A Qualitative Analysis of Barriers to Accessing HIV Prevention Services During an HIV Outbreak among Persons who Inject Drugs in West Virginia

Hershow, Rebecca B.; Worthington, Nancy; Adams, Monica; McDonald, Robert; Wilson, Suzanne; McBee, Shannon; Balleydier, Shawn; Curran, Kathryn G.

doi:10.1007/s10461-023-04254-2

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A Qualitative Analysis of Barriers to Accessing HIV Prevention Services During an HIV Outbreak among Persons who Inject Drugs in West Virginia

2 2024
By Hershow, Rebecca B. ; Worthington, Nancy ; Adams, Monica ; ...
Source: AIDS Behav. 28(2):669-681

Public Access Version Available on: February 01, 2025, 12:00 AM

Please check back on the date listed above.

English

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Alternative Title:

AIDS Behav
Personal Author:

Hershow, Rebecca B. ; Worthington, Nancy ; Adams, Monica ; McDonald, Robert ; Wilson, Suzanne ; ... More +

Hershow, Rebecca B. ; Worthington, Nancy ; Adams, Monica ; McDonald, Robert ; Wilson, Suzanne ; McBee, Shannon ; Balleydier, Shawn ; Curran, Kathryn G. Less -
Description:

In response to an increase in HIV diagnoses among persons who inject drugs (PWID) in Kanawha County, West Virginia, West Virginia Bureau for Public Health and CDC conducted a qualitative assessment in Kanawha County to inform HIV outbreak response activities. Interviews with 26 PWID and 45 community partners were completed. Transcribed interviews were analyzed to identify barriers to accessing HIV prevention services among PWID using the risk environment framework. Participants identified numerous political, physical, social, and economic community-level barriers that influenced access to HIV prevention services among PWID. Political factors included low community support for syringe services programs (SSPs); physical factors included low SSP coverage, low coverage of HIV testing outreach events, low HIV preexposure prophylaxis availability, and homelessness; social factors included stigma and discrimination; economic factors included community beliefs that SSPs negatively affect economic investments and limited resources for HIV screening in clinical settings. Individual-level barriers included co-occurring acute medical conditions and mental illness. Community-level interventions, such as low-barrier one-stop shop models, are needed to increase access to sterile syringes through comprehensive harm reduction services.
Subjects:

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Disease Outbreaks Drug Users HIV Infections Humans Needle-Exchange Programs Substance Abuse, Intravenous West Virginia
Keywords:

[+]

HIV Outbreak HIV Prevention Persons Who Inject Drugs Qualitative Research Syringe Services Programs
Source:

AIDS Behav. 28(2):669-681
Pubmed ID:

38165598
Pubmed Central ID:

PMC10922593
Document Type:

Journal Article
Funding:

CC999999/ImCDC/Intramural CDC HHSUnited States/
Volume:

28
Issue:

2
Collection(s):

CDC Public Access
Main Document Checksum:

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urn:sha-512:4c48e6393c03aeda388c3ec290205af456b1214ddefec455d84f6a22c8b94c4530d071bdaa3f0b0eced5a007311be16217c35af07b1a22e09d07c9fe80ebd263
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