"We want everything in a one-stop shop": acceptability and feasibility of PrEP and buprenorphine implementation with mobile syringe services for Black people who inject drugs.
"We want everything in a one-stop shop": acceptability and feasibility of PrEP and buprenorphine implementation with mobile syringe services for Black people who inject drugs.
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DOI：
10.1186/s12954-022-00721-6
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发表时间：
2022-12-03
影响因子：
4.4
通讯作者：
Tookes, Hansel E. E.
中科院分区：
文献类型：
--
作者：
Bartholomew, Tyler S. S.;Andraka-Cristou, Barbara;Totaram, Rachel K. K.;Harris, Shana;Doblecki-Lewis, Susanne;Ostrer, Lily;Serota, David P. P.;Forrest, David W. W.;Chueng, Teresa A. A.;Suarez, Edward;Tookes, Hansel E. E.
在阿片类药物和兴奋剂使用危机的推动下，最近艾滋病毒爆发激增，破坏了我们在实现结束艾滋病毒流行：为注射毒品者(PWID)，特别是黑人PWID的高优先级社区制定的目标方面取得的进展。为了确定使用流动注射器服务计划(SSP)通过前预防和阿片类药物使用障碍(MOUD)进行艾滋病毒综合预防的可接受性和可行性，我们的混合方法包括定量评估和对迈阿密-戴德县积极从事流动注射器服务的黑人PWID(n = 30)进行半结构化定性访谈。与会者认为，在移动SSP提供Moud和PrEP是可行和可接受的，有助于解决传统医疗环境中常见的运输、成本和污名障碍。参与者更喜欢富有同情心、不带偏见、有生活经验的员工。流动的减少伤害环境可以成为向黑人残疾人提供全面艾滋病毒预防服务的有效场所，这个社区在支离破碎的医疗体系中经历了边缘化和种族主义带来的严重护理障碍。
A recent surge in HIV outbreaks, driven by the opioid and stimulant use crises, has destabilized our progress toward targets set forth by Ending the HIV Epidemic: A Plan for America for the high-priority community of people who inject drugs (PWID), particularly Black PWID. In order to ascertain the acceptability and feasibility of using a mobile syringe services program (SSP) for comprehensive HIV prevention via PrEP and medications for opioid use disorder (MOUD), our mixed methods approach included a quantitative assessment and semi-structured qualitative interviews with Black PWID (n = 30) in Miami-Dade County who were actively engaged in mobile syringe services. Participants felt that delivery of MOUD and PrEP at a mobile SSP would be both feasible and acceptable, helping to address transportation, cost, and stigma barriers common within traditional healthcare settings. Participants preferred staff who are compassionate and nonjudgmental and have lived experience. A mobile harm reduction setting could be an effective venue for delivering comprehensive HIV prevention services to Black PWID, a community that experiences significant barriers to care via marginalization and racism in a fragmented healthcare system.
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影响因子：
6
作者：
Evans, Elizabeth;Li, Libo;Nosyk, Bohdan
通讯作者：
Nosyk, Bohdan
影响因子：
33.9
作者：
Golden, Matthew R.;Lechtenberg, Richard;Buskin, Susan E.
通讯作者：
Buskin, Susan E.
DOI：
10.1093/cid/ciab779
发表时间：
2022-08-24
期刊：
Clinical infectious diseases : an official publication of the Infectious Diseases Society of America
影响因子：
--
作者：
Barocas JA;Savinkina A;Lodi S;Epstein RL;Bouton TC;Sperring H;Hsu HE;Jacobson KR;Schechter-Perkins EM;Linas BP;White LF
通讯作者：
White LF
影响因子：
4.4
作者：
Escudero, Daniel J.;Kerr, Thomas;Marshall, Brandon D. L.
通讯作者：
Marshall, Brandon D. L.
影响因子：
168.9
作者：
Choopanya, Kachit;Martin, Michael;Vanichseni, Suphak
通讯作者：
Vanichseni, Suphak