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Publication Profiles

‘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

Citation

Bartholomew TS, Andraka-Cristou B, Totaram RK, et al. “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. Harm Reduct J. 2022;19(1):133. doi:10.1186/s12954-022-00721-6

Implementation stage:

Pre-Implementation

Implementation outcomes reported:

Acceptability, Feasibility

Continuum target addressed:

Linkage to preventative care, PrEP initiation

Geography:

Miami-Dade County-FL

Study Participant Classification:

Recipients of care

Plain Language Objectives

The researchers asked Black people using a mobile syringe service whether receiving HIV prevention medication and opioid treatment from the same mobile program would be acceptable and practical.

Plain Language Abstract

Black people who inject drugs face high HIV risk and substantial barriers to prevention and treatment. Researchers used surveys and semi-structured interviews with 30 Black participants who were actively using a mobile syringe services program in Miami-Dade County. They asked whether the same mobile service could provide pre-exposure prophylaxis, or PrEP, to prevent HIV and medications for opioid use disorder. Participants generally viewed this one-stop approach as acceptable and feasible. They said mobile delivery could reduce transportation problems, costs, and stigma associated with traditional health care. Participants also preferred staff who were compassionate, nonjudgmental, and familiar with drug use through lived experience. These results describe participants’ preferences and perceived feasibility; the study did not deliver the combined services or test whether they improved PrEP use, opioid treatment, or health outcomes. The authors concluded that mobile harm-reduction programs may be promising places to integrate HIV prevention and opioid treatment for Black people who inject drugs, but implementation and effectiveness still require evaluation.

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