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HIV Risk perception and eligibility for pre-exposure prophylaxis in women involved in the criminal justice system

Bibliographic Data

ID19441289
AuthorsRonnye Rutledge (0000-0002-5739-8123, Department of Internal Medicine, Section of Infectious Diseases, Yale AIDS Program, Yale School of Medicine, New Haven, CT, USA), Lynn Madden (0000-0002-9981-3938, APT Foundation, Inc., New Haven, CT, USA), Onyema Ogbuagu (0000-0001-7342-2608, Department of Internal Medicine, Section of Infectious Diseases, Yale AIDS Program, Yale School of Medicine, New Haven, CT, USA), Jaimie P Meyer (0000-0001-5735-385X, Department of Internal Medicine, Section of Infectious Diseases, Yale AIDS Program, Yale School of Medicine, New Haven, CT, USA, corresponding author)
Year2018
Volume30
Issue10
Pages1282-1289
Publication date2018-10-03
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2018.1447079
PMID29527934
OpenAlexW2793199860
LanguageEN
Citations received20
References cited40

Women involved in the criminal justice system (WICJ) are at high risk of acquiring HIV and would benefit from HIV pre-exposure prophylaxis (PrEP) but there are no studies in this population to inform PrEP implementation programs. We conducted a cross-sectional survey of HIV-uninfected, cis-gender women on probation, parole and/or recently released from prison/jail to assess PrEP awareness, eligibility, potential barriers to uptake, and the PrEP care continuum. The 125 WICJ surveyed reported high rates of HIV risk behaviors including recent transactional sex (22.4%) and unsafe injection practices (14.4%). Despite 33% (n = 42) meeting eligibility criteria for PrEP, only 25% were aware of PrEP and one person was currently using it. Just 16.7% of those who were PrEP eligible perceived they were at risk for HIV. Following a brief explanation of PrEP, 90% said they would try it if recommended by their physician. Compared to those not PrEP eligible (n = 83), PrEP eligible women were less likely to be stably housed or have a primary care provider, and were more likely to be violence-exposed, charged with drug possession, have lifetime substance use, or living with Hepatitis C infection. WICJ frequently engage in HIV risk behaviors that make them eligible for PrEP. Uptake may be limited by lack of PrEP awareness or underestimation of personal HIV risk. WICJ report receptiveness to PrEP and represent an important population for targeted PrEP implementation programs

Criminal justice · Criminology · Environmental health · Family medicine · Men who have sex with men · Perception · Population · Pre-exposure prophylaxis · Prison · Risk perception · Syphilis · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Homelessness and Social Issues · Medicine · Psychology

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    Open Access•Kenneth H Mayer, Allison Agwu et al.•Advances in Therapy•2020

  • PrEP attitudes, willingness, and preferences among men incarcerated in jail in Massachusetts

    Open Access•Jude Al Abosy, Sruthi Kalavacherla et al.•BMC Public Health•2025

  • Experience delivering an integrated service model to people with criminal justice system involvement and housing insecurity

    Open Access•Olivia Baker, Omer Baker et al.•BMC Public Health•2023

  • “Why not take that pill?”

    Open Access•Dawn Goddard‐eckrich, Srishti Sardana et al.•AIDS and Behavior•2026

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    Open Access•Snehasish Tripathy, Alisha Lakhani et al.•International Journal of Offender…•2025

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  • A qualitative examination of barriers and facilitators to HIV prevention and treatment for people involved with the criminal justice system

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  • Barriers, beliefs, and biomedical prevention

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    Open Access•Danika Troupe, Henry Jack et al.•AIDS and Behavior•2026

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  • Great Expectations

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Citations per year2.86
Citation span2019 - 2026 (8)
Highly citedNo

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