“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
Abstract Introduction A recent surge in HIV outbreaks, driven by the opioid and stimulant use crises, has destabilized our progress toward targets set forth by Ending the HIV Epidemic: A Plan for America for the high-priority community of people who inject drugs (PWID), particularly Black PWID. Meth...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2022-12-01
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| Series: | Harm Reduction Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12954-022-00721-6 |
| _version_ | 1828123393900150784 |
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| author | Tyler S. Bartholomew Barbara Andraka-Cristou Rachel K. Totaram Shana Harris Susanne Doblecki-Lewis Lily Ostrer David P. Serota David W. Forrest Teresa A. Chueng Edward Suarez Hansel E. Tookes |
| author_facet | Tyler S. Bartholomew Barbara Andraka-Cristou Rachel K. Totaram Shana Harris Susanne Doblecki-Lewis Lily Ostrer David P. Serota David W. Forrest Teresa A. Chueng Edward Suarez Hansel E. Tookes |
| author_sort | Tyler S. Bartholomew |
| collection | DOAJ |
| description | Abstract Introduction A recent surge in HIV outbreaks, driven by the opioid and stimulant use crises, has destabilized our progress toward targets set forth by Ending the HIV Epidemic: A Plan for America for the high-priority community of people who inject drugs (PWID), particularly Black PWID. Methods In order to ascertain the acceptability and feasibility of using a mobile syringe services program (SSP) for comprehensive HIV prevention via PrEP and medications for opioid use disorder (MOUD), our mixed methods approach included a quantitative assessment and semi-structured qualitative interviews with Black PWID (n = 30) in Miami-Dade County who were actively engaged in mobile syringe services. Results Participants felt that delivery of MOUD and PrEP at a mobile SSP would be both feasible and acceptable, helping to address transportation, cost, and stigma barriers common within traditional healthcare settings. Participants preferred staff who are compassionate and nonjudgmental and have lived experience. Conclusions A mobile harm reduction setting could be an effective venue for delivering comprehensive HIV prevention services to Black PWID, a community that experiences significant barriers to care via marginalization and racism in a fragmented healthcare system. |
| first_indexed | 2024-04-11T14:51:19Z |
| format | Article |
| id | doaj.art-07e7bbb518d741b0836f69a84439f78e |
| institution | Directory Open Access Journal |
| issn | 1477-7517 |
| language | English |
| last_indexed | 2024-04-11T14:51:19Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Harm Reduction Journal |
| spelling | doaj.art-07e7bbb518d741b0836f69a84439f78e2022-12-22T04:17:26ZengBMCHarm Reduction Journal1477-75172022-12-0119111010.1186/s12954-022-00721-6“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 drugsTyler S. Bartholomew0Barbara Andraka-Cristou1Rachel K. Totaram2Shana Harris3Susanne Doblecki-Lewis4Lily Ostrer5David P. Serota6David W. Forrest7Teresa A. Chueng8Edward Suarez9Hansel E. Tookes10Division of Health Services Research and Policy, Department of Public Health Sciences, Miller School of Medicine, University of MiamiDepartment of Health Management and Informatics, University of Central FloridaDepartment of Health Management and Informatics, University of Central FloridaDepartment of Internal Medicine, University of Central FloridaDivision of Infectious Diseases, Department of Medicine, University of Miami Miller School of MedicineDivision of Infectious Diseases, Department of Medicine, University of Miami Miller School of MedicineDivision of Infectious Diseases, Department of Medicine, University of Miami Miller School of MedicineDepartment of Anthropology, College of Arts and Sciences, University of MiamiDivision of Infectious Diseases, Department of Medicine, University of Miami Miller School of MedicineDepartment of Psychiatry and Behavioral Sciences, University of Miami Miller School of MedicineDivision of Infectious Diseases, Department of Medicine, University of Miami Miller School of MedicineAbstract Introduction A recent surge in HIV outbreaks, driven by the opioid and stimulant use crises, has destabilized our progress toward targets set forth by Ending the HIV Epidemic: A Plan for America for the high-priority community of people who inject drugs (PWID), particularly Black PWID. Methods In order to ascertain the acceptability and feasibility of using a mobile syringe services program (SSP) for comprehensive HIV prevention via PrEP and medications for opioid use disorder (MOUD), our mixed methods approach included a quantitative assessment and semi-structured qualitative interviews with Black PWID (n = 30) in Miami-Dade County who were actively engaged in mobile syringe services. Results Participants felt that delivery of MOUD and PrEP at a mobile SSP would be both feasible and acceptable, helping to address transportation, cost, and stigma barriers common within traditional healthcare settings. Participants preferred staff who are compassionate and nonjudgmental and have lived experience. Conclusions A mobile harm reduction setting could be an effective venue for delivering comprehensive HIV prevention services to Black PWID, a community that experiences significant barriers to care via marginalization and racism in a fragmented healthcare system.https://doi.org/10.1186/s12954-022-00721-6PrEPMedications for opioid use disorderSyringe services programBlack people who inject drugs |
| spellingShingle | Tyler S. Bartholomew Barbara Andraka-Cristou Rachel K. Totaram Shana Harris Susanne Doblecki-Lewis Lily Ostrer David P. Serota David W. Forrest Teresa A. Chueng Edward Suarez Hansel E. Tookes “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 Reduction Journal PrEP Medications for opioid use disorder Syringe services program Black people who inject drugs |
| title | “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 |
| title_full | “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 |
| title_fullStr | “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 |
| title_full_unstemmed | “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 |
| title_short | “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 |
| title_sort | 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 |
| topic | PrEP Medications for opioid use disorder Syringe services program Black people who inject drugs |
| url | https://doi.org/10.1186/s12954-022-00721-6 |
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