Awareness and Perceptions of Pre-Exposure Prophylaxis (PrEP) for HIV among Incarcerated Individuals Receiving MOUD at a Rural Massachusetts Jail

Presenter

Fiona Marie Lyons

Campus

UMass Amherst

Sponsor

Elizabeth Evans, Department of Health Promotion and Policy, UMass Amherst

Schedule

Session 4, 2:30 PM - 3:15 PM [Schedule by Time][Poster Grid for Time/Location]

Location

Poster Board C28, Poster Showcase Room (163), Row 3 (C21-C30) [Poster Location Map]

Abstract

As of the end of 2021, the prevalence of HIV among incarcerated individuals was nearly three times that of the general public. Despite the elevated risk, the provision of pre-exposure prophylaxis (PrEP) for HIV to justice-involved individuals is uncommon. Franklin County jail in Western Massachusetts offers PrEP to incarcerated individuals, yet usage remains very low. When used properly, PrEP is highly effective in protecting against HIV infection. Seeing as incarcerated people can be identified as a population that is vulnerable to HIV infection, the need for HIV and PrEP education in carceral settings is considerably high. Risk is even further elevated among IV drug users, which is relevant as this study is limited to recipients of medications for opioid use disorder (MOUD). A thematic analysis of twenty interviews with individuals incarcerated in Franklin County jail who receive MOUD is being conducted to assess knowledge, attitudes, and beliefs about HIV and PrEP. Preliminary findings suggest low awareness and knowledge of PrEP and largely surface-level knowledge regarding HIV. Results thus far point to participants showing high interest in learning more about HIV and PrEP. Findings also show general approval of PrEP regardless of interest in personal use. Barriers to PrEP use can be identified at this stage, including concerns regarding side effects and low perceived risk despite many participants reporting HIV risk behaviors. Preliminary results further support the need for education surrounding HIV and PrEP in efforts to increase awareness and knowledge of the two as well as usage of PrEP.

Keywords

harm reduction, opioid use disorder, justice-involved populations, public health intervention, infectious disease education

Research Area

Public Health and Epidemiology

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