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Publication Profiles

Examining the Awareness, Acceptability, and Adoption of Conventional and non-conventional Forms of Pre-Exposure Prophylaxis (PrEP) for HIV Prevention Among jail-involved Black Sexual Minority men (BSMM) and Black Transgender Women (BTW) in Two Diverse US Cities

Citation

Jones MD, Jones K, Almirol E, et al. Examining the Awareness, Acceptability, and Adoption of Conventional and non-conventional Forms of Pre-Exposure Prophylaxis (PrEP) for HIV Prevention Among jail-involved Black Sexual Minority men (BSMM) and Black Transgender Women (BTW) in Two Diverse US Cities. AIDS Behav. 2023;27(4):1304-1313. doi:10.1007/s10461-022-03866-4

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Not applicable

Continuum target addressed:

Linkage to preventative care

Geography:

East Baton Rouge Parish-LA,Cook County-IL

Study Participant Classification:

Community member(s)

Plain Language Objectives

The researchers interviewed Black sexual minority men and Black transgender women who had experienced jail involvement. They wanted to understand what participants knew and thought about three ways of receiving HIV-prevention medication during incarceration or after release.

Plain Language Abstract

Black sexual minority men and Black transgender women experience disproportionate burdens of HIV and incarceration, but little was known about which pre-exposure prophylaxis, or PrEP, options they might use. Researchers interviewed 34 jail-involved people in Chicago and Baton Rouge about a daily pill, a long-acting injection, and an electronic prescription to collect after release. Most participants were cisgender Black sexual minority men (88%), and 65% were enrolled in Chicago. Chicago participants reported greater awareness, availability, and early use of daily PrEP and postrelease prescriptions than those in Baton Rouge. Participants were generally receptive to all three options and described a strong need for HIV prevention in jails and immediately after release. Reported barriers included PrEP stigma in jail, possible selling of prescribed pills, fear of needles, and added clinic time. Participants saw postrelease prescriptions as supporting continuity and injections as convenient, less stigmatizing, and longer lasting. These qualitative findings reflect the views of those interviewed, not prevalence estimates for all jail-involved people.

Key Takeaways

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