Acceptability of a Community Health Worker Program to Link High-Risk People in Jail to HIV Pre-Exposure Prophylaxis

社区卫生工作者计划将监狱中的高危人群与艾滋病毒暴露前预防联系起来的可接受性

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Abstract

BACKGROUND: People involved in the criminal justice system (PICJS) are at a disproportionate risk for HIV infection. Pre-exposure prophylaxis (PrEP) is highly effective for HIV prevention; however, there are barriers to accessing and remaining on PrEP. We explored perspectives on partnering with a community health worker (CHW) to link PICJS to PrEP. METHODS: We interviewed PICJS (n=21) and relevant stakeholders (n=15). RESULTS: The following themes emerged: 1) All participants were receptive to the idea of a CHW program and believed it would be valuable; 2) the PICJS participating in the CHW program would need immediate contact post-release and continuous follow-up with the CHW; 3) desirable program components included HIV education and information about PrEP; 4) participants mentioned several facilitators and barriers to successfully implementing the CHW program; and 5) the CHW needs to be relatable. CONCLUSION: Our findings suggest that a PrEP linkage program facilitated by a CHW would be desirable.

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