Despite high pre-exposure prophylaxis (PrEP) acceptability among people who inject drugs (PWID) and PrEP providers, PrEP uptake is low and little is known about how to promote PrEP among PWID. This qualitative study with providers in North Carolina explored views on PrEP delivery approaches for PWID. Interviewers conducted semistructured interviews with 10 PrEP providers and 10 harm reduction (HR) providers. Interviews were transcribed and analyzed. Many participants expressed acceptability for providing PrEP referrals at syringe exchange sites, stationing PrEP providers at syringe exchange sites to provide PrEP prescriptions, and providing standing orders for PrEP at syringe exchange sites. Barriers were identified, including low PrEP awareness and limited resources. Many advocated for co-location of HR and PrEP services and scaled-up outreach services. PrEP providers emphasized maintenance of clinical requirements, while HR providers emphasized flexibility when treating PWID. Promoting PrEP uptake and adherence among PWID likely requires integration of HR and PrEP services.

中文翻译：

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医疗机构和减少对注射毒品者预防HIV暴露前预防的危害观点

尽管在注射药物（PWID）和PrEP提供者中接触前预防（PrEP）的接受度很高，但是PrEP摄取率低，关于如何在PWID中促进PrEP知之甚少。这项与北卡罗来纳州供应商进行的定性研究探讨了有关PWID的PrEP交付方法的观点。访谈者与10名PrEP提供者和10名减低伤害（HR）提供者进行了半结构化访谈。采访记录和分析。许多参与者表示接受在注射器交换站点提供PrEP推荐，在注射器交换站点驻扎PrEP提供者以提供PrEP处方以及在注射器交换站点提供PrEP的常规订单的可接受性。确定了障碍，包括对PrEP的了解不足和资源有限。许多人主张将HR和PrEP服务与扩大的外展服务放在同一地点。PrEP提供者强调维持临床要求，而HR提供者强调治疗PWID时的灵活性。促进PWID在PWID中的吸收和遵守可能需要整合HR和PrEP服务。