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

S. Alexandra Marshall, Caroline Barham, Taylor Neher, Melissa J. Zielinski, Lauren Brinkley-Rubinstein, Margaret M. Gorvine, Nickolas Zaller

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

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.
Original languageAmerican English
Pages (from-to)149-166
Number of pages18
JournalJournal of Health Care for the Poor and Underserved
Volume33
Issue number1
DOIs
StatePublished - Feb 2022
Externally publishedYes

Keywords

  • HIV
  • PrEP
  • community health worker
  • criminal justice

EGS Disciplines

  • Public Health

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