@article{6c96ebbba88d4a5f9f06e041d84f2a9e,
title = "Considerations for the Design of Pre-exposure Prophylaxis (PrEP) Interventions for Women: Lessons Learned from the Implementation of a Novel PrEP Intervention",
abstract = "Pre-exposure prophylaxis (PrEP) uptake among women in the United States has been low. To increase uptake, we developed a peer outreach and navigation PrEP intervention. Semi-structured qualitative interviews with 32 cisgender women and 3 transgender women were conducted to assess the intervention. We used a thematic approach to identify barriers to, and facilitators of the intervention. Facilitators included interest in PrEP, offer of health and social services, the intervention{\textquoteright}s women-focused approach, and peer outreach and navigation. Barriers were perceived HIV risk, concerns about medication side effects or interactions, housing insecurity and travel, co-occurring health-related conditions, and caregiving responsibilities. We recommend that future interventions consider packaging PrEP in local community settings, such as syringe exchange programs; include services such as food and housing assistance; use peers to recruit and educate women; integrate a culturally appropriate women{\textquoteright}s focus; and consider providing same-day PrEP.",
keywords = "Cisgender women, Drug use, Exchange sex, HIV, Pre-exposure prophylaxis, Syringe service program, Transgender women",
author = "Walters, {Suzan M.} and Joey Platt and Amarachi Anakaraonye and Golub, {Sarit A.} and Cunningham, {Chinazo O.} and Norton, {Brianna L.} and Sevelius, {Jae M.} and Blackstock, {Oni J.}",
note = "Funding Information: We are grateful to Tonia Poteat, PhD, PA-C, MPH, and Hilary Surratt, PhD for insightful discussions during the early stages of this project and to Axcel Barboza for his input into planning and implementation phases of this study. The authors would also like to thank colleagues at NDRI for their assistance with Peer training. This project was supported by a Centers for Disease Control and Prevention Minority HIV/AIDS Research Initiative Grant (1U01PS005111-01). Funding Information: We are grateful to Tonia Poteat, PhD, PA-C, MPH, and Hilary Surratt, PhD for insightful discussions during the early stages of this project and to Axcel Barboza for his input into planning and implementation phases of this study. The authors would also like to thank colleagues at NDRI for their assistance with Peer training. This project was supported by a Centers for Disease Control and Prevention Minority HIV/AIDS Research Initiative Grant (1U01PS005111-01). Publisher Copyright: {\textcopyright} 2021, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.",
year = "2021",
month = dec,
doi = "10.1007/s10461-021-03353-2",
language = "English (US)",
volume = "25",
pages = "3987--3999",
journal = "AIDS and Behavior",
issn = "1090-7165",
publisher = "Springer New York",
number = "12",
}
