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Best practices for identifying men who have sex with men for corrections-based pre-exposure prophylaxis provision
Lauren Brinkley-Rubinstein1,2, Meghan Peterson3, Nickolas D Zaller4
1Department of Social Medicine, Center for Health Equity, University of North Carolina at Chapel Hill, 333 S. Columbia St., 341B MacNider Hall, Chapel Hill, NC, 27599, USA. Lauren_Brinkley@med.unc.edu.
Purpose:
Men who have sex with men (MSM) who are incarcerated are at increased risk for HIV acquisition, yet there are challenges associated with disclosing sexual identity/orientation among people who are incarcerated.
Methods:
The current study used semi-structured, qualitative interviews to explore attitudes and awareness of pre-exposure prophylaxis (PrEP) among 26 MSM who were incarcerated at the Rhode Island Department of Corrections.
Results:
Participants noted variable levels of willingness to disclose sexual identity/orientation.
Conclusions:
CJ institutions should consider involving medical staff and outside agencies when using the CDC PrEP guidelines or consider a WHO-based, rather than behavior-based, approach to determining candidacy for PrEP.
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