Name: NameFull: Philbin, Morgan – PersonEntity: Name: NameFull: Small, Will – PersonEntity: Name: NameFull: Kerr, Thomas – PersonEntity: Name: NameFull: McNeil, Ryan IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2023 Type: published Y: 2023 Identifiers: – Type: issn-print Value: 09540121 Numbering: – Type: volume Value: 35 – Type: issue Value: 4 Titles: – TitleFull: AIDS Care Type: main |
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