Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Feb;28(1):22-31.
doi: 10.1089/jchc.19.11.0082. Epub 2021 Nov 11.

Preexposure Prophylaxis for Women Across the Criminal Justice System: Implications for Policy and Practice

Emily Hoff  1   2 , Ronnye Rutledge  1   3 , Britton A Gibson  4 , Carolina R Price  5 , Colleen Gallagher  6 , Kathleen Maurer  6 , Jaimie P Meyer  5
Affiliations

Preexposure Prophylaxis for Women Across the Criminal Justice System: Implications for Policy and Practice

Emily Hoff et al. J Correct Health Care. 2022 Feb.

Abstract

Data that inform preexposure prophylaxis (PrEP) implementation for women involved in criminal justice (WICJ) systems are scarce. In a survey of PrEP attitudes, acceptability, and barriers across the criminal justice system, incarcerated women (n = 48) were more likely than WICJ on probation (n = 125) to be eligible for PrEP (29% vs. 15%; p = .04) and willing to take PrEP if offered (94% vs. 78%; p = .01). In multivariate models, PrEP eligibility directly correlated with being incarcerated (adjusted odds ratio [aOR] 4.81, 95% confidence interval [CI] 1.76-13.1) and inversely correlated with Hispanic/Latina ethnicity (aOR 0.31; 95% CI 0.10-0.96). Recent partner violence exposure was associated with PrEP eligibility (aOR 3.29; 95% CI 1.54-7.02) and discordant risk perception (aOR 2.36; 95% CI 1.18-4.70). Findings demonstrate high potential for PrEP for all WICJ, though implementation efforts will need to address partner violence.

Keywords: HIV prevention; PrEP; criminal justice systems; women.

PubMed Disclaimer

Conflict of interest statement

The authors disclosed no conflicts of interest with respect to the research, authorship, or publication of this article.

Figures

Fig. 1.
Fig. 1.
Components of the criminal justice system and potential PrEP interventions. PrEP = preexposure prophylaxis.
See this image and copyright information in PMC

References

    1. Abiona, T. C., Balogun, J. A., Adefuye, A. S., & Sloan, P. E. (2009). Pre-incarceration HIV risk behaviours of male and female inmates. International Journal of Prison Health, 5(2), 59–70. 10.1080/17449200902880524 - DOI - PubMed
    1. Adams, L. M., Kendall, S., Smith, A., Quigley, E., Stuewig, J. B., & Tangney, J. P. (2013). HIV risk behaviors of male and female jail inmates prior to incarceration and one year post-release. AIDS and Behavior, 17(8), 2685–2694. 10.1007/s10461-011-9990-2 - DOI - PMC - PubMed
    1. Andersen, R. M. (1995). Revisiting the behavioral model and access to medical care: Does it matter? Journal of Health and Social Behavior, 36(1), 1–10. - PubMed
    1. Auerbach, J. D., Kinsky, S., Brown, G., & Charles, V. (2015). Knowledge, attitudes, and likelihood of pre-exposure prophylaxis (PrEP) use among US women at risk of acquiring HIV. AIDS Patient Care and STDs, 29(2), 102–110. 10.1089/apc.2014.0142 - DOI - PMC - PubMed
    1. Bauermeister, J. A., Meanley, S., Pingel, E., Soler, J. H., & Harper, G. W. (2013). PrEP awareness and perceived barriers among single young men who have sex with men. Current HIV Research, 11(7), 520–527. 10.2174/1570162x12666140129100411 - DOI - PMC - PubMed

Publication types

Substances