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Attitudes and Intentions toward Use of HIV Pre-Exposure Prophylaxis (PrEP) among Adults Receiving Treatment for Opioid Use.
- Source :
- Substance Use & Misuse; 2024, Vol. 59 Issue 3, p369-379, 11p
- Publication Year :
- 2024
-
Abstract
- Background: Although pre-exposure prophylaxis (PrEP) prevents HIV, little is known about PrEP awareness and factors associated with intention to take PrEP among people with opioid use disorder (OUD). Methods: HIV-negative adults recruited from an outpatient treatment program in Cincinnati, Ohio completed self-administered surveys. Items derived from literature and health behavioral theory included demographics, sexual and drug use behaviors, HIV prevention practices, PrEP knowledge, and attitudes toward PrEP. Primary outcomes were 1) intention to ask a clinician about PrEP and 2) intention to accept PrEP if recommended by a clinician. Outcomes were dichotomized into higher vs. lower intention for analyses in logistic regression models. Results: Among 198 participants, 60.3% reported past injection drug use. Among 58 participants (29.3%) meeting criteria for PrEP, 24% were aware of PrEP, 15.5% had discussed it with a clinician, and 5% had taken it. Factors associated with intention to ask a clinician about PrEP included being somewhat confident about consistent condom use (p < 0.01), motivation to comply with normative beliefs (p < 0.01), and reporting that PrEP fits very well (p < 0.01) and is easy to fit (p < 0.01) into current prevention practices. Factors associated with intention to accept PrEP if recommended by a clinician included motivation to comply with normative beliefs (p < 0.01) and PrEP being easy to fit into current prevention practices (p < 0.01). Conclusion: Among participants meeting indications for PrEP, only 24% were aware of it and few had taken it. Interventions that normalize PrEP and target incorporating PrEP into current prevention practices may improve uptake among individuals with OUD. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV prevention
HIV-positive persons
SUBSTANCE abuse
CROSS-sectional method
ANTIRETROVIRAL agents
PRE-exposure prophylaxis
PATIENTS' attitudes
HOMOSEXUALITY
SELF medication
HEALTH attitudes
HEALTH behavior
QUESTIONNAIRES
DESCRIPTIVE statistics
RESEARCH funding
OPIOID analgesics
INTENTION
LOGISTIC regression analysis
CONDOMS
ADULTS
Subjects
Details
- Language :
- English
- ISSN :
- 10826084
- Volume :
- 59
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Substance Use & Misuse
- Publication Type :
- Academic Journal
- Accession number :
- 175034324
- Full Text :
- https://doi.org/10.1080/10826084.2023.2275556