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. 2021 May;25(5):1411-1422.
doi: 10.1007/s10461-020-02979-y.

A Pilot Study to Evaluate a Novel Pre-exposure Prophylaxis Peer Outreach and Navigation Intervention for Women at High Risk for HIV Infection

Oni J Blackstock  1 , Joey Platt  2 , Sarit A Golub  3 , Amarachi R Anakaraonye  2 , Brianna L Norton  2 , Suzan M Walters  4 , Jae M Sevelius  5 , Chinazo O Cunningham  2
Affiliations

A Pilot Study to Evaluate a Novel Pre-exposure Prophylaxis Peer Outreach and Navigation Intervention for Women at High Risk for HIV Infection

Oni J Blackstock et al. AIDS Behav. 2021 May.

Abstract

Pre-exposure prophylaxis (PrEP) uptake remains woefully low among U.S. women at high risk for HIV acquisition. We evaluated a pilot intervention which involved Peers providing brief PrEP education and counseling at mobile syringe exchange sites and at sex worker and syringe exchange drop-in centers followed by navigation to PrEP care. Peers recruited English-proficient, self-identified women (i.e., cisgender and transgender women and persons with other transfeminine identities) over a 3-month period and delivered the intervention to 52 HIV-negative/status unknown participants. Thirty-eight participants (73.1%) reported PrEP interest, 27 (51.9%) accepted the offer of a PrEP appointment, 13 (25.0%) scheduled a PrEP appointment, 3 (5.8%) attended an initial PrEP appointment, and none were prescribed PrEP. We found a gap between PrEP interest and connecting women to PrEP care. Further study is needed to understand this gap, including exploring innovative approaches to delivering PrEP care to women at highest risk for HIV.

Keywords: HIV; Pre-exposure prophylaxis; Sex work; Syringe exchange programs; Women.

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Figures

Fig. 1
Fig. 1
PrEP-UP Intervention Cascade. Percentages above each bar represent the proportion of the total sample (N = 52); percentages between bars represent the proportion retained at each step of the cascade
See this image and copyright information in PMC

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