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Area of Science:

  • Public Health
  • Epidemiology
  • Behavioral Science

Background:

  • The Southern U.S. faces disproportionately high rates of HIV and incarceration.
  • Existing HIV prevention strategies include education, behavioral changes, and biomedical interventions like pre-exposure prophylaxis (PrEP).
  • Individuals involved in Adult Drug Court (ADC) or on probation/parole (P-P) often exhibit high-risk behaviors for HIV acquisition.

Purpose of the Study:

  • To assess the implementation and effectiveness of an educational intervention and support services for PrEP access.
  • To evaluate the acceptance and usefulness of the intervention among ADC and P-P participants.
  • To identify predictors of interest in using PrEP within this population.

Main Methods:

  • An educational intervention and supportive services were implemented for 218 individuals in ADC or on P-P.
  • Participant-reported risk behaviors, HIV knowledge, and PrEP interest were assessed.
  • Multivariate analysis was used to identify factors associated with PrEP interest.

Main Results:

  • Participants rated the intervention as acceptable and useful.
  • Post-intervention, participants demonstrated increased knowledge of HIV risks and testing.
  • Predictors of interest in PrEP included lower stigma beliefs, higher depressive symptoms, and white race.

Conclusions:

  • The educational intervention and support services show promise for improving HIV prevention among high-risk individuals in the justice system.
  • Targeted HIV prevention efforts are critical for this population due to documented high-risk behaviors.
  • Further research can refine interventions to increase PrEP uptake and reduce HIV transmission in vulnerable groups.