Willingness to use HIV pre-exposure prophylaxis among community-recruited, older people who inject drugs in Washington, DC

Irene Kuo, Halli Olsen, Rudy Patrick, Gregory Phillips, Manya Magnus, Jenevieve Opoku, Anthony Rawls, James Peterson, Flora Hamilton, Michael Kharfen, Alan Greenberg

Research output: Research - peer-reviewArticle

  • 6 Citations

Abstract

Introduction: Use of pre-exposure prophylaxis (PrEP) among people who inject drugs (PWID) has been shown to be effective in preventing HIV transmission. We examined correlates of the willingness to use PrEP among community-recruited older PWID in Washington, DC. Methods: PWID were recruited using respondent-driven sampling (RDS) and completed a behavioral interview for the National HIV Behavioral Surveillance system in 2012. Participants reported on willingness to use PrEP and how it might affect their drug use and sexual behaviors. We reported RDS-weighted proportions and multivariable correlates of being willing to use PrEP. Results: Among 304 participants, 69% were male, and the majority was aged ≥50 and black. Only 13.4% had ever heard of using anti-HIV medication to prevent HIV; none had ever used PrEP or knew anyone who used it in the past year. Forty-seven percent were very likely and 24% were somewhat likely to take PrEP if it were available without cost; 13% agreed they would not need to sterilize/clean needles or use condoms if taking PrEP. Correlates of being very likely to use PrEP included being younger (<50 years), sharing cookers, cotton or water in the past year, and believing they would no longer need to use clean needles. Conclusion: Nearly half of PWID reported being very willing to use PrEP if it were available without cost. Younger PWID and those at higher risk of sharing cookers, cotton or water were more willing to use PrEP, suggesting a focus on these groups to explore PrEP use among PWID.

LanguageEnglish
Pages8-13
Number of pages6
JournalDrug and Alcohol Dependence
Volume164
DOIs
StatePublished - Jul 1 2016

Fingerprint

HIV
Pharmaceutical Preparations
Pre-Exposure Prophylaxis
Needles
Cotton
Sampling
Water
Costs
Costs and Cost Analysis
Surveys and Questionnaires
Condoms
Focus Groups
Sexual Behavior
Interviews

Keywords

  • Behavioral surveillance
  • Injection drug use
  • People who inject drugs
  • Pre-exposure prophylaxis

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Toxicology
  • Pharmacology
  • Pharmacology (medical)

Cite this

Willingness to use HIV pre-exposure prophylaxis among community-recruited, older people who inject drugs in Washington, DC. / Kuo, Irene; Olsen, Halli; Patrick, Rudy; Phillips, Gregory; Magnus, Manya; Opoku, Jenevieve; Rawls, Anthony; Peterson, James; Hamilton, Flora; Kharfen, Michael; Greenberg, Alan.

In: Drug and Alcohol Dependence, Vol. 164, 01.07.2016, p. 8-13.

Research output: Research - peer-reviewArticle

Kuo, I, Olsen, H, Patrick, R, Phillips, G, Magnus, M, Opoku, J, Rawls, A, Peterson, J, Hamilton, F, Kharfen, M & Greenberg, A 2016, 'Willingness to use HIV pre-exposure prophylaxis among community-recruited, older people who inject drugs in Washington, DC' Drug and Alcohol Dependence, vol 164, pp. 8-13. DOI: 10.1016/j.drugalcdep.2016.02.044
Kuo, Irene ; Olsen, Halli ; Patrick, Rudy ; Phillips, Gregory ; Magnus, Manya ; Opoku, Jenevieve ; Rawls, Anthony ; Peterson, James ; Hamilton, Flora ; Kharfen, Michael ; Greenberg, Alan. / Willingness to use HIV pre-exposure prophylaxis among community-recruited, older people who inject drugs in Washington, DC. In: Drug and Alcohol Dependence. 2016 ; Vol. 164. pp. 8-13
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AU - Phillips,Gregory

AU - Magnus,Manya

AU - Opoku,Jenevieve

AU - Rawls,Anthony

AU - Peterson,James

AU - Hamilton,Flora

AU - Kharfen,Michael

AU - Greenberg,Alan

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N2 - Introduction: Use of pre-exposure prophylaxis (PrEP) among people who inject drugs (PWID) has been shown to be effective in preventing HIV transmission. We examined correlates of the willingness to use PrEP among community-recruited older PWID in Washington, DC. Methods: PWID were recruited using respondent-driven sampling (RDS) and completed a behavioral interview for the National HIV Behavioral Surveillance system in 2012. Participants reported on willingness to use PrEP and how it might affect their drug use and sexual behaviors. We reported RDS-weighted proportions and multivariable correlates of being willing to use PrEP. Results: Among 304 participants, 69% were male, and the majority was aged ≥50 and black. Only 13.4% had ever heard of using anti-HIV medication to prevent HIV; none had ever used PrEP or knew anyone who used it in the past year. Forty-seven percent were very likely and 24% were somewhat likely to take PrEP if it were available without cost; 13% agreed they would not need to sterilize/clean needles or use condoms if taking PrEP. Correlates of being very likely to use PrEP included being younger (<50 years), sharing cookers, cotton or water in the past year, and believing they would no longer need to use clean needles. Conclusion: Nearly half of PWID reported being very willing to use PrEP if it were available without cost. Younger PWID and those at higher risk of sharing cookers, cotton or water were more willing to use PrEP, suggesting a focus on these groups to explore PrEP use among PWID.

AB - Introduction: Use of pre-exposure prophylaxis (PrEP) among people who inject drugs (PWID) has been shown to be effective in preventing HIV transmission. We examined correlates of the willingness to use PrEP among community-recruited older PWID in Washington, DC. Methods: PWID were recruited using respondent-driven sampling (RDS) and completed a behavioral interview for the National HIV Behavioral Surveillance system in 2012. Participants reported on willingness to use PrEP and how it might affect their drug use and sexual behaviors. We reported RDS-weighted proportions and multivariable correlates of being willing to use PrEP. Results: Among 304 participants, 69% were male, and the majority was aged ≥50 and black. Only 13.4% had ever heard of using anti-HIV medication to prevent HIV; none had ever used PrEP or knew anyone who used it in the past year. Forty-seven percent were very likely and 24% were somewhat likely to take PrEP if it were available without cost; 13% agreed they would not need to sterilize/clean needles or use condoms if taking PrEP. Correlates of being very likely to use PrEP included being younger (<50 years), sharing cookers, cotton or water in the past year, and believing they would no longer need to use clean needles. Conclusion: Nearly half of PWID reported being very willing to use PrEP if it were available without cost. Younger PWID and those at higher risk of sharing cookers, cotton or water were more willing to use PrEP, suggesting a focus on these groups to explore PrEP use among PWID.

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